Profile of Hospital Admissions due to Self-Inflicted Harm in Los Angeles County from 2001 to 2010

J Forensic Sci. 2017 Sep;62(5):1244-1250. doi: 10.1111/1556-4029.13416. Epub 2017 Jan 25.

Abstract

We aimed to describe the demographic profile of self-inflicted harm (SIH) in Los Angeles County between 2001 and 2010 and to investigate trends over this 10-year period. We used the California Hospital Discharge Data to investigate all cases of hospital admission due to SIH, including suicide attempts and if they had a concurrent psychiatric diagnosis based on ICD-9 codes. African-Americans (AA) had the highest 10-year SIH admission rates. SIH admission rates remained steady throughout the 10-year study period. Median age of SIH was significantly lower in Latinos. Episodic mood disorders were the most common psychiatric comorbidity. The use of solid/liquid poisoning was the most common SIH method among all racial/ethnic groups. We found major disparities in SIH admissions across racial/ethnic subgroups. The importance of programs to identify, prevent, and treat SIH in these groups is discussed.

Keywords: forensic science; hospital admission; self-inflicted harm behavior/epidemiology; self-inflicted harm/racial group; solid/liquid poisoning; substance abuse.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Child
  • Databases, Factual
  • Female
  • Humans
  • Los Angeles / epidemiology
  • Male
  • Mental Disorders / epidemiology
  • Middle Aged
  • Neck Injuries / epidemiology
  • Patient Admission / statistics & numerical data*
  • Poisoning / epidemiology
  • Racial Groups / statistics & numerical data
  • Retrospective Studies
  • Self-Injurious Behavior / epidemiology*
  • Sex Distribution
  • Suicide, Attempted / statistics & numerical data*
  • Wounds, Penetrating / epidemiology
  • Young Adult