DSH - Health Quality Ontario (HQO)

Field Definitions Add to compare

INDICATOR NAME

Name

Emergency Department visits deliberate self-harm

Alternate Name

ED visits deliberate self-harm

INDICATOR DESCRIPTION

Description

This indicator measures the number of emergency department visits for deliberate self-harm per 1,000 population

Indicator Status

Active

HQO Reporting tool/product

Public Reports (annual report, bulletins and theme reports)

Dimension

Effective

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per 1,000 people

Calculation Methods

Numerator divided by the denominator times 1000

Numerator including inclusion/exclusion

Number of unscheduled ED visits for DSH in each calendar year

Time frame:
-          2006-2018 calendar years

C&Y numerator: Total number DSH ED visits among Ontario residents ages 10-24

Exclusions:
-          Ages <10, >24
-          No valid IKN / Cannot be linked in RPDB
-          Not Ontario resident (pull the PRCDDABLK and exclude if first two characters NE ‘35’)
-          Sex not equal to Male or Female
-          Scheduled ED visits

Adult numerator: Total number DSH ED visits among Ontario residents ages 16-105

Exclusions:
-          Ages <16, >105
-          No valid IKN / Cannot be linked in RPDB
-          Not Ontario resident (pull the PRCDDABLK and exclude if first two characters NE ‘35’)
-          Sex not equal to Male or Female
-          Scheduled ED visits

Denominator including inclusion/exclusion

General Ontario population as of July 1 for each calendar year

Time frame:
-          2006-2018 calendar years

C&Y denominator: Total number of Ontario residents ages 10-24

Exclusions:
-          Ages <10, >24
-          No valid IKN / Cannot be linked in RPDB
-          Not Ontario resident (pull the PRCDDABLK and exclude if first two characters NE ‘35’)
-          Sex not equal to Male or Female

Adult denominator: Total number of Ontario residents ages 16-105

Exclusions:
-          Ages <16, >105
-          No valid IKN / Cannot be linked in RPDB
-          Not Ontario resident (pull the PRCDDABLK and exclude if first two characters NE ‘35’)
-          Sex not equal to Male or Female

Adjustment (risk, age/sex standardization)- detailed

Age and Sex standardized to the 2006 census population

C&Y:
• Males: 10-13, 14-17, 18-21, 22-24 years
• Females: 10-13, 14-17, 18-21, 22-24 years

Adults:
• Males: 16-24, 25-44, 45-64,65-84, 85-105 years

• Females: 16-24, 25-44, 45-64,65-84, 85-105 years

Data Source

National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Region, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

Limitations include potential coding errors within administrative datasets. This indicator is only a measure of self-harm events that present to the emergency department. It cannot be used to estimate the prevalence of self-harm in the general population.