College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; and Consortium of Australian-Academic Psychiatrists for Independent Policy Research and Analysis (CAPIPRA), Canberra, ACT, Australia.
Australas Psychiatry. 2022 Apr;30(2):166-170. doi: 10.1177/10398562211047919. Epub 2021 Nov 27.
Australian youth mental health services have received significant funding over the past 15 years. We analysed data on hospitalisation due to intentional self-harm to determine whether increased youth services were associated with reduction in a key indicator of youth population mental health.
Trends in national self-harm hospitalisation data from 2008 to 2019 for youth (<25 years) and adults (>25 years) were analysed using joinpoint regression.
Rates of hospitalisation due to intentional self-harm increased significantly in both male (1.1% per annum, 95% CI [0.2%, 1.9%]) and female (3.0% per annum, 95% CI [0.9%, 5.1%]) youth aged <25 years between 2008 and 2019. Female youth had higher rates of hospitalisation than males, and there were average annual increases of 9.1% (95% CI [2.4%, 16.3%]) and 4.0% (95% CI [0.1%, 7.9%]), and absolute increases of 120% and 47.9%, in the rate of hospitalisation of females aged 0-14 and 15-19, respectively. In contrast, there was no overall change in adults (>25 years).
Rates of hospitalisation due to intentional self-harm in Australian youth have increased despite significant investment in youth mental health services. This result could be attributable to several sociocultural factors and suggests a critical need for more hospital-based emergency youth mental health services.
在过去的 15 年中，澳大利亚青年心理健康服务获得了大量资金。我们分析了因故意自伤而住院的数据，以确定青年服务的增加是否与青年人群心理健康的一个关键指标的下降有关。
使用 joinpoint 回归分析了 2008 年至 2019 年期间青年（<25 岁）和成人（>25 岁）全国范围内因自伤而住院的数据趋势。
在 2008 年至 2019 年期间，<25 岁的男性（每年 1.1%，95%CI[0.2%，1.9%]）和女性（每年 3.0%，95%CI[0.9%，5.1%]）青年因故意自伤而住院的比率均显著上升。女性青年的住院率高于男性，分别有每年 9.1%（95%CI[2.4%，16.3%]）和 4.0%（95%CI[0.1%，7.9%]）的平均增长率，以及 120%和 47.9%的绝对增长率，分别为 0-14 岁和 15-19 岁的女性住院率。相比之下，成年人（>25 岁）的总体情况没有变化。
尽管对青年心理健康服务进行了大量投资，但澳大利亚青年因故意自伤而住院的比率仍在上升。这一结果可能归因于多种社会文化因素，表明非常需要更多的基于医院的青年心理健康紧急服务。
