@article{ref1,
title="Do Geographic Regions with Higher Suicide Rates also have Higher Rates of Nonfatal Intentional Self-Harm?",
journal="Suicide and life-threatening behavior",
year="2008",
author="Claassen, Cynthia A. and Carmody, Thomas and Bossarte, Robert M. and Trivedi, Madhukar H. and Elliott, Simon and Currier, Glenn W.",
volume="38",
number="6",
pages="637-649",
abstract="Fatal and nonfatal intentional self-harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New Hampshire 206.5/100,000 person years; Massachusetts 166.7/100,000). Geographic context did not uniformly impact the likelihood of self-harm across event types. The state-level public health burden posed by such acts cannot, therefore, be accurately estimated from either mortality or morbidity data alone.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1521/suli.2008.38.6.637",
url="http://dx.doi.org/10.1521/suli.2008.38.6.637"
}