The cost of hospitalisation for youth self-harm: differences across age groups, sex, Indigenous and non-Indigenous populations

Kinchin, I; Russell, AMT; Byrnes, J; McCalman, J; Doran, CM; Hunter, E

The cost of hospitalisation for youth self-harm: differences across age groups, sex, Indigenous and non-Indigenous populations

Kinchin, I

Russell, AMT Byrnes, J McCalman, J Doran, CM Hunter, E

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Publisher:: Springer Verlag
Publication Type:: Journal Article
Citation:: Social Psychiatry and Psychiatric Epidemiology: the international journal for research in social and genetic epidemiology and mental health services, 2020, 55, (4), pp. 425-434
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	Kinchin, I https://orcid.org/0000-0003-0133-2763
dc.contributor.author	Russell, AMT
dc.contributor.author	Byrnes, J
dc.contributor.author	McCalman, J
dc.contributor.author	Doran, CM
dc.contributor.author	Hunter, E
dc.date.accessioned	2020-10-05T19:55:12Z
dc.date.available	2019-11-09
dc.date.available	2020-10-05T19:55:12Z
dc.date.issued	2020
dc.identifier.citation	Social Psychiatry and Psychiatric Epidemiology: the international journal for research in social and genetic epidemiology and mental health services, 2020, 55, (4), pp. 425-434
dc.identifier.issn	0933-7954
dc.identifier.issn	1433-9285
dc.identifier.uri	http://hdl.handle.net/10453/143085
dc.description.abstract	Objective To report the comparative rates, average length of stay and cost per episode of hospital management for self-harm in three age cohorts: 15–19 years, 20–24 years and 25–29 years; by sex and indigeneity. Design, setting, participants A secondary data analysis of the Australian Institute of Health and Welfare (AIHW) dataset between 1st January 2014 and 31st December 2014 inclusive. Main outcome measures Cost per episode of hospitalised self-harm and rates by age group, sex and Indigenous status. Results The rate of hospitalised self-harm among Australian youth was 254.0 per 100,000 population. This rate resulted in an annual cost to the healthcare system of AU$55 million or an average cost per episode of $4649 (95% CI $4488:$4810). Hospitalised self-harm was 21 times higher than the rate of suicide (11,820 episodes of hospitalised self-harm/564 suicides). Indigenous youth had on average a 1.4 times higher rate of hospitalised self-harm and 2.2 times higher rate of suicide than non-Indigenous counterparts. When controlling for age and sex, the average cost per episode was significantly lower for Indigenous youth compared to non-Indigenous youth, estimated marginal means $4538 and $4954, respectively (p < 0.001). Conclusions Hospitalised self-harm among Australian youth resulted in a substantial cost to the healthcare system. This cost is only part of the overall burden associated with self-harm. The rate of hospitalised self-harm was significantly higher in Indigenous youth, but the associated cost per episode was significantly lower.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer Verlag
dc.relation.ispartof	Social Psychiatry and Psychiatric Epidemiology: the international journal for research in social and genetic epidemiology and mental health services
dc.relation.isbasedon	10.1007/s00127-019-01807-6
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Age Distribution
dc.subject.mesh	Australia
dc.subject.mesh	Cost of Illness
dc.subject.mesh	Episode of Care
dc.subject.mesh	Female
dc.subject.mesh	Health Care Costs
dc.subject.mesh	Hospitalization
dc.subject.mesh	Humans
dc.subject.mesh	Length of Stay
dc.subject.mesh	Male
dc.subject.mesh	Oceanic Ancestry Group
dc.subject.mesh	Self-Injurious Behavior
dc.subject.mesh	Sex Distribution
dc.subject.mesh	Suicide
dc.subject.mesh	Young Adult
dc.title	The cost of hospitalisation for youth self-harm: differences across age groups, sex, Indigenous and non-Indigenous populations
dc.type	Journal Article
utslib.citation.volume	55
utslib.location.activity	Germany
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2020-10-05T19:55:08Z
pubs.issue	4
pubs.publication-status	Published online
pubs.volume	55
utslib.citation.issue	4

Abstract:

Objective To report the comparative rates, average length of stay and cost per episode of hospital management for self-harm in three age cohorts: 15–19 years, 20–24 years and 25–29 years; by sex and indigeneity. Design, setting, participants A secondary data analysis of the Australian Institute of Health and Welfare (AIHW) dataset between 1st January 2014 and 31st December 2014 inclusive. Main outcome measures Cost per episode of hospitalised self-harm and rates by age group, sex and Indigenous status. Results The rate of hospitalised self-harm among Australian youth was 254.0 per 100,000 population. This rate resulted in an annual cost to the healthcare system of AU$55 million or an average cost per episode of $4649 (95% CI $4488:$4810). Hospitalised self-harm was 21 times higher than the rate of suicide (11,820 episodes of hospitalised self-harm/564 suicides). Indigenous youth had on average a 1.4 times higher rate of hospitalised self-harm and 2.2 times higher rate of suicide than non-Indigenous counterparts. When controlling for age and sex, the average cost per episode was significantly lower for Indigenous youth compared to non-Indigenous youth, estimated marginal means $4538 and $4954, respectively (p < 0.001). Conclusions Hospitalised self-harm among Australian youth resulted in a substantial cost to the healthcare system. This cost is only part of the overall burden associated with self-harm. The rate of hospitalised self-harm was significantly higher in Indigenous youth, but the associated cost per episode was significantly lower.

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http://hdl.handle.net/10453/143085