Pattern of mental health service use and risk of injury: A longitudinal study


Objective: The aim of this study is to investigate the association between mental health treatment patterns and risk of injuries among a Western Australian male birth cohort. Method: A population-based birth-cohort of males born between 1980 and 1984 in Western Australia was followed up using linked health data. Results: Participants with mental health conditions were at an increased risk of injury. Those with a continuous mental health treatment pattern without interruption or window periods had lower risk of injury compared to those with treatment interruption or window periods. The adjusted incidence rate ratios (95% confidence interval) for injury among participants: 1) without a mental condition, 2) with a previous mental condition, 3) with a mental condition in the last four years and without interruption in their mental health treatment, and 4) with a mental condition in the last four years with interruptions in mental health service, were 0.38 (0.35 - 0.40), 0.77 (0.71 - 083), 1.0 (reference group) and 2.06 (1.72 - 2.47) respectively. Conclusion: Increasing resources for mental health services and enabling sufficient continuous mental health services and follow-up may reduce the risk of injury among populations with mental health conditions.

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Liang, W. and Chikritzhs, T. (2012) Pattern of mental health service use and risk of injury: A longitudinal study. Open Journal of Preventive Medicine, 2, 98-104. doi: 10.4236/ojpm.2012.21014.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Brehaut, J.C., Miller, A., Raina, P. and McGrail, K.M. (2003) Childhood behavior disorders and injuries among children and youth: A population-based study. Pediatrics, 111, 262-269. doi:10.1542/peds.111.2.262
[2] Cameron, C., Purdie, D., Kliewer, E. and McClure, R. (2006) Mental health: A cause or consequence of injury? A population-based matched cohort study. BMC Public Health, 6, 114. doi:10.1186/1471-2458-6-114
[3] DiScala, C., Lescohier, I., Barthel, M. and Li, G. (1998) Injuries to children with attention deficit hyperactivity disorder. Pediatrics, 102, 1415-1421. doi:10.1542/peds.102.6.1415
[4] Jokela, M., Ferrie, J. and Kivimaki, M. (2009) Childhood problem behaviors and death by midlife: The british national child development study. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 19-24. doi:10.1097/CHI.0b013e31818b1c76
[5] Jokela, M., Power, C. and Kivimaki, M. (2009) Childhood problem behaviors and injury risk over the life course. Journal of Child Psychology and Psychiatry, 50, 1541-1549. doi:10.1111/j.1469-7610.2009.02122.x
[6] Neeleman, J., Wessely, S. and Wadsworth, M. (1998) Predictors of suicide, accidental death, and premature natural death in a general-population birth cohort. The Lancet, 351, 93-97. doi:10.1016/S0140-6736(97)06364-2
[7] Rowe, R., Maughan, B. and Goodman, R. (2004) Childhood psychiatric disorder and unintentional injury: Findings from a national cohort study. Journal of Pediatric Psychology, 29, 119-130. doi:10.1093/jpepsy/jsh015
[8] Schwebel, D.C., Speltz, M.L., Jones, K. and Bardina, P. (2002) Unintentional injury in preschool boys with and without early onset of disruptive behavior. Journal of Pediatric Psychology, 27, 727-737. doi:10.1093/jpepsy/27.8.727
[9] Simon, G.E. and Savarino, J. (2007) Suicide attempts among patients starting depression treatment with medications or psychotherapy. American Journal of Psychiatry, 164, 1029-1034. doi:10.1176/appi.ajp.164.7.1029
[10] Wan, J.J., Morabito, D.J., Khaw, L., Knudson, M.M. and Dicker, R.A. (2006) Mental illness as an independent risk factor for unintentional injury and injury recidivism. The Journal of Trauma, 61, 1299-1304. doi:10.1097/01.ta.0000240460.35245.1a
[11] Wang, P.S., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M.C., Borges, G., Bromet, E.J., et al. (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. The Lancet, 370, 841-850. doi:10.1016/S0140-6736(07)61414-7
[12] Ustun, T.B., Ayuso-Mateos, J.L., Chatterji, S., Mathers, C. and Murray, C.J.L. (2004) Global burden of depressive disorders in the year 2000. The British Journal of Psychiatry, 184, 386-392. doi:10.1192/bjp.184.5.386
[13] Bijl, R.V., Ravelli, A. and van Zessen, G. (1998) Prevalence of psychiatric disorder in the general population: Results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Social Psychiatry and Psychiatric Epidemiology, 33, 587-595. doi:10.1007/s001270050098
[14] Wittchen, H.-U. and Jacobi, F. (2005) Size and burden of mental disorders in Europe—A critical review and appraisal of 27 studies. European Neuropsychopharmacology, 15, 357-376. doi:10.1016/j.euroneuro.2005.04.012
[15] Teesson, M., Slade, T. and Mills, K. (2009) Comorbidity in Australia: Findings of the 2007 national survey of mental health and wellbeing. Australian and New Zealand Journal of Psychiatry, 43, 606-614. doi:10.1080/00048670902970908
[16] Wang, P.S., Lane, M., Olfson, M., Pincus, H.A., Wells, K.B. and Kessler, R.C. (2005) Twelve-Month use of mental health services in the United States: Results from the national comorbidity survey replication. Archives of General Psychiatry, 62, 629-640. doi:10.1001/archpsyc.62.6.629
[17] Slade, T., Johnston, A., Oakley Browne, M.A., Andrews, G. and Whiteford, H. (2009) 2007 National survey of mental health and wellbeing: Methods and key findings. Australian and New Zealand Journal of Psychiatry, 43, 594-605. doi:10.1080/00048670902970882
[18] Council of Australian Governments (2008) Towards recovery: Mental health services in Australia. Commonwealth of Australia, Canberra.
[19] DOHA, National Mental Health Report 2007: Summary of twelve years of reform in Australia’s mental health services under the National Mental Health Strategy 1993-2005. 2007, Commonwealth of Australia, Canberra.
[20] Burgess, P.M., Pirkis, J.E., Slade, T.N., Johnston, A.K., Meadows, G.N. and Gunn, J.M. (2009) Service use for mental health problems: Findings from the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 43, 615-623. doi:10.1080/00048670902970858
[21] Holman, C.D.J., Bass, A.J., Rouse, I.L. and Hobbs, M.S.T. (1999) Population-based linkage of health records in Western Australia: Development of a health services research linked database. Australian and New Zealand Journal of Public Health, 23, 453-459. doi:10.1111/j.1467-842X.1999.tb01297.x
[22] Hales, R.E., Yudofsky, S.C. and Gabbard, G.O. (2010) The American psychiatric publishing textbook of psychiatry. 5th Edition, American Psychiatric Publishing, Washington DC.
[23] McLennan, W. (1998) 1996 census of population and housing: Socio-economic indexes for areas, A.B.o. Statistics. Australian Bureau of Statistics, Canberra.
[24] Bateman, A.W. and Fonagy, P. (2000) Effectiveness of psychotherapeutic treatment of personality disorder. The British Journal of Psychiatry, 177, 138-143. doi:10.1192/bjp.177.2.138
[25] Carter, G.L., Clover, K., Whyte, I.M., Dawson, A.H. and Este, C.D. (2005) Postcards from the EDge project: Randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning. BMJ, 331, 805. doi:10.1136/bmj.38579.455266.E0
[26] Mitchell, A.J. and Selmes, T. (2007) Why don’t patients attend their appointments? Maintaining engagement with psychiatric services. Advances in Psychiatric Treatment, 13, 423-434. doi:10.1192/apt.bp.106.003202

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