Background: Suicide is a serious problem in the Traveller community, with rates estimated at 11%: over 6 times that of the general population. Aims: We aimed to establish the prevalence and correlates of suicidal ideation (SI) and self-harm (SH) among Irish Travellers. Method: This was an observational cross-sectional cohort study of patients presenting with SH and SI to a tertiary hospital in Ireland, in an area with a large local Traveller population. Data were analyzed from the anonymized database (n = 2,016), comparing characteristics of Travellers and the general population. Results: This study found that Travellers (1.6% of the local population) represent 4.3% of the population seen in hospital with SH and SI, and 14.8% of episodes. There was a significant difference in SH methods used: Travellers were significantly more likely to present following attempted hanging, (OR = 21.8; p = .004). Travellers were more commonly diagnosed with depression or substance abuse, referred from critical care, and transferred for inpatient psychiatric treatment. Limitations: Limitations include the use of retrospective data from a service activity database rather than clinical information collected prospectively. Conclusion: There are significant differences in patterns of suicidal behaviors between Irish Travellers and the general population. Further research is required to understand and address the high rates of suicidal behaviors in this population.

中文翻译：

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提出紧急护理的爱尔兰旅行者中的自杀意念和行为。

背景：自杀是旅行者社区中的一个严重问题，自杀率估计为11％：是普通人群的6倍以上。目的：我们旨在确定爱尔兰旅行者中自杀意念（SI）和自我伤害（SH）的患病率及其相关性。方法：这是一项观察性横断面队列研究，研究对象为爱尔兰当地人口众多的三级医院的三级和重型肝炎患者。分析来自匿名数据库（n = 2,016）的数据，比较旅行者和一般人群的特征。结果：这项研究发现，旅行者（占当地人口的1.6％）占SH和SI医院所见人口的4.3％，发作次数占14.8％。使用的SH方法存在显着差异：尝试悬挂后，旅行者明显更有可能出现（OR = 21.8； p = .004）。重症监护室转诊旅客后，他们通常被诊断出患有抑郁症或药物滥用，并转往住院进行精神病治疗。局限性：局限性包括使用来自服务活动数据库的回顾性数据，而不是前瞻性收集的临床信息。结论：爱尔兰旅行者与一般人群的自杀行为模式存在显着差异。需要进一步的研究来理解和解决该人群中自杀行为的高发生率。并转移到住院的精神病治疗中。局限性：局限性包括使用来自服务活动数据库的回顾性数据，而不是前瞻性收集的临床信息。结论：爱尔兰旅行者与一般人群的自杀行为模式存在显着差异。需要进一步的研究来理解和解决该人群中自杀行为的高发生率。并转移到住院的精神病治疗中。局限性：局限性包括使用来自服务活动数据库的回顾性数据，而不是前瞻性收集的临床信息。结论：爱尔兰旅行者与一般人群的自杀行为模式存在显着差异。需要进一步的研究来理解和解决该人群中自杀行为的高发生率。