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dc.contributor.authorKinner, Stuart A
dc.contributor.authorBorschmann, Rohan
dc.date.accessioned2019-09-20T03:07:41Z
dc.date.available2019-09-20T03:07:41Z
dc.date.issued2019
dc.identifier.issn2468-2667en_US
dc.identifier.doi10.1016/S2468-2667(19)30065-9en_US
dc.identifier.urihttp://hdl.handle.net/10072/387576
dc.description.abstractThe risk of premature death from suicide and other causes is elevated in people with a history of self-harm1 and people with a history of violence against others.2 Despite overlap in these two populations,3 the study by Sarah Steeg and colleagues4 in The Lancet Public Health is the first to examine the risk of unnatural death in people who have engaged in both behaviours—ie, those with a history of so-called dual-harm. By using linked administrative data (an important method for examining health outcomes in marginalised, inclusion health populations),5 the authors found that although the risk of unnatural death is elevated among people with a history of violence (incidence rate ratio [IRR] 5·19, 95% CI 4·45–6·06) or self-harm (12·65, 10·84–14·77), the risk is considerably higher among people with both behaviours (29·37, 23·08–37·38). Although this outcome might be expected, the magnitude of the elevation in risk of unnatural death in the dual-harm group is marked, and highlights a need for targeted, multisectoral responses for this complex group.en_US
dc.languageEnglishen_US
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefromE210en_US
dc.relation.ispartofpagetoE211en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalLancet Public Healthen_US
dc.relation.ispartofvolume4en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsPublic, Environmental & Occupational Healthen_US
dc.subject.keywordsDELIBERATE SELF-HARMen_US
dc.subject.keywordsSUBSTANCE USE DISORDERSen_US
dc.titleDual-harm, complex needs, and the challenges of multisectoral service coordinationen_US
dc.typeJournal articleen_US
dc.type.descriptionC3 - Articles (Letter/ Note)en_US
dcterms.bibliographicCitationKinner, SA; Borschmann, R, Dual-harm, complex needs, and the challenges of multisectoral service coordination, Lancet Public Health, 2019, 4 (5), pp. E210-E211en_US
dcterms.dateAccepted2019-04-17
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/en_US
dc.date.updated2019-09-20T02:51:54Z
dc.description.versionVersion of Record (VoR)en_US
gro.rights.copyright© The Author(s) 2019. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
gro.hasfulltextFull Text
gro.griffith.authorKinner, Stuart A.


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