Australian Institute of Health Innovation, Macquarie University, New South Wales.
Sydney Nursing School, The University of Sydney, New South Wales.
Aust N Z J Public Health. 2018 Jun;42(3):240-246. doi: 10.1111/1753-6405.12782. Epub 2018 Mar 12.
To examine the magnitude, 10-year temporal trends and treatment cost of intentional injury hospitalisations of children aged ≤16 years in Australia.
A retrospective examination of linked hospitalisation and mortality data for children aged ≤16 years during 1 July 2001 to 30 June 2012 with self-harm or assault injuries. Negative binomial regression examined temporal trends.
There were 18,223 self-harm and 13,877 assault hospitalisations, with a treatment cost of $64 million and $60.6 million, respectively. The self-harm hospitalisation rate was 59.8 per 100,000 population (95%CI 58.96-60.71) with no annual decrease. The assault hospitalisation rate was 29.9 per 100,000 population (95%CI 29.39-30.39) with a 4.2% annual decrease (95%CI -6.14- -2.31, p<0.0001). Poisoning was the most common method of self-harm. Other maltreatment syndromes were common for children ≤5 years of age. Assault by bodily force was common for children aged 6-16 years.
Health professionals can play a key role in identifying and preventing the recurrence of intentional injury. Psychosocial care and access to support services are essential for self-harmers. Parental education interventions to reduce assaults of children and training in conflict de-escalation to reduce child peer-assaults are recommended. Implications for public health: Australia needs a whole-of-government and community approach to prevent intentional injury.
研究澳大利亚≤16 岁儿童因故意伤害住院的严重程度、10 年时间趋势和治疗费用。
对 2001 年 7 月 1 日至 2012 年 6 月 30 日期间≤16 岁儿童因自我伤害或袭击受伤的住院和死亡数据进行回顾性分析。使用负二项回归分析时间趋势。
自我伤害住院 18223 例，袭击住院 13877 例，治疗费用分别为 6400 万澳元和 6060 万澳元。自我伤害住院率为每 10 万人中 59.8 例（95%CI 58.96-60.71），无年度下降。袭击住院率为每 10 万人中 29.9 例（95%CI 29.39-30.39），每年下降 4.2%（95%CI -6.14- -2.31，p<0.0001）。中毒是最常见的自我伤害方式。其他虐待综合征在≤5 岁的儿童中很常见。6-16 岁儿童中常见身体力量攻击。
卫生专业人员在识别和预防故意伤害复发方面可发挥关键作用。心理社会关怀和获得支持服务对自我伤害者至关重要。建议对父母进行干预教育以减少对儿童的攻击，以及培训冲突降级以减少儿童间的攻击。对公共卫生的影响：澳大利亚需要采取政府和社区整体方法预防故意伤害。
