Fatal self-injury in the United States, 1999-2018: Unmasking a national mental health crisis.

ABSTRACT:

Background

Suicides by any method, plus 'nonsuicide' fatalities from drug self-intoxication (estimated from selected forensically undetermined and 'accidental' deaths), together represent self-injury mortality (SIM)-fatalities due to mental disorders or distress. SIM is especially important to examine given frequent undercounting of suicides amongst drug overdose deaths. We report suicide and SIM trends in the United States of America (US) during 1999-2018, portray interstate rate trends, and examine spatiotemporal (spacetime) diffusion or spread of the drug self-intoxication component of SIM, with attention to potential for differential suicide misclassification.

Methods

For this state-based, cross-sectional, panel time series, we used de-identified manner and underlying ca

SUBMITTER: Rockett IRH 

PROVIDER: S-EPMC7910714 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature