Journal article

Repeated presentation of children and adolescents to the emergency department following self-harm: A retrospective audit of hospital data

Peter Summers, Rachel O'Loughlin, Sinead O'Donnell, Rohan Borschmann, John Carlin, Harriet Hiscock

EMERGENCY MEDICINE AUSTRALASIA | WILEY | Published : 2020

Abstract

OBJECTIVE: To examine re-presentation rates for self-harm in patients aged 0-18 years to the ED of a tertiary paediatric hospital in Melbourne, Australia, and associated patient, family and hospital presentation factors. METHODS: Data for presentations from 1 July 2016 to 31 December 2018 were extracted from the hospital's electronic medical record system. Self-harm presentations were identified through automated, rule-based coding and manual review of medical notes. Re-presentation rates for intervals up to 12 months were estimated using survival methods with risk factor associations examined using Cox regression. RESULTS: Of the 952 presentations for self-harm after 1 January 2017, 529 wer..

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Grants

Awarded by Royal Children's Hospital Foundation


Awarded by National Health and Medical Research Council (NHMRC)


Awarded by NHMRC Early Career Fellowship


Funding Acknowledgements

The study received funding from the Royal Children's Hospital Foundation (2018-987). HH is supported by a National Health and Medical Research Council (NHMRC) Practitioner Fellowship (1136222). RB is supported by an NHMRC Early Career Fellowship (1104644). Research at the MCRI is supported by the Victorian Government's Operational Infrastructure Program.