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Description
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Age-standardized rate of hospitalization in a general hospital due to self-injury, per 100,000 population.

For further details, please see the General Methodology Notes.

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Calculation: Description
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(Total number of discharges for a self-injury for patients age 15 and older ÷ Total mid-year population age 15 and older) × 100,000 (age-adjusted)
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Calculation: Geographic Assignment
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Place of residence

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Calculation: Type of Measurement
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Rate - per 100,000

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Calculation: Adjustment Applied
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Age-adjusted

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Calculation: Method of Adjustment
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Direct Standardization
Standard Population:
Canada 2011

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Denominator
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Description:
Total mid-year population age 15 and older

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Numerator
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Description:
Total number of discharges for a self-injury for patients age 15 and older
Inclusions:
1. Admission to an acute care institution (Facility Type Code = 1)

2. Self-injury is identified by the following external cause of injury codes with a diagnosis type of 9: ICD-10-CA X60 to X84

3. Age at admission 15 years and older
Exclusions:
1. Cases of self-injury involving outpatient treatment in hospital emergency departments or other medical facilities or completed suicide prior to hospital admission

2. Patients who were institutionalized in a psychiatric hospital and were self-injured during their stay but did not require admission to a general hospital

3. Cadaveric donor or stillbirth records (Admission Category Code = R or S)

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Data Sources
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DAD, Demography division, Statistics Canada, HMDB, NACRS, OMHRS

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Available Data Years
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Type of Year:
Fiscal
First Available Year:
2009 2010
Last Available Year:
2015 2016

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Geographic Coverage
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All provinces/territories

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Reporting Level/Disaggregation
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National, Province/Territory, Region, Neighbourhood Income Quintile

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Caveats and Limitations
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This indicator does not include cases of self-injury involving outpatient treatment in hospital emergency departments or other medical facilities or completed suicide prior to hospital admission. Thus this indicator cannot be used to estimate the prevalence of self-injury in the general population. Also not included are patients who were institutionalized in a psychiatric hospital and were self-injured during their stay but did not require admission to a general hospital. For a broader estimate of self-injury, please refer to the In Focus section of Health Indicators 2012.

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Trending Issues
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Weyburn Mental Health Centre in Saskatchewan is not included in all mental health–related indicators as requested by the facility. As a result, rates for Sun Country Health Region (4701) in 2009 are not comparable with those reported in subsequent years.

Brant Community Healthcare System: Brantford General Hospital did not submit its 2009–2010 data to the Ontario Mental Health Reporting System as of the reporting deadline; therefore, it is not included in the indicator calculation. Rates for North East Local Health Integration Network (3513) are not comparable with those reported in subsequent years.

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Comments
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The following cases of self-injury are not included in this indicator:

1. Cases of self-injury involving outpatient treatment in hospital emergency departments or other medical facilities, or completed suicide prior to hospital admission

2. Patients who were institutionalized in a psychiatric hospital and were self-injured during their stay but did not require admission to a general hospital

Indicator results are also available in

–The Health Indicators e-publication Publication (http://yourhealthsystem.cihi.ca/epub/?language=en); data is updated annually starting from 2009–20102010–2011.

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