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Young people admitted with self-injury had more severe psychiatric disorders in 2000 than in 1990

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Q How has hospitalisation of young people with intentional self-inflicted injuries changed from 1990 to 2000?

METHODS

Embedded ImageDesign:

Cross sectional time series.

Embedded ImageSetting:

Community hospitals in the United States; 1990 and 2000.

Embedded ImagePopulation:

People aged 5–20 years admitted urgently or as an emergency with a discharge diagnosis of intentional self-inflicted injury (ICD-9-CM: E950.0–E959.9). These data were drawn from 882 community hospitals in 1990 (6 268 515 discharge records) and 994 community hospitals in 2000 (7 450 992 discharge records). The hospitals were those in the Health Care Costs and Utilisation Project’s 20% stratified sample of community hospitals in the United States.

Embedded ImageAssessment:

Type of injury, mean length of stay, discharge status, primary payer, and primary mental disorder diagnoses.

Embedded ImageOutcomes:

Trends in: rates of admission per 100 000 youth population, mean length of stay, types of self-injury, prevalence of …

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