Map of Simcoe Muskoka

Injuries and Prevention

Intentional Self-Harm Emergency Visits

Overall
By Sex
By Age Group
By Deprivation

Overall

The age-standardized emergency visit rate for intentional self-harm in Simcoe Muskoka for the population 10 years and older in 2018 was 191 (178.4, 203.4) visits per 100,000 population, which was significantly higher than the Ontario rate of 156 (154.6, 159.0) 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 2018 which saw rates climb above what was observed in 2003 and 2004. In Ontario, the rates decreased significantly from 2003 to 2011; however, rates increased significantly from 2011 to 2018. The Simcoe Muskoka rates have been significantly higher than the comparable provincial rates for eight of the past nine years of available data.

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By Sex

In 2018, the age-standardized emergency visit rate for intentional self-harm among Simcoe Muskoka males was 130 (115.9, 144.8) visits per 100,000 visits per 100,000, which was significantly lower than the female rate of was 254 (234.2, 275.6) visits per 100,000. The intentional self-harm related emergency visit rates in Simcoe Muskoka, among both males and females, were significantly higher than the comparable provincial rates.

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 2018. The male rate for intentional self-harm emergency visits did not change significantly over this sixteen-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

The age-specific rate for self-harm related emergency visits between the years 2014 and 2018 (combined) in Simcoe Muskoka was highest for youth (10-19 years) with a rate of 383 (362.4, 405.5) 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 those between 10 and 64 years of age; however, the rates in Simcoe Muskoka among seniors (65 years and older) were similar to 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 2018 which saw rates more than double over this ten-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. The Simcoe Muskoka female youth intentional self-harm emergency visit rates have more than doubled in the past eight years from 260 (208.2, 320.5) visits per 100,000 in 2011 to 632 (547.5, 724.9) visits per 100,000 in 2018. On a positive note, the 2018 Simcoe Muskoka youth female intentional self-harm emergency visit rate decreased for the first time in seven years when compared with the previous year; however, this change was not statistically significant.

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By Deprivation

For the time period from 2014 to 2018 (combined) in Simcoe Muskoka, intentional self-harm injury and poisoning emergency visit rates were highest among those living in areas with the highest amount of material deprivation (as measured by the 2016 Ontario Marginalization Index).

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For more local data on intentional self-harm injuries and poisonings and other health topics see the interactive dashboards available on Simcoe Muskoka HealthMAPS.