%0 Conference Proceedings
%9 ACTI : Communications avec actes dans un congrès international
%A Gagnon-Dufresne, M.C.
%A Gautier, L.
%A Beaujoin, C.
%A Richard, Z.
%A Boivin, P.
%A Medeiros, S.
%A Ridde, Valéry
%A Zinszer, K.
%T Have public health responses to COVID-19 considered social inequalities in health ? : insights from Brazil, Canada, France and Mali [résumé]
%D 2023
%L fdi:010095773
%G ENG
%J Population Medicine
%@ 2654-1459
%K IRLANDE ; FRANCE ; BRESIL ; MALI ; CANADA
%P A366 (1 )
%R 10.18332/popmed/165611
%U https://www.documentation.ird.fr/hor/fdi:010095773
%> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/2026-01/010095773.pdf
%V 5 (Suppl.)
%W Horizon (IRD)
%X Background: Research has indicated an increased risk of self-harm repetition and suicide among individuals with frequent self-harm episodes. Co-occurring physical and mental illness further increases the risk of self-harm and suicide. However, the association between this co-occurrence and frequent self-harm episodes is not well understood. We examined the profile of individuals with frequent self-harm episodes and the association between physical and mental illness comorbidity, self-harm repetition and highly lethal self-harm acts. Methods: The study included consecutive patients with five or more self-harm presentations to Emergency Departments across three general hospitals in the Republic of Ireland. The study included file reviews (n=183) and semi-structured interviews (n=36). Multivariate logistic regression models were used to test the association between the sociodemographic and the comorbidity variables on highly lethal self-harm acts. Thematic analysis was applied to identify themes related to the comorbidity and frequent self-harm repetition. Findings: Most of the participants were female (59.6%), single (56.1%) and unemployed (57.4%). The predominant current self-harm method was drug overdose (60%). Almost 90 % of the participants had history of a mental or behavioural disorder, and 56.8% had recent physical illness. The most common psychiatric diagnoses were alcohol use disorders (51.1%), borderline personality disorder (44.0%), and major depressive disorder (37.8%). Male gender (OR=2.89) and alcohol abuse (OR=2.64) were associated with highly lethal self-harm acts. Major qualitative themes were a) the functional meaning of self-harm b) self-harm comorbidity c) family psychiatric history and d) contacts with mental health services. Participants described experiencing an uncontrollable self-harm urge, and self-harm was referred to as a way to get relief from emotional pain or self- punishment to cope with anger and stressors. Conclusions: Physical and mental illness comorbidity was high among the participants. The mental and physical illness comorbidity of these patients should be addressed via a biopsychosocial assessment and subsequent interventions.
%B World Congress on Public Health
%8 2023/05/02-06
%$ 050 ; 056 ; 106