https://scholars.lib.ntu.edu.tw/handle/123456789/641211
標題: | Travel Distance to Hospital Is Associated With Self-Harm Hospital Presentation But Not Suicide | 作者: | Liang, Ya-Lun Lin, Chien-Yu Gao, Yu-Mei Gunnell, David Hsu, Chia-Yueh SHU-SEN CHANG |
關鍵字: | area-level characteristics; spatial analysis; travel distance to hospital emergency department | 公開日期: | 14-二月-2024 | 出版社: | Hogrefe Publishing GmbH | 來源出版物: | Crisis | 摘要: | Background: Travel distance to hospital emergency departments (EDs) may be a more influential factor in the spatial variation in hospital-presenting self-harm than for suicide deaths. Aims: We investigated the associations of travel distance to the nearest ED with self-harm hospital presentations and suicides in a large city in Taiwan. Method: Data for self-harm and suicide were extracted from Taiwan's National Suicide Surveillance System (2012-2016). Results: Adjusted analyses using Bayesian hierarchical models showed that a longer travel distance to the nearest hospital ED was associated with lower self-harm hospital presentation rates but not suicide rates. Limitations: This is an ecological study; the area-level associations could not be directly implied at the individual level. Conclusion: Living in remote neighborhoods could be a barrier to seeking medical help after self-harm, and this has implications for suicide, surveillance, prevention and intervention strategies. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/641211 | ISSN: | 02275910 | DOI: | 10.1027/0227-5910/a000945 |
顯示於: | 健康行為與社區科學研究所 |
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