Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital
| dc.contributor.author | Breet, Elsie | |
| dc.contributor.author | Bantjes, Jason | |
| dc.contributor.author | Lewis, Ian | |
| dc.date.accessioned | 2018-05-04T08:17:03Z | |
| dc.date.available | 2018-05-04T08:17:03Z | |
| dc.date.issued | 2018-03-06 | |
| dc.date.updated | 2018-04-09T15:11:32Z | |
| dc.description.abstract | Abstract Background Substance use is a potentially modifiable risk factor for suicidal behaviour. Little is known about the epidemiology of substance use among self-harm patients in South Africa. This study set out to collect epidemiological data about the prevalence, correlates, and patterns of medical service utilisation among self-harm patients who used substances at the time of self-injury. Methods Data from 238 consecutive self-harm patients treated at an urban hospital in South Africa were analysed using bivariate and multivariate statistics. Results Approximately 20% of patients reported substance use at the time of self-harm. When compared to other self-harm patients, higher rates of patients who had used substances: had depressed levels of consciousness on admission; utilised more medical resources and required longer hospital admissions; cited relationship difficulties and financial concerns as reasons for their self-harm; reported a previous episode of self-harm; and intended to die as a result of their injuries. Although the observed differences were not statistically significant (pā>ā0.05), the proportional differences were congruent with international literature. Conclusion Acute use of substances among self-harm patients warrants more focused research and clinical attention particularly in the context of reducing utilisation of scarce medical resources. | |
| dc.identifier.apacitation | Breet, E., Bantjes, J., & Lewis, I. (2018). Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/27929 | en_ZA |
| dc.identifier.chicagocitation | Breet, Elsie, Jason Bantjes, and Ian Lewis "Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital." <i>BMC Health Services Research</i> (2018) http://hdl.handle.net/11427/27929 | en_ZA |
| dc.identifier.citation | Breet, E., Bantjes, J., & Lewis, I. (2018). Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital. BMC health services research, 18(1), 157. | |
| dc.identifier.ris | TY - Journal Article AU - Breet, Elsie AU - Bantjes, Jason AU - Lewis, Ian AB - Abstract Background Substance use is a potentially modifiable risk factor for suicidal behaviour. Little is known about the epidemiology of substance use among self-harm patients in South Africa. This study set out to collect epidemiological data about the prevalence, correlates, and patterns of medical service utilisation among self-harm patients who used substances at the time of self-injury. Methods Data from 238 consecutive self-harm patients treated at an urban hospital in South Africa were analysed using bivariate and multivariate statistics. Results Approximately 20% of patients reported substance use at the time of self-harm. When compared to other self-harm patients, higher rates of patients who had used substances: had depressed levels of consciousness on admission; utilised more medical resources and required longer hospital admissions; cited relationship difficulties and financial concerns as reasons for their self-harm; reported a previous episode of self-harm; and intended to die as a result of their injuries. Although the observed differences were not statistically significant (pā>ā0.05), the proportional differences were congruent with international literature. Conclusion Acute use of substances among self-harm patients warrants more focused research and clinical attention particularly in the context of reducing utilisation of scarce medical resources. DA - 2018-03-06 DB - OpenUCT DO - 10.1186/s12913-018-2963-7 DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital TI - Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital UR - http://hdl.handle.net/11427/27929 ER - | en_ZA |
| dc.identifier.uri | http://dx.doi.org/10.1186/s12913-018-2963-7 | |
| dc.identifier.uri | http://hdl.handle.net/11427/27929 | |
| dc.identifier.vancouvercitation | Breet E, Bantjes J, Lewis I. Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital. BMC Health Services Research. 2018; http://hdl.handle.net/11427/27929. | en_ZA |
| dc.language.iso | en | |
| dc.publisher | BioMed Central | |
| dc.publisher.department | Department of Psychiatry and Mental Health | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights.holder | The Author(s). | |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
| dc.source | BMC Health Services Research | |
| dc.source.uri | https://bmchealthservres.biomedcentral.com/ | |
| dc.subject.other | Substance use | |
| dc.subject.other | Suicidal behaviour | |
| dc.subject.other | Self-harm | |
| dc.subject.other | Medical service utilisation | |
| dc.subject.other | Acute use of substances | |
| dc.title | Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image |