Associations between workers' compensation and self-harm: A retrospective case-series study of hospital admissions data.
Hospital admission
Mental health
Self-harm
Workers’ compensation
Journal
The Lancet regional health. Western Pacific
ISSN: 2666-6065
Titre abrégé: Lancet Reg Health West Pac
Pays: England
ID NLM: 101774968
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
entrez:
25
11
2022
pubmed:
26
11
2022
medline:
26
11
2022
Statut:
epublish
Résumé
While workers' compensation schemes aim to assist and support injured workers, there is some evidence that the process of pursuing a compensation claim may be extremely stressful for workers. This research aimed to compare hospital admissions for self-harm among workers' compensation claimants and non-claimants. A retrospective case-series design, this study used hospital admissions data for 42,567 patients (2011-2018) to estimate rates of hospital admission for intentional self-harm and 'self-harm and probable self-harm' (due to intentional self-harm, poisoning, or undetermined intent) and compare these between workers' compensation claimants and non-claimants. Rates were stratified by gender and calculated for each age group. For males, there was no observable difference between claimants and non-claimants for admission due to intentional self-harm. For female claimants, the incidence rate for admission for intentional self-harm was higher than non-claimants (rate ratio (RR) 2.4, 95%CI 1.8-3.2, risk difference (RD) 47.7 per 100,000 person-years). For the combined category of 'self-harm and probable self-harm', the incidence rate was elevated in both male (RR 5.8, 95%CI 5.0-6.6, RD 167.7 per 100,000 person-years) and female workers' compensation claimants (RR 3.4, 95%CI 2.8-4.2, RD 114.8 per 100,000 person-years) relative to non-claimants. Female workers' compensation claimants appear to have elevated rates of admission for intentional self-harm and 'self-harm and probable self-harm' compared to non-claimants. Male claimants appear to have increased rates of hospital admission for 'self-harm and probable self-harm'. This suggests that the process of pursuing workers' compensation may be associated with increased risk of self-harm, and highlights a need for further research. Suicide Prevention Australia Innovation Grant.
Sections du résumé
Background
UNASSIGNED
While workers' compensation schemes aim to assist and support injured workers, there is some evidence that the process of pursuing a compensation claim may be extremely stressful for workers. This research aimed to compare hospital admissions for self-harm among workers' compensation claimants and non-claimants.
Methods
UNASSIGNED
A retrospective case-series design, this study used hospital admissions data for 42,567 patients (2011-2018) to estimate rates of hospital admission for intentional self-harm and 'self-harm and probable self-harm' (due to intentional self-harm, poisoning, or undetermined intent) and compare these between workers' compensation claimants and non-claimants. Rates were stratified by gender and calculated for each age group.
Findings
UNASSIGNED
For males, there was no observable difference between claimants and non-claimants for admission due to intentional self-harm. For female claimants, the incidence rate for admission for intentional self-harm was higher than non-claimants (rate ratio (RR) 2.4, 95%CI 1.8-3.2, risk difference (RD) 47.7 per 100,000 person-years). For the combined category of 'self-harm and probable self-harm', the incidence rate was elevated in both male (RR 5.8, 95%CI 5.0-6.6, RD 167.7 per 100,000 person-years) and female workers' compensation claimants (RR 3.4, 95%CI 2.8-4.2, RD 114.8 per 100,000 person-years) relative to non-claimants.
Interpretation
UNASSIGNED
Female workers' compensation claimants appear to have elevated rates of admission for intentional self-harm and 'self-harm and probable self-harm' compared to non-claimants. Male claimants appear to have increased rates of hospital admission for 'self-harm and probable self-harm'. This suggests that the process of pursuing workers' compensation may be associated with increased risk of self-harm, and highlights a need for further research.
Funding
UNASSIGNED
Suicide Prevention Australia Innovation Grant.
Identifiants
pubmed: 36425612
doi: 10.1016/j.lanwpc.2022.100614
pii: S2666-6065(22)00229-2
pmc: PMC9679691
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100614Informations de copyright
© 2022 The Author(s).
Déclaration de conflit d'intérêts
The authors declare no competing interests.
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