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dc.contributor.authorKinchin, Irina
dc.contributor.authorRussell, Alex MT
dc.contributor.authorByrnes, Joshua
dc.contributor.authorMcCalman, Janya
dc.contributor.authorDoran, Christopher M
dc.contributor.authorHunter, Ernest
dc.date.accessioned2020-10-23T03:38:59Z
dc.date.available2020-10-23T03:38:59Z
dc.date.issued2019
dc.identifier.issn0933-7954en_US
dc.identifier.doi10.1007/s00127-019-01807-6en_US
dc.identifier.urihttp://hdl.handle.net/10072/389329
dc.description.abstractOBJECTIVE: 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.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.language.isoeng
dc.publisherSpringer Medizinen_US
dc.publisher.placeGermany
dc.relation.ispartofpagefrom425en_US
dc.relation.ispartofpageto434en_US
dc.relation.ispartofjournalSocial Psychiatry and Psychiatric Epidemiologyen_US
dc.relation.ispartofvolume55en_US
dc.subject.fieldofresearchPsychologyen_US
dc.subject.fieldofresearchClinical Sciencesen_US
dc.subject.fieldofresearchCognitive Sciencesen_US
dc.subject.fieldofresearchcode1701en_US
dc.subject.fieldofresearchcode1103en_US
dc.subject.fieldofresearchcode1702en_US
dc.subject.keywordsAdolescentsen_US
dc.subject.keywordsCosten_US
dc.subject.keywordsDiagnostic related groups (DRGs)en_US
dc.subject.keywordsHospitalen_US
dc.subject.keywordsSelf-harmen_US
dc.titleThe cost of hospitalisation for youth self-harm: differences across age groups, sex, Indigenous and non-Indigenous populations.en_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationKinchin, 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. 425–434en_US
dcterms.dateAccepted2019-11-09
dc.date.updated2019-11-20T05:24:31Z
gro.hasfulltextNo Full Text
gro.griffith.authorByrnes, Joshua M.


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