Rural–Urban Comparisons in the Rates of Self-Harm, U.S., 2018

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Wang, Jing ; Brown, Melissa M. ; Ivey-Stephenson, Asha Z. ; Xu, Likang ; Stone, Deborah M.
• Description:
  Introduction:
  
  This study compares rural and urban differences in the rates of nonfatal self-harm in the U.S. in 2018.
  
  Methods:
  
  Nationwide Emergency Department Sample and Census data were analyzed to calculate the RR of emergency department visits for self-harm between rural and urban residents. The analyses were conducted in 2021.
  
  Results:
  
  Among a weighted total of 488,000 emergency department visits for self-harm in the U.S., 80.5% were urban residents, and 18.3% were rural residents. In both settings, poisoning was the most common mechanism for self-harm, followed by cutting. Firearm-related self-harm and suffocation each accounted for <2% of total self-harm cases. Overall, the age-adjusted emergency department visit rate for self-harm was 252.3 per 100,000 for rural residents, which was 1.5 (95% CI=1.4, 1.6) times greater than the rate for urban residents (170.8 per 100,000 residents). The rates of self-harm among rural residents were higher than those of urban residents for both male and female residents, for all age groups except people aged ≥65 years, and by all mechanisms.
  
  Conclusions:
  
  Comprehensive suicide prevention strategies tailored to rural communities may mitigate the rural–urban disparity in morbidity from suicidal behavior.
  
  
• Subjects:
  Emergency Service, Hospital Female Humans Male Rural Population Self-Injurious Behavior Suicidal Ideation Suicide
• Source:
  Am J Prev Med. 63(1):117-120
• Pubmed ID:
  35249778
• Pubmed Central ID:
  PMC9718505
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  63
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:356ef89cbcd4fd11013610d84e93500e9023da917a6477e47da1c79b5229eb361503fae92ef3003a9f89631dbe215d2c6f368cd5efd496a5dc009905cc576278
• Download URL:
  https://stacks.cdc.gov/view/cdc/122665/cdc_122665_DS1.pdf
• File Type:
  [PDF - 391.37 KB ]