dc.contributor.author | Kinchin, Irina | |
dc.contributor.author | Russell, Alex MT | |
dc.contributor.author | Byrnes, Joshua | |
dc.contributor.author | McCalman, Janya | |
dc.contributor.author | Doran, Christopher M | |
dc.contributor.author | Hunter, Ernest | |
dc.date.accessioned | 2020-10-23T03:38:59Z | |
dc.date.available | 2020-10-23T03:38:59Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 0933-7954 | |
dc.identifier.doi | 10.1007/s00127-019-01807-6 | |
dc.identifier.uri | http://hdl.handle.net/10072/389329 | |
dc.description.abstract | OBJECTIVE: To report the comparative rates, average length of stay and cost per episode of hospital management for self-harm in three age cohorts: 15-19 years, 20-24 years and 25-29 years; by sex and indigeneity. DESIGN, SETTING, PARTICIPANTS: A secondary data analysis of the Australian Institute of Health and Welfare (AIHW) dataset between 1st January 2014 and 31st December 2014 inclusive. MAIN OUTCOME MEASURES: Cost per episode of hospitalised self-harm and rates by age group, sex and Indigenous status. RESULTS: The rate of hospitalised self-harm among Australian youth was 254.0 per 100,000 population. This rate resulted in an annual cost to the healthcare system of AU$55 million or an average cost per episode of $4649 (95% CI $4488:$4810). Hospitalised self-harm was 21 times higher than the rate of suicide (11,820 episodes of hospitalised self-harm/564 suicides). Indigenous youth had on average a 1.4 times higher rate of hospitalised self-harm and 2.2 times higher rate of suicide than non-Indigenous counterparts. When controlling for age and sex, the average cost per episode was significantly lower for Indigenous youth compared to non-Indigenous youth, estimated marginal means $4538 and $4954, respectively (p < 0.001). CONCLUSIONS: Hospitalised self-harm among Australian youth resulted in a substantial cost to the healthcare system. This cost is only part of the overall burden associated with self-harm. The rate of hospitalised self-harm was significantly higher in Indigenous youth, but the associated cost per episode was significantly lower. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Springer Medizin | |
dc.publisher.place | Germany | |
dc.relation.ispartofpagefrom | 425 | |
dc.relation.ispartofpageto | 434 | |
dc.relation.ispartofjournal | Social Psychiatry and Psychiatric Epidemiology | |
dc.relation.ispartofvolume | 55 | |
dc.subject.fieldofresearch | Health economics | |
dc.subject.fieldofresearchcode | 380108 | |
dc.subject.keywords | Adolescents | |
dc.subject.keywords | Cost | |
dc.subject.keywords | Diagnostic related groups (DRGs) | |
dc.subject.keywords | Hospital | |
dc.subject.keywords | Self-harm | |
dc.title | The cost of hospitalisation for youth self-harm: differences across age groups, sex, Indigenous and non-Indigenous populations. | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Kinchin, I; Russell, AMT; Byrnes, J; McCalman, J; Doran, CM; Hunter, E, The cost of hospitalisation for youth self-harm: differences across age groups, sex, Indigenous and non-Indigenous populations., Social Psychiatry and Psychiatric Epidemiology, 2019, 55, pp. 425–434 | |
dcterms.dateAccepted | 2019-11-09 | |
dc.date.updated | 2019-11-20T05:24:31Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Byrnes, Joshua M. | |