Map of Simcoe Muskoka

Injuries and Prevention

Intentional Self-Harm Emergency Visits

Overall

By Sex

By Age Group

By Income

Overall

The age-standardized emergency visit rate for intentional self-harm in Simcoe Muskoka for the population 10 years and older in 2016 was 164 (152.5, 176.0) visits per 100,000 population, which was significantly higher than the Ontario rate of 138 (135.5, 139.7) visits per 100,000 population.

There was a significant downward trend in the intentional self-harm emergency visit rates in Simcoe Muskoka from 2003 to 2009; however, there was a reversal in this trend from 2009 to 2016 which saw rates climb back to what was observed in 2003 and 2004. In Ontario, the rates decreased significantly from 2003 to 2011; however, rates increased significantly from 2011 to 2016. The Simcoe Muskoka rates have been significantly higher than the comparable provincial rates for six of the past seven years of available data.

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By Sex

In 2016, the age-standardized emergency visit rate for intentional self-harm among Simcoe Muskoka males was 109 () visits per 100,000, which was significantly lower than the female rate of 221 (202.3, 241.4) visits per 100,000. The intentional self-harm related emergency visit rate in Simcoe Muskoka among females was significantly higher than the comparable provincial rate; however, the rate among Simcoe Muskoka males in 2016 was similar to the comparable provincial rate.

The rate of intentional self-harm related emergency visits among Simcoe Muskoka females declined significantly from 2003 to 2009 before increasing significantly from 2009 to 2016. The male rate for intentional self-harm emergency visits did not change significantly over this fourteen-year time period. The female rates were significantly higher than the male rates for this entire period of time.

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By Age Group

Emergency visits for intentional self-harm decreases with higher age. The age-specific rate for self-harm related emergency visits between the years 2011 and 2016 (combined) in Simcoe Muskoka was highest for youth (10-19 years) with a rate of 286 (277.3, 294.5) visits per 100,000 population, this rate was significantly higher when compared with any other age group over this same period of time. The age-specific intentional self-harm emergency visit rates in Simcoe Muskoka were significantly higher than the comparable provincial rates for adults between the ages of 20 and 64 years; however, self-harm emergency visit rates among youth (10-19 years) and seniors (65 years and older) in Simcoe Muskoka were not significantly different from the comparable provincial rates.

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There was a significant downward trend in the intentional self-harm emergency visit rates among youth (10-19 years) in both Simcoe Muskoka and Ontario from 2003 to 2009; however, there was a sharp reversal in this trend from 2009 to 2016 which saw rates more than double over this eight-year time period.

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The Simcoe Muskoka youth (10-19 years) intentional self-harm emergency department visit rates are substantially higher for females when compared with males and the gap has been widening in recent years. Simcoe Muskoka female youth intentional self-harm emergency visit rates more than doubled in the past six years from 260 (207.9, 321.4) visits per 100,000 in 2011 to 681 (591.1, 780.0) visits per 100,000 in 2016.

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By Income

For the time period from 2011 to 2016 (combined), Simcoe Muskoka residents living in areas with the highest prevalence of low-income had triple the rate of intentional self-harm emergency visits when compared with those living in areas with the lowest prevalence of low-income.

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