@article{ref1,
title="Non-fatal deliberate self-harm in three remote indigenous communities in far north Queensland, Australia",
journal="Crisis",
year="2019",
author="Rouen, Chris and Clough, Alan R. and West, Caryn",
volume="ePub",
number="ePub",
pages="1-7",
abstract="BACKGROUND: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. AIMS: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. <br><br>METHOD: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. <br><br>RESULTS: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15-24 and 25-34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. LIMITATIONS: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. <br><br>CONCLUSION: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000589",
url="http://dx.doi.org/10.1027/0227-5910/a000589"
}