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Intimate Partner Violence: An Independent Predictor of Emergency Department Visits for Attempted Suicides and Self-inflicted Injuries among American Women

Introduction: Intimate Partner Violence (IPV) is becoming a significant public health issue and has been associated with adverse health outcomes such as mental health disorders, medical conditions, and devastating lifestyle behaviors. The lifetime cost estimated with IPV has been estimated to be $3.6 trillion. Intimate partner violence (IPV) has been associated with attempted suicide and self-inflicted injuries.

Aim: To determine if IPV is an independent predictor of attempted suicides and self-inflicted injuries among American women.

Methods: We analyzed data on emergency department visits for attempted suicides and self-inflicted injuries from the National Emergency Sample database from January 2016 to December 2017. In a multivariate analysis, we determined the association between IPV and attempted suicides and self-inflicted injuries, controlling for covariates such as schizophrenia and other psychotic symptoms, anxiety disorders, depression, bipolar disorder, dementia, alcohol and substance abuse disorder, hospital region, insurance, and annual income. Samples were weighed to generate nationally representative estimates.

Results: We identified 64,152 women who visited the ED on account of attempted suicide and self-inflicted injuries between January 2016 and December 2017. Among this population, 0.19% have a background history of IPV. IPV increased the risk of attempted suicides/ self-inflicted injuries by 4 folds (OR= 4.34, 95% CI 1.56-12.13, p < 0.01).

Conclusion: Intimate partner violence is an independent predictor of increased risk of attempted suicides and self-inflicted injuries.https://hphr.org/62-article-akinyemi/

September 20, 2024

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