HealthStats NSW
HealthStats NSW
HealthStats NSW

Intentional self-harm: hospitalisations

Females, All ages, All LHDs
121.3 (117.7, 124.9)Females, 15-24, All LHDs
343.2 (326.8, 360.3)Females, All ages, Far West
247.6 (166.5, 353.7)Females, 15-24, Far West
652.8 (313, 1200.6)Females, All ages, Western NSW
147.9 (127.3, 171)Females, 15-24, Western NSW
555.8 (448.6, 680.9)Females, All ages, Murrumbidgee
187.5 (161.8, 216.1)Females, 15-24, Murrumbidgee
575.9 (457.3, 715.9)Females, All ages, Southern NSW
210.3 (180.7, 243.3)Females, 15-24, Southern NSW
539.5 (410.5, 696.1)Females, All ages, Mid North Coast
195.9 (167.6, 227.5)Females, 15-24, Mid North Coast
557.8 (425.8, 717.5)Females, All ages, Northern NSW
199.8 (175.4, 226.6)Females, 15-24, Northern NSW
622.1 (500.3, 764.6)Females, All ages, Hunter New England
202.7 (189.1, 217)Females, 15-24, Hunter New England
518.3 (459.7, 582.3)Females, All ages, Central Coast
143.3 (124.6, 164.1)Females, 15-24, Central Coast
380.6 (299.4, 477.1)Females, All ages, Northern Sydney
89 (80.2, 98.4)Females, 15-24, Northern Sydney
309.3 (263.9, 360.3)Females, All ages, Nepean Blue Mountains
133.4 (116.9, 151.6)Females, 15-24, Nepean Blue Mountains
380.8 (306.2, 468.1)Females, All ages, Western Sydney
65.1 (58, 72.9)Females, 15-24, Western Sydney
212.1 (177, 252.1)Females, All ages, Illawarra Shoalhaven
152 (134.6, 171)Females, 15-24, Illawarra Shoalhaven
451.7 (371.9, 543.5)Females, All ages, South Eastern Sydney
83.7 (75.4, 92.7)Females, 15-24, South Eastern Sydney
257.2 (215.6, 304.3)Females, All ages, South Western Sydney
73.4 (66, 81.5)Females, 15-24, South Western Sydney
176.3 (145.9, 211.2)Females, All ages, Sydney
109.7 (98.4, 122)Females, 15-24, Sydney
271.5 (221.8, 328.6)Males, 15-24, All LHDs
128.8 (119.2, 139)Males, All ages, All LHDs
70.6 (68, 73.4)Males, 15-24, Far West
410.8 (165.1, 846.7)Males, All ages, Far West
136 (79, 218)Males, 15-24, Western NSW
215.8 (152.7, 296.2)Males, All ages, Western NSW
93.7 (77.4, 112.4)Males, 15-24, Murrumbidgee
257.8 (183.3, 352.5)Males, All ages, Murrumbidgee
103.9 (85.4, 125.1)Males, 15-24, Southern NSW
221.1 (143, 326.6)Males, All ages, Southern NSW
100.8 (80.7, 124.4)Males, 15-24, Mid North Coast
160.7 (96.4, 251.4)Males, All ages, Mid North Coast
133.5 (109.7, 160.7)Males, 15-24, Northern NSW
186.4 (125.5, 266.5)Males, All ages, Northern NSW
97.9 (81, 117.2)Males, 15-24, Hunter New England
208 (172.6, 248.6)Males, All ages, Hunter New England
100 (90.5, 110.1)Males, 15-24, Central Coast
199 (142.8, 270)Males, All ages, Central Coast
100.2 (84.8, 117.6)Males, 15-24, Northern Sydney
89 (66.1, 117.4)Males, All ages, Northern Sydney
39.8 (34.1, 46.1)Males, 15-24, Nepean Blue Mountains
110.7 (73.5, 160)Males, All ages, Nepean Blue Mountains
58.7 (48.1, 71)Males, 15-24, Western Sydney
65.7 (48.1, 87.7)Males, All ages, Western Sydney
40.9 (35.5, 47)Males, 15-24, Illawarra Shoalhaven
124.4 (86.1, 173.9)Males, All ages, Illawarra Shoalhaven
80 (67.7, 93.8)Males, 15-24, South Eastern Sydney
137 (108.8, 170.1)Males, All ages, South Eastern Sydney
65.8 (58.7, 73.5)Males, 15-24, South Western Sydney
70.8 (52.6, 93.4)Males, All ages, South Western Sydney
55.9 (49.4, 63)Males, 15-24, Sydney
82.4 (56.9, 115.1)Males, All ages, Sydney
56.2 (48.5, 64.8)
  • + Source

    NSW Combined Admitted Patient Epidemiology Data and ABS population estimates (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

  • + Notes

    Intentional self-harm includes purposely self-inflicted poisoning or injury or attempted suicide with intent based on notes recorded by the treating clinician. This indicator measures people admitted to hospital after self-harm. It is not a direct measure of the number of people in the NSW population who make suicide attempts.  

    Only NSW residents are included. Rehabilitation episodes are excluded. Figures are based on where a person resides, rather than where they are treated. Hospital separations were classified using ICD-10-AM. Rates were age-adjusted using the Australian population as at 30 June 2001.

