{"title":"对医院记录在案的故意自我伤害率进行联点分析：丹麦全国趋势的最新情况。","authors":"Britt Reuter Morthorst, Michella Heinrichsen, Annette Erlangsen","doi":"10.1007/s00127-024-02795-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Deliberate self-harm (DSH) is a public health concern and the high rates among adolescents and females warrant continuous monitoring. The aim of this study was to determine trends in DSH rates by gender and age in Denmark during 2000-2021 using joinpoint regression analysis.</p><p><strong>Methods: </strong>A cohort design was applied to national register data on all individuals aged 10 + years living in Denmark during 2000-2021. DSH episodes were identified in somatic and psychiatric hospital data. Sex- and age-specific incidence rates (IR) were calculated by calendar years. Using joinpoint regression analyses, segments of change and their annual percent change (APC) were identified.</p><p><strong>Results: </strong>The highest DSH rates were observed for males and females aged 19-24 years with IRs of 146.8 (95% CI 142.9-150.7) and 378.6 (95% CI 372.1-385.0) per 100,000 person-years, respectively. Major changes in DSH rates were found for the youngest age groups. A step decrease was found for males aged 19-24 years (-18.4; 95% CI -31.9- -2.3; p = < 0.030) during 2012 to 2015. A significant decline was observed during 2012-2016 for females aged 19-24 years (-18.9; 95% CI -26.8 - -10.2; p = 0.001). Poisoning was the most frequently used method.</p><p><strong>Conclusion: </strong>Seemingly, the financial recession in 2008 did not affect Danish DSH rates. Significant declines were observed for females in the years where means restrictive measures had been installed; thus, supporting their potential effect. Fluctuations in DSH rates among adolescents and young adults in recent years underscore the importance of continued monitoring.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Joinpoint analyses of rates on hospital-recorded deliberate self-harm: an update on Danish national trends.\",\"authors\":\"Britt Reuter Morthorst, Michella Heinrichsen, Annette Erlangsen\",\"doi\":\"10.1007/s00127-024-02795-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Deliberate self-harm (DSH) is a public health concern and the high rates among adolescents and females warrant continuous monitoring. The aim of this study was to determine trends in DSH rates by gender and age in Denmark during 2000-2021 using joinpoint regression analysis.</p><p><strong>Methods: </strong>A cohort design was applied to national register data on all individuals aged 10 + years living in Denmark during 2000-2021. DSH episodes were identified in somatic and psychiatric hospital data. Sex- and age-specific incidence rates (IR) were calculated by calendar years. Using joinpoint regression analyses, segments of change and their annual percent change (APC) were identified.</p><p><strong>Results: </strong>The highest DSH rates were observed for males and females aged 19-24 years with IRs of 146.8 (95% CI 142.9-150.7) and 378.6 (95% CI 372.1-385.0) per 100,000 person-years, respectively. Major changes in DSH rates were found for the youngest age groups. A step decrease was found for males aged 19-24 years (-18.4; 95% CI -31.9- -2.3; p = < 0.030) during 2012 to 2015. A significant decline was observed during 2012-2016 for females aged 19-24 years (-18.9; 95% CI -26.8 - -10.2; p = 0.001). Poisoning was the most frequently used method.</p><p><strong>Conclusion: </strong>Seemingly, the financial recession in 2008 did not affect Danish DSH rates. Significant declines were observed for females in the years where means restrictive measures had been installed; thus, supporting their potential effect. Fluctuations in DSH rates among adolescents and young adults in recent years underscore the importance of continued monitoring.</p>\",\"PeriodicalId\":49510,\"journal\":{\"name\":\"Social Psychiatry and Psychiatric Epidemiology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2024-11-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Psychiatry and Psychiatric Epidemiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00127-024-02795-y\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Psychiatry and Psychiatric Epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00127-024-02795-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
导言：蓄意自残（DSH）是一个公共卫生问题，青少年和女性中的高发率需要持续监测。本研究的目的是通过连接点回归分析，确定2000-2021年间丹麦不同性别和年龄的DSH发生率趋势：方法：对 2000-2021 年期间居住在丹麦的所有 10 岁以上人口的国家登记数据进行了队列设计。在躯体医院和精神病院数据中识别了DSH发作。按历年计算了性别和年龄的发病率（IR）。通过连接点回归分析，确定了变化段及其年度变化百分比（APC）：19-24岁男性和女性的DSH发病率最高，每10万人年的IR分别为146.8（95% CI 142.9-150.7）和378.6（95% CI 372.1-385.0）。最年轻年龄组的 DSH 发生了重大变化。19-24 岁男性的 DSH 下降了一个台阶（-18.4；95% CI -31.9--2.3；P = 结论）：看来，2008 年的金融衰退并未影响丹麦的 DSH 患病率。在采取了限制性措施的年份，女性的 DSH 率显著下降，从而证明了这些措施的潜在效果。近年来，青少年和年轻成年人中的 DSH 率出现波动，这凸显了持续监测的重要性。
Joinpoint analyses of rates on hospital-recorded deliberate self-harm: an update on Danish national trends.
Introduction: Deliberate self-harm (DSH) is a public health concern and the high rates among adolescents and females warrant continuous monitoring. The aim of this study was to determine trends in DSH rates by gender and age in Denmark during 2000-2021 using joinpoint regression analysis.
Methods: A cohort design was applied to national register data on all individuals aged 10 + years living in Denmark during 2000-2021. DSH episodes were identified in somatic and psychiatric hospital data. Sex- and age-specific incidence rates (IR) were calculated by calendar years. Using joinpoint regression analyses, segments of change and their annual percent change (APC) were identified.
Results: The highest DSH rates were observed for males and females aged 19-24 years with IRs of 146.8 (95% CI 142.9-150.7) and 378.6 (95% CI 372.1-385.0) per 100,000 person-years, respectively. Major changes in DSH rates were found for the youngest age groups. A step decrease was found for males aged 19-24 years (-18.4; 95% CI -31.9- -2.3; p = < 0.030) during 2012 to 2015. A significant decline was observed during 2012-2016 for females aged 19-24 years (-18.9; 95% CI -26.8 - -10.2; p = 0.001). Poisoning was the most frequently used method.
Conclusion: Seemingly, the financial recession in 2008 did not affect Danish DSH rates. Significant declines were observed for females in the years where means restrictive measures had been installed; thus, supporting their potential effect. Fluctuations in DSH rates among adolescents and young adults in recent years underscore the importance of continued monitoring.
期刊介绍：
Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic.
In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation.
Both original work and review articles may be submitted.
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