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Revisits to the ER
After Self-Inflicted Injury 
SII Returns



  The hospital records of 478 persons with a 1995/96 Emergency Department (ER) presentation for self-inflicted injury (SII) were tracked for three years.

When compared to those who presented with either asthma attacks or other complaints, the SII group showed a much higher return rate (2.3 per person per year, versus 1.2 for the asthma group and 0.8 for the "other" group). The SII group had higher return rates for SII itself, and for unintentional injuries, assault, mental disorders, substance abuse and headache. 
      
Individuals who harm themselves are chronic users of the ER with a great variety of problems. These multiple influences need to be considered when designing inerventions.
Source: Colman I, Dryden DM, Thompson AH, Chahal AM, Borden K, Rowe BH, Voaklander DC (2004). Utilization of the emergency department after self-inflicted injury. Academic Emergency Medicine 11, 136-142.  Click here for a copy.
 
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