    Numbers for recent years include an estimate of the small number of hospitalisations of NSW residents in interstate public hospitals, data for which were unavailable at the time of production. Further details can be found in the Methods tab in the following HealthStats NSW indicator: http://www.healthstats.nsw.gov.au/Indicator/bod_hos_cat

    LL/UL 95%CI = lower and upper limits of the 95% confidence interval for the point estimate. Data for some LHDs may not be included individually due to low numbers. All LHDs include Albury Local Government Area and those LHDs where numbers are low and records where the LHD was missing or not stated.

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  • + Methods
  • + Codes
    • Codes: Intentional self harm: suicide and self-inflicted injury or poisoning

      The International Statistical Classification of Diseases and Related Health Problems

      National Centre for Classification in Health, Australia; CM - Clinical Modification; AM - Australian Modification

      DescriptionICD-9 & ICD-9-CMICD-10 & ICD-10-AMComments
      Suicide / Self harm E950-E959 X60-X84, Y87.0 All records are included except those involving rehabilitation, NSW residents only, all ages.

      Episodes that are entirely within an emergency department are excluded.

      Suicide comprises any self-harm with fatal result in this report and it refers to death records labelled: Suicide and self-inflicted injury in the International Statistical Classification of Diseases and Related Health Problems, 9 revision (ICD-9) (WHO 1968) and Intentional self-harm in the ICD-10 (WHO 1992).

      Intentional self harm includes suicide (attempted) and purposely self-inflicted poisoning or injury (WHO 1992).

      World Health Organisation. International Statistical Classification of Diseases and Related Health Problems, 9th revision (ICD-9). Geneva: WHO, 1968.

      World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Geneva: WHO, 1992.

  • + Related Indicators
  • + Associated Information
    • Key points: Mental health

      Latest available information

      Latest available data for adults in NSW

      • 15.1% of adults aged 16 years and over (12.9% of men and 17.3% of women) experienced high or very high levels of psychological distress, as estimated from the 2017 NSW Adult Population Health Survey (self-reported using Computer Assisted Telephone Interviewing or CATI). 

      • 11.0% of adults aged 18 years and over (9.0% of males and 12.5% of females) in NSW experienced high or very high levels of psychological distress, as estimated from the 2014-15 Australian Health Survey (interviewer-administered questionnaire).

      • Overall suicide rates dropped in NSW between 1997 and 2007 but has increased since this time. In 2017, 868 people died by suicide and males accounted for around 77.6% of these deaths.

      • In 2017-18, there were 7,236 hospitalisations of NSW residents for intentional self-harm. Females accounted for 63% of these hospitalisations.

      • In 2017, 14.0% of secondary school students reported high levels of psychological distress in the previous six months (9.7% of males and 18.2% of females). The proportion of students reporting high levels of psychological distress has remained stable over the last 3 years (2014 to 2017).

      • Generally, a lower proportion of elderly adults have high levels of psychological distress than the overall adult population in NSW.

      • The least socioeconomically disadvantaged adults had lower levels of psychological distress than the overall adult population in NSW.

      • The proportion of adults reporting high and very high levels of psychological distress has remained fairly stable over the last decade.

    • Introduction: Mental health

      Definitions

      Mental health disorders relate to behaviours and conditions which interfere with social functioning and capacity to negotiate daily life. Mental problems are also associated with higher rates of health risk factors, poorer physical health, and higher rates of deaths from many causes including suicide.

      The classification of mental and behavioural disorders is difficult and warrants close attention to the types of disorders and syndromes which are included and excluded when comparing results from different sources. Further discussion of this issue is contained in the Methods tab.

      Burden of disease of mental conditions in Australia

      Mental ill health is one of the leading causes of non-fatal burden of disease and injury in Australia. Mental ill health was estimated to account for 12% of the disease burden in Australia in 2015, with anxiety and depression, alcohol abuse and personality disorders accounting for almost three-quarters of this burden. Only 2.5% of the burden from mental disorders is due to mortality, most of which is accounted for by fatal outcomes associated with substance abuse (AIHW 2019).

      References

      Australian Institute of Health and Welfare 2019. Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2015. Australian Burden of Disease Study series no. 19. BOD 22. Canberra: AIHW. Available at: https://www.aihw.gov.au/getmedia/c076f42f-61ea-4348-9c0a-d996353e838f/aihw-bod-22.pdf.aspx?inline=true

    • Interventions: Mental health

      NSW has a range of mental health programs covering early intervention, prevention and promotion initiatives in place across the age spectrum. See http://www.health.nsw.gov.au/mentalhealth/Pages/default.aspx

    • For more information: Mental health

      Useful websites

      NSW Health at http://www.health.nsw.gov.au/mentalhealth/Pages/default.aspx

      Beyondblue at http://www.beyondblue.org.au

      Black Dog Institute at http://www.blackdoginstitute.org.au

      WayAhead: Mental Health Association NSW at https://wayahead.org.au

      Australian Bureau of Statistics at http://www.abs.gov.au

      Australian Institute of Health and Welfare at http://www.aihw.gov.au

      healthdirect at http://www.healthdirect.gov.au

Last Updated At: Tuesday, 25 June 2019