Liang, Ya-LunYa-LunLiangLin, Chien-YuChien-YuLinGao, Yu-MeiYu-MeiGaoGunnell, DavidDavidGunnellHsu, Chia-YuehChia-YuehHsuSHU-SEN CHANG2024-03-212024-03-212024-02-1402275910https://scholars.lib.ntu.edu.tw/handle/123456789/641211Background: 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.enarea-level characteristics; spatial analysis; travel distance to hospital emergency department[SDGs]SDG3journal article10.1027/0227-5910/a000945383530372-s2.0-85185606611https://api.elsevier.com/content/abstract/scopus_id/85185606611