Gender and Age Influence on Emergency Department Visits for Non-Suicidal Self-Injuries in School Aged Children in Italy: An 11 Years Retrospective Cross-Sectional Study
Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency departments (ED). The aim of this cross-sectional study is to describe trends in ED visits for NSSI among young people aged between 5 and 19 years in...
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Published in | International journal of public health Vol. 68; p. 1606370 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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18.12.2023
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Abstract | Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency departments (ED).
The aim of this cross-sectional study is to describe trends in ED visits for NSSI among young people aged between 5 and 19 years in Italy from 2011 to 2021 in Piedmont. From the ministerial ED discharge information system, all occurring NSSIs were identified by medical report and/or ICD9CM code and reported as a population rate and a visit rate on all ED requests.
The general rate of ED visits remained stable, with around 210,000 (55% males) visits each year, along the whole period from 2011 to 2019, then halved during 2020 and 2021. The NSSI population and visits rates increased from 2013, peaking in 2019 at a rate of around 25 and 23 NSSI visits (girls) and 76 and 69 NSSI (boys) per 100,000 ED visits. In 2020 and 2021, the rate of NSSI visits increased, particularly in girls and among older adolescents.
The gradual increase of NSSI over the last decade is a rising public health issue, which deserves wider attention to ensure early detection and prevention. |
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AbstractList | Objectives: Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency departments (ED).Methods: The aim of this cross-sectional study is to describe trends in ED visits for NSSI among young people aged between 5 and 19 years in Italy from 2011 to 2021 in Piedmont. From the ministerial ED discharge information system, all occurring NSSIs were identified by medical report and/or ICD9CM code and reported as a population rate and a visit rate on all ED requests.Results: The general rate of ED visits remained stable, with around 210,000 (55% males) visits each year, along the whole period from 2011 to 2019, then halved during 2020 and 2021. The NSSI population and visits rates increased from 2013, peaking in 2019 at a rate of around 25 and 23 NSSI visits (girls) and 76 and 69 NSSI (boys) per 100,000 ED visits. In 2020 and 2021, the rate of NSSI visits increased, particularly in girls and among older adolescents.Conclusion: The gradual increase of NSSI over the last decade is a rising public health issue, which deserves wider attention to ensure early detection and prevention. Objectives: Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency departments (ED). Methods: The aim of this cross-sectional study is to describe trends in ED visits for NSSI among young people aged between 5 and 19 years in Italy from 2011 to 2021 in Piedmont. From the ministerial ED discharge information system, all occurring NSSIs were identified by medical report and/or ICD9CM code and reported as a population rate and a visit rate on all ED requests. Results: The general rate of ED visits remained stable, with around 210,000 (55% males) visits each year, along the whole period from 2011 to 2019, then halved during 2020 and 2021. The NSSI population and visits rates increased from 2013, peaking in 2019 at a rate of around 25 and 23 NSSI visits (girls) and 76 and 69 NSSI (boys) per 100,000 ED visits. In 2020 and 2021, the rate of NSSI visits increased, particularly in girls and among older adolescents. Conclusion: The gradual increase of NSSI over the last decade is a rising public health issue, which deserves wider attention to ensure early detection and prevention. Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency departments (ED). The aim of this cross-sectional study is to describe trends in ED visits for NSSI among young people aged between 5 and 19 years in Italy from 2011 to 2021 in Piedmont. From the ministerial ED discharge information system, all occurring NSSIs were identified by medical report and/or ICD9CM code and reported as a population rate and a visit rate on all ED requests. The general rate of ED visits remained stable, with around 210,000 (55% males) visits each year, along the whole period from 2011 to 2019, then halved during 2020 and 2021. The NSSI population and visits rates increased from 2013, peaking in 2019 at a rate of around 25 and 23 NSSI visits (girls) and 76 and 69 NSSI (boys) per 100,000 ED visits. In 2020 and 2021, the rate of NSSI visits increased, particularly in girls and among older adolescents. The gradual increase of NSSI over the last decade is a rising public health issue, which deserves wider attention to ensure early detection and prevention. Objectives: Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency departments (ED). Methods: The aim of this cross-sectional study is to describe trends in ED visits for NSSI among young people aged between 5 and 19 years in Italy from 2011 to 2021 in Piedmont. From the ministerial ED discharge information system, all occurring NSSIs were identified by medical report and/or ICD9CM code and reported as a population rate and a visit rate on all ED requests. Results: The general rate of ED visits remained stable, with around 210,000 (55% males) visits each year, along the whole period from 2011 to 2019, then halved during 2020 and 2021. The NSSI population and visits rates increased from 2013, peaking in 2019 at a rate of around 25 and 23 NSSI visits (girls) and 76 and 69 NSSI (boys) per 100,000 ED visits. In 2020 and 2021, the rate of NSSI visits increased, particularly in girls and among older adolescents. Conclusion: The gradual increase of NSSI over the last decade is a rising public health issue, which deserves wider attention to ensure early detection and prevention. |
Author | Paladini, Giovanni Onorati, Roberta Mamo, Carlo Elhadidy, Heba Safwat Mhmoued Abdo Borraccino, Alberto Giacomini, Gianmarco Sciurpa, Elena |
AuthorAffiliation | 1 Department of Public Health Sciences and Pediatrics, University of Turin , Turin , Italy 2 Regional Public Health Observatory, Epidemiology Unit, Local Health Board TO3 , Grugliasco , Italy |
AuthorAffiliation_xml | – name: 1 Department of Public Health Sciences and Pediatrics, University of Turin , Turin , Italy – name: 2 Regional Public Health Observatory, Epidemiology Unit, Local Health Board TO3 , Grugliasco , Italy |
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Cites_doi | 10.1542/peds.2005-2543 10.1186/s12888-017-1326-y 10.2105/AJPH.2020.306037 10.1016/j.psychres.2012.02.009 10.1111/sltb.12070 10.1016/j.jaac.2018.06.018 10.1002/per.2251 10.3390/ijerph192012988 10.1371/journal.pone.0017977 10.1521/suli.34.1.12.27769 10.3389/fpsyg.2017.01946 10.1176/appi.ajp.2010.10050718 10.1038/s41467-022-33686-y 10.1016/S2215-0366(19)30030-6 10.1192/bjp.2022.79 10.1186/s13034-023-00566-2 10.1002/jnr.24970 10.17219/acem/66353 10.1371/journal.pone.0153760 10.1037/amp0000707 10.1016/j.jaac.2011.04.003 10.1016/j.jpsychires.2022.10.033 10.1016/j.cpr.2018.07.002 10.1016/j.jadr.2021.100137 10.1016/j.adolescence.2010.04.004 10.1007/s00787-022-02083-7 10.1007/s10802-014-9895-4 10.3389/fpsyt.2022.912441 10.3389/fpsyt.2021.743526 10.1016/j.psychres.2021.114152 10.1007/s10964-022-01669-3 10.4415/ANN_20_03_08 10.1016/j.cpr.2006.08.002 |
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Keywords | adolescent self-harm emergency department non-suicidal self-injury (NSSI) school-age children |
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License | Copyright © 2023 Paladini, Sciurpa, Onorati, Elhadidy, Giacomini, Mamo and Borraccino. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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Vulnerabilities and COVID-19-Related Stress publication-title: J Youth Adolesc doi: 10.1007/s10964-022-01669-3 contributor: fullname: De Luca – volume: 56 start-page: 303 year: 2020 ident: B21 article-title: Suicidal Behaviour and Non-Suicidal Self-Injury in Children and Adolescents Seen at an Italian Paediatric Emergency Department publication-title: Ann Ist Super Sanita doi: 10.4415/ANN_20_03_08 contributor: fullname: Castaldo – volume: 27 start-page: 226 year: 2007 ident: B2 article-title: The Functions of Deliberate Self-Injury: A Review of the Evidence publication-title: Clin Psychol Rev doi: 10.1016/j.cpr.2006.08.002 contributor: fullname: Klonsky |
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Snippet | Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in emergency... Objectives: Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in... Objectives: Non-suicidal self-injury (NSSI) poses a threat in developmental ages, yet there is a scarcity of studies on NSSI trends, especially those in... |
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SubjectTerms | adolescent emergency department non-suicidal self-injury (NSSI) Public Health Archive school-age children self-harm |
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Title | Gender and Age Influence on Emergency Department Visits for Non-Suicidal Self-Injuries in School Aged Children in Italy: An 11 Years Retrospective Cross-Sectional Study |
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