The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland
BackgroundSuicide is a major cause of mortality in the United States, accounting for 14.5 deaths per 100,000 population. Many emergency department (ED) visits in the United States are due to attempted suicides. Suicide attempts predict subsequent completed suicides. Socioeconomic factors, such as co...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1353283/full |
| _version_ | 1797322373844697088 |
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| author | Oluwasegun Akinyemi Temitope Ogundare Temitope Ogundare Terhas Weldeslase Tsion Andine Mojisola Fasokun Eunice Odusanya Kakra Hughes Williams Mallory Guoyang Luo Edward Cornwell |
| author_facet | Oluwasegun Akinyemi Temitope Ogundare Temitope Ogundare Terhas Weldeslase Tsion Andine Mojisola Fasokun Eunice Odusanya Kakra Hughes Williams Mallory Guoyang Luo Edward Cornwell |
| author_sort | Oluwasegun Akinyemi |
| collection | DOAJ |
| description | BackgroundSuicide is a major cause of mortality in the United States, accounting for 14.5 deaths per 100,000 population. Many emergency department (ED) visits in the United States are due to attempted suicides. Suicide attempts predict subsequent completed suicides. Socioeconomic factors, such as community-level socioeconomic deprivation, significantly affect many traditional risk factors for attempted suicides and suicides.AimTo determine the association between community-level socioeconomic deprivation and ED visits for attempted suicide in Maryland.MethodsA retrospective analysis of attempted suicides in the Maryland State Emergency Department Database from January 2018 to December 2020. Community-level socioeconomic deprivation was measured using the Distress Community Index (DCI). Multivariate regression analyses were conducted to identify the association between DCI and attempted suicides/self-harm.ResultsThere were 3,564,987 ED visits reported in the study period, with DCI data available for 3,236,568 ED visits; 86.8% were younger than 45 years, 64.8% were females, and 54.6% non-Hispanic Whites. Over the study period, the proportion of ED visits due to attempted suicide was 0.3%. In the multivariate logistic regression, compared to prosperous zones, those in comfortable (OR = 0.80, 95% CI: 0.73–0.88, p < 0.01), Mid-Tier (OR = 0.76, 95%CI:0.67–0.86, p < 0.01), At-Risk (OR = 0.77; 95%CI: 0.65–0.92, p < 0.01) and Distressed zones (OR = 0.53; 95% CI:0.42–0.66, p < 0.01) were less likely to visit the ED for attempted suicide.ConclusionProsperous communities had the highest rate of attempted suicides, with the risk of attempted suicide increasing as individuals move from the least prosperous to more prosperous areas. |
| first_indexed | 2024-03-08T05:13:23Z |
| format | Article |
| id | doaj.art-a2ece984706c4db386a90a6603099bfc |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-08T05:13:23Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a2ece984706c4db386a90a6603099bfc2024-02-07T05:29:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13532831353283The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in MarylandOluwasegun Akinyemi0Temitope Ogundare1Temitope Ogundare2Terhas Weldeslase3Tsion Andine4Mojisola Fasokun5Eunice Odusanya6Kakra Hughes7Williams Mallory8Guoyang Luo9Edward Cornwell10Clive O Callender Department of Surgery, Howard University College of Medicine, Washington, DC, United StatesDepartment of Psychiatry, Boston Medical Center, Boston, MA, United StatesDepartment of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, United StatesDepartment of Surgery, Howard University College of Medicine, Washington, DC, United StatesDepartment of Surgery, Howard University College of Medicine, Washington, DC, United StatesDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Surgery, Howard University College of Medicine, Washington, DC, United StatesDepartment of Surgery, Howard University College of Medicine, Washington, DC, United StatesDepartment of Surgery, Howard University College of Medicine, Washington, DC, United StatesDepartment of Obstetrics and Gynecology, Howard University College of Medicine, Washington, DC, United StatesDepartment of Surgery, Howard University College of Medicine, Washington, DC, United StatesBackgroundSuicide is a major cause of mortality in the United States, accounting for 14.5 deaths per 100,000 population. Many emergency department (ED) visits in the United States are due to attempted suicides. Suicide attempts predict subsequent completed suicides. Socioeconomic factors, such as community-level socioeconomic deprivation, significantly affect many traditional risk factors for attempted suicides and suicides.AimTo determine the association between community-level socioeconomic deprivation and ED visits for attempted suicide in Maryland.MethodsA retrospective analysis of attempted suicides in the Maryland State Emergency Department Database from January 2018 to December 2020. Community-level socioeconomic deprivation was measured using the Distress Community Index (DCI). Multivariate regression analyses were conducted to identify the association between DCI and attempted suicides/self-harm.ResultsThere were 3,564,987 ED visits reported in the study period, with DCI data available for 3,236,568 ED visits; 86.8% were younger than 45 years, 64.8% were females, and 54.6% non-Hispanic Whites. Over the study period, the proportion of ED visits due to attempted suicide was 0.3%. In the multivariate logistic regression, compared to prosperous zones, those in comfortable (OR = 0.80, 95% CI: 0.73–0.88, p < 0.01), Mid-Tier (OR = 0.76, 95%CI:0.67–0.86, p < 0.01), At-Risk (OR = 0.77; 95%CI: 0.65–0.92, p < 0.01) and Distressed zones (OR = 0.53; 95% CI:0.42–0.66, p < 0.01) were less likely to visit the ED for attempted suicide.ConclusionProsperous communities had the highest rate of attempted suicides, with the risk of attempted suicide increasing as individuals move from the least prosperous to more prosperous areas.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1353283/fullsuicidedistressed community indexUnited Statessuicide preventionattempted suicideemergency department |
| spellingShingle | Oluwasegun Akinyemi Temitope Ogundare Temitope Ogundare Terhas Weldeslase Tsion Andine Mojisola Fasokun Eunice Odusanya Kakra Hughes Williams Mallory Guoyang Luo Edward Cornwell The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland Frontiers in Public Health suicide distressed community index United States suicide prevention attempted suicide emergency department |
| title | The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland |
| title_full | The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland |
| title_fullStr | The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland |
| title_full_unstemmed | The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland |
| title_short | The association between community-level economic deprivation and incidences of emergency department visits on account of attempted suicides in Maryland |
| title_sort | association between community level economic deprivation and incidences of emergency department visits on account of attempted suicides in maryland |
| topic | suicide distressed community index United States suicide prevention attempted suicide emergency department |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1353283/full |
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