TY - JOUR PY - 2008// TI - Do Geographic Regions with Higher Suicide Rates also have Higher Rates of Nonfatal Intentional Self-Harm? JO - Suicide and life-threatening behavior A1 - Claassen, Cynthia A. A1 - Carmody, Thomas A1 - Bossarte, Robert M. A1 - Trivedi, Madhukar H. A1 - Elliott, Simon A1 - Currier, Glenn W. SP - 637 EP - 649 VL - 38 IS - 6 N2 - 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.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1521/suli.2008.38.6.637 ID - ref1 ER -