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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.eclinm.2021.100741" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.eclinm.2021.100741</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
100741
Volume
32
ISSN
2589-5370
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.eclinm.2021.100741" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.eclinm.2021.100741</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
March 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Author(s) ORCID iD
Summa Health Systems Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Fatal self-injury in the United States, 1999-2018: Unmasking a national mental health crisis.
Publisher
An entity responsible for making the resource available
EClinicalMedicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-02
Subject
The topic of the resource
Mental health; Mortality; Prevention; Mental disorders; Drugs; Injury; Suicide; Poisoning; Substance misuse
Creator
An entity primarily responsible for making the resource
Rockett IRH; Caine ED; Banerjee A; Ali B; Miller T; Connery HS; Lulla VO; Nolte KB; Larkin GL; Stack S; Hendricks B; McHugh RK; White FMM; Greenfield SF; Bohnert ASB; Cossman JS; D'Onofrio G; Nelson LS; Nestadt PS; Berry JH; Jia H
Description
An account of the resource
BACKGROUND: Suicides by any method, plus 'nonsuicide' fatalities from drug self-intoxication (estimated from selected forensically undetermined and 'accidental' deaths), together represent self-injury mortality (SIM)-fatalities due to mental disorders or distress. SIM is especially important to examine given frequent undercounting of suicides amongst drug overdose deaths. We report suicide and SIM trends in the United States of America (US) during 1999-2018, portray interstate rate trends, and examine spatiotemporal (spacetime) diffusion or spread of the drug self-intoxication component of SIM, with attention to potential for differential suicide misclassification. METHODS: For this state-based, cross-sectional, panel time series, we used de-identified manner and underlying cause-of-death data for the 50 states and District of Columbia (DC) from CDC's Wide-ranging Online Data for Epidemiologic Research. Procedures comprised joinpoint regression to describe national trends; Spearman's rank-order correlation coefficient to assess interstate SIM and suicide rate congruence; and spacetime hierarchical modelling of the 'nonsuicide' SIM component. FINDINGS: The national annual average percentage change over the observation period in the SIM rate was 4.3% (95% CI: 3.3%, 5.4%; p<0.001) versus 1.8% (95% CI: 1.6%, 2.0%; p<0.001) for the suicide rate. By 2017/2018, all states except Nebraska (19.9) posted a SIM rate of at least 21.0 deaths per 100,000 population-the floor of the rate range for the top 5 ranking states in 1999/2000. The rank-order correlation coefficient for SIM and suicide rates was 0.82 (p<0.001) in 1999/2000 versus 0.34 (p = 0.02) by 2017/2018. Seven states in the West posted a ≥ 5.0% reduction in their standardised mortality ratios of 'nonsuicide' drug fatalities, relative to the national ratio, and 6 states from the other 3 major regions a >6.0% increase (p<0.05). INTERPRETATION: Depiction of rising SIM trends across states and major regions unmasks a burgeoning national mental health crisis. Geographic variation is plausibly a partial product of local heterogeneity in toxic drug availability and the quality of medicolegal death investigations. Like COVID-19, the nation will only be able to prevent SIM by responding with collective, comprehensive, systemic approaches. Injury surveillance and prevention, mental health, and societal well-being are poorly served by the continuing segregation of substance use disorders from other mental disorders in clinical medicine and public health practice. FUNDING: This study was partially funded by the National Centre for Injury Prevention and Control, US Centers for Disease Control and Prevention (R49CE002093) and the US National Institute on Drug Abuse (1UM1DA049412-01; 1R21DA046521-01A1).
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.eclinm.2021.100741" target="_blank" rel="noreferrer noopener">10.1016/j.eclinm.2021.100741</a>
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2021
Ali B
Banerjee A
Berry JH
Bohnert ASB
Caine ED
Connery HS
Cossman JS
D'Onofrio G
Department of Emergency Medicine
Drugs
EClinicalMedicine
Greenfield SF
Hendricks B
Injury
Jia H
journalArticle
Larkin GL
Lulla VO
March 2021 List
McHugh RK
Mental Disorders
Mental Health
Miller T
Mortality
Nelson LS
NEOMED College of Medicine
Nestadt PS
Nolte KB
poisoning
Prevention
Rockett IRH
Stack S
Substance misuse
Suicide
Summa Health System Akron City Hospital
White FMM
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Volume
32
ISSN
2589-5370
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.eclinm.2021.100741" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.eclinm.2021.100741</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
March 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Fatal self-injury in the United States, 1999–2018: Unmasking a national mental health crisis
Publisher
An entity responsible for making the resource available
EClinicalMedicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-02-01
Subject
The topic of the resource
Mental health; Mortality; Prevention; Mental disorders; Drugs; Injury; Suicide; Poisoning; Substance misuse
Creator
An entity primarily responsible for making the resource
Rockett IRH; Caine ED; Banerjee A; Ali B; Miller T; Connery HS; Lulla VO; Nolte KB; Larkin GL; Stack S; Hendricks B; McHugh RK; White FMM; Greenfield SF; Bohnert ASB; Cossman JS; D'Onofrio G; Nelson LS; Nestadt PS; Berry JH; Jia H
Description
An account of the resource
Background Suicides by any method, plus ‘nonsuicide’ fatalities from drug self-intoxication (estimated from selected forensically undetermined and ‘accidental’ deaths), together represent self-injury mortality (SIM)—fatalities due to mental disorders or distress. SIM is especially important to examine given frequent undercounting of suicides amongst drug overdose deaths. We report suicide and SIM trends in the United States of America (US) during 1999–2018, portray interstate rate trends, and examine spatiotemporal (spacetime) diffusion or spread of the drug self-intoxication component of SIM, with attention to potential for differential suicide misclassification.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.eclinm.2021.100741" target="_blank" rel="noreferrer noopener">10.1016/j.eclinm.2021.100741</a>
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2021
Ali B
Banerjee A
Berry JH
Bohnert ASB
Caine ED
Connery HS
Cossman JS
D'Onofrio G
Department of Emergency Medicine
Drugs
EClinicalMedicine
Greenfield SF
Hendricks B
Injury
Jia H
journalArticle
Larkin GL
Lulla VO
March 2021 List
McHugh RK
Mental Disorders
Mental Health
Miller T
Mortality
Nelson LS
NEOMED College of Medicine
Nestadt PS
Nolte KB
poisoning
Prevention
Rockett IRH
Stack S
Substance misuse
Suicide
Summa Health System Akron City Hospital
White FMM