{"id":5186,"date":"2012-07-01T00:00:00","date_gmt":"2012-07-01T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/"},"modified":"2023-06-14T19:28:24","modified_gmt":"2023-06-14T23:28:24","slug":"child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/","title":{"rendered":"Child maltreatment and onset of emergency department presentations for suicide-related behaviors"},"content":{"rendered":"<p><strong>Objectives <\/strong>&#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher among children\/youth permanently removed from their parental home because of substantiated maltreatment than their peers. To describe the healthcare settings accessed by these children\/youth before a first SRB presentation to help design preventive interventions.<\/p>\n<p><strong>Methods<\/strong> &#x2014; A population-based (retrospective) cohort of 12- to 17-year-olds in Ontario, Canada was established. Children\/youth removed from their parental home because of the above noted maltreatment (n=4683) and their population-based peers (n=1,034,546) were individually linked to administrative healthcare records over time to ascertain health service use and subsequent ED presentations for SRB during follow-up. Person-time incidence rates were calculated and Cox regression models used to estimate adjusted hazard ratios (HR) and corresponding 95% confidence intervals (CI).<\/p>\n<p><strong>Results <\/strong>&#x2014; After controlling for demographic characteristics and prior health service use, maltreated children\/youth were about five times more likely to have a first ED presentation for SRB compared to their peers, in both boys (HR: 5.13, 95% CI: 3.94, 6.68) and girls (HR: 5.36, 95% CI: 4.40, 6.54).<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Children\/youth permanently removed from their parental home because of substantiated child maltreatment are at an increased risk of a first presentation to the ED for SRB. The prevention of child maltreatment and its recurrence and the promotion of resilience after maltreatment has occurred are important avenues to study toward preventing ED SRB presentations in children\/youth. Provider and system level linkages between care sectors may prevent the need for such presentations by providing ongoing environmental support.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher among children\/youth permanently removed from their parental home because of substantiated maltreatment than their peers. To describe the healthcare settings accessed by these children\/youth before a first SRB presentation to help design preventive [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,34],"migration-helper-qa-sample-set":[],"class_list":["post-5186","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-mental-health-and-addictions"],"acf":{"citation":"Rhodes AE, Boyle MH, Bethell J, Wekerle C, Goodman D, Tonmyr L, Leslie B, Lam K, Manion I. <em>Child Abuse Negl<\/em>. 2012; 36(6):542-51. Epub 2012 Jul 1.","source_url":"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0145213412001019","ices_scientist":[1160],"site":[6733],"research_program":[6744],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"0665B6A6-6C92-450E-AC5B-2F59BADAB99C","sitecore_item_name":"Child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors","sitecore_field_values":"{\n  \"Title\": \"Child maltreatment and onset of emergency department presentations for suicide-related behaviors\",\n  \"Short title\": \"Child maltreatment and onset\",\n  \"Citation\": \"<p>Rhodes AE, Boyle MH, Bethell J, Wekerle C, Goodman D, Tonmyr L, Leslie B, Lam K, Manion I. <em>Child Abuse Negl<\/em>. 2012; 36(6):542-51. Epub 2012 Jul 1.<\/p>\",\n  \"Abstract\": \"<p><strong>Objectives <\/strong>&mdash; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher among children\/youth permanently removed from their parental home because of substantiated maltreatment than their peers. To describe the healthcare settings accessed by these children\/youth before a first SRB presentation to help design preventive interventions.<\/p>n<p><strong>Methods<\/strong> &mdash; A population-based (retrospective) cohort of 12- to 17-year-olds in Ontario, Canada was established. Children\/youth removed from their parental home because of the above noted maltreatment (n=4683) and their population-based peers (n=1,034,546) were individually linked to administrative healthcare records over time to ascertain health service use and subsequent ED presentations for SRB during follow-up. Person-time incidence rates were calculated and Cox regression models used to estimate adjusted hazard ratios (HR) and corresponding 95% confidence intervals (CI).<\/p>n<p><strong>Results <\/strong>&mdash; After controlling for demographic characteristics and prior health service use, maltreated children\/youth were about five times more likely to have a first ED presentation for SRB compared to their peers, in both boys (HR: 5.13, 95% CI: 3.94, 6.68) and girls (HR: 5.36, 95% CI: 4.40, 6.54).<\/p>n<p><strong>Conclusions<\/strong> &mdash; Children\/youth permanently removed from their parental home because of substantiated child maltreatment are at an increased risk of a first presentation to the ED for SRB. The prevention of child maltreatment and its recurrence and the promotion of resilience after maltreatment has occurred are important avenues to study toward preventing ED SRB presentations in children\/youth. Provider and system level linkages between care sectors may prevent the need for such presentations by providing ongoing environmental support.<\/p>n<p><a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0145213412001019\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{60C09FC0-4360-4F20-9FB9-4D310EEBEAD4}|{636318BA-F652-4567-A4B3-0E00CEAE81E1}\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{89D74451-A8EA-4EFB-9227-72D0D6DD4EEB}|{AAA1C64F-CE3C-4AEE-AE5E-40D78B084EC3}\",\n  \"Downloads\": null,\n  \"Posted Date\": \"20120701T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2012\/January\/Child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Child maltreatment and onset of emergency department presentations for suicide-related behaviors<\/title>\n<meta name=\"description\" content=\"Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Child maltreatment and onset of emergency department presentations for suicide-related behaviors\" \/>\n<meta property=\"og:description\" content=\"Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:28:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\\\/\",\"name\":\"ICES | Child maltreatment and onset of emergency department presentations for suicide-related behaviors\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2012-07-01T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:28:24+00:00\",\"description\":\"Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Child maltreatment and onset of emergency department presentations for suicide-related behaviors\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Child maltreatment and onset of emergency department presentations for suicide-related behaviors","description":"Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Child maltreatment and onset of emergency department presentations for suicide-related behaviors","og_description":"Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-14T23:28:24+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/","name":"ICES | Child maltreatment and onset of emergency department presentations for suicide-related behaviors","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2012-07-01T04:00:00+00:00","dateModified":"2023-06-14T23:28:24+00:00","description":"Objectives &#x2014; To determine whether the rates of a first presentation to the emergency department (ED) for suicide-related behavior (SRB) are higher","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/child-maltreatment-and-onset-of-emergency-department-presentations-for-suicide-related-behaviors\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Child maltreatment and onset of emergency department presentations for suicide-related behaviors"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/5186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6744"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1160"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=5186"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=5186"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=5186"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=5186"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=5186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}