Contact with Mental Health Services After Acute Care for Self-Harm Among Adults Released from Prison: A Prospective Data Linkage Study.
Journal
Suicide & life-threatening behavior
ISSN: 1943-278X
Titre abrégé: Suicide Life Threat Behav
Pays: England
ID NLM: 7608054
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
09
09
2019
accepted:
28
01
2020
pubmed:
3
5
2020
medline:
28
4
2021
entrez:
3
5
2020
Statut:
ppublish
Résumé
To determine the care pathway and rate and predictors of mental health care contact within seven days of discharge from acute care following self-harm. In a representative cohort of adults released from prisons in Queensland, Australia, we probabilistically linked person-level, statewide ambulance, emergency department, and hospital records, both prospectively and retrospectively, and community mental health service and Medicare records prospectively, to baseline survey data. We fit multivariate modified log-linked Poisson regression models to examine the association between sociodemographic, health, and criminal justice factors and mental health care contact after self-harm. Of 217 discharges from acute care following self-harm, 55% (n = 119) received mental health care within seven days of discharge. Mental health care contact was associated with substance use disorder (adjusted relative risk (ARR) = 0.48; 95% CI: 0.27-0.85), dual diagnosis (ARR = 0.58; 95% CI: 0.41-0.82), physical health-related functioning (ARR = 0.98; 95% CI: 0.97-0.99), being female (ARR = 1.39; 95% CI: 1.02-1.90), being identified as at risk of self-harm by correctional authorities (ARR = 1.50; 95% CI: 1.07-2.09), and prior engagement with state-funded mental health care (ARR = 1.55; 95% CI: 1.08-2.22). Our findings highlight the need to improve the integration of community mental health care for people who present to acute care following self-harm with a recent history of incarceration, particularly for men and those with substance use disorder or dual diagnosis.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
990-1006Subventions
Organisme : National Health and Medical Research Council (NHMRC)
ID : APP409966
Organisme : National Health and Medical Research Council (NHMRC)
ID : APP1002463
Organisme : National Health and Medical Research Council (NHMRC)
ID : APP1078168
Organisme : National Health and Medical Research Council (NHMRC)
ID : APP1104644
Organisme : Australian Research Council Future Fellowship
ID : FT180100075
Informations de copyright
© 2020 The American Association of Suicidology.
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