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Cited by 21Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseOpioid Use Disorder Treatment

National trends in hospital-treated self-harm events among middle-aged adults

Olfson, Mark, Wang, Shuai, Blanco, Carlos·2015·General Hospital Psychiatry
DOI 10.1016/j.genhosppsych.2015.08.004
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Abstract

Objective To assess national trends in hospital-treated self-harm events focusing on adults aged 45-64years. Method Healthcare Cost and Utilization Project data from 2001 (N=7,452,727) to 2011 (N=7,893,587) were used to assess national trends in hospital stays for suicide and self-inflicted injury among youth (0-24years), young adults (35-44years), middle-aged adults (45-64years) and older adults (≥65years). Results Among middle-aged adults, hospital-treated self-harm events increased from 5.1 (2001) to 7.1 (2011) per 10,000 population (OR=1.4, 95% CI=1.2, 1.6). This increase was larger than corresponding changes among youth (5.2-4.9) (interaction P=.0003), young adults (10.0-10.6) (interaction P=.006) or older adults (2.2-2.4) (interaction P=.07). Among middle-aged adults, hospital-treated self-harm events per 100 hospital discharges significantly increased (OR=1.4, 95% CI=1.3, 1.6), but there was not a significant increase in self-harm discharges per 100 mental disorder discharges (OR=1.2, 95% CI=1.0, 1.4). Conclusions Between 2001 and 2011, there was a disproportionate national increase in hospital-treated self-harm events among middle-aged adults that mirrored national trends in suicide. Because the increase was largely accounted for by an overall increase in mental health hospitalizations of middle-aged adults, the rising rate of hospital-treated self-harm events may reflect broader population-based mental health challenges facing US middle-aged adults.

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  • The likelihood that NESARC-III indicates valid increases in prevalence is supported by the coherence of its results with 6 other reports showing national increases in depression indicators and suicidality.

    “The likelihood that NESARC-III indicates valid increases in prevalence is supported by the coherence of its results with 6 other reports showing national increases in depression indicators 1,2 (also Katherine M. Keyes, PhD, written communication, January 2, 2018) and suicidality.1,86,91,92”

    From Epidemiology of Adult <i>DSM-5</i> Major Depressive Disorder and Its Specifiers in the United States (2018) · cites this paper as [91]

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Authors
Olfson, M., Wang, S., & Blanco, C.
Affiliations
New York State Psychiatric Institute (US)
Corresponding author
Olfson, Mark
ORCID
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
2015-11
Volume
37
Issue
6
Pages
613-619
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/j.genhosppsych.2015.08.004
OpenAlex
W2149539776
Cited by
21
References
56
Citations by year
2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 4
FWCI
3.73
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • General Hospital Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Mental Health (MH082773, MH076051, DA019606, U18 HS021112)
  • National Institute on Drug Abuse (MH082773, MH076051, DA019606, U18 HS021112)
  • Agency for Healthcare Research and Quality (MH082773, MH076051, DA019606, U18 HS021112)
  • New York State Psychiatric Institute (MH082773, MH076051, DA019606, U18 HS021112)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
self-harm, suicide, middle-aged adults, hospitalization trends, psychiatric hospitalization, young adults, older adults, mental illness
MeSH terms
Adolescent, Adult, Aged, Child, Child, Preschool, Female, Hospitalization, Humans, Infant, Male, Middle Aged, United States, Databases, Factual, Self-Injurious Behavior, Persons with Psychiatric Disorders, Mentally Ill Persons, Young Adult

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