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：

---

爱尔兰旅行者接受紧急护理的自杀意念和行为。

背景：自杀是旅行者社区的一个严重问题，估计自杀率为 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) 和自残 (SH) 的普遍性和相关性。方法：这是一项观察性横断面队列研究，对象为在爱尔兰一家三级医院就诊的 SH 和 SI 患者，该地区当地有大量当地旅行者。从匿名数据库 (n = 2,016) 中分析数据，比较旅行者和一般人群的特征。结果：本研究发现，旅行者（占当地人口的 1.6%）占在医院就诊的 SH 和 SI 人群的 4.3%，占发作次数的 14.8%。使用的 SH 方法存在显着差异：旅行者在尝试上吊后更有可能出现（OR = 21.8；p = .004）。旅行者更常被诊断出患有抑郁症或药物滥用，从重症监护室转诊，并转院接受精神科住院治疗。限制：限制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：爱尔兰旅行者和普通人群之间的自杀行为模式存在显着差异。需要进一步的研究来了解和解决这一人群中自杀行为的高发生率。并转院接受精神科住院治疗。限制：限制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：爱尔兰旅行者和普通人群之间的自杀行为模式存在显着差异。需要进一步的研究来了解和解决这一人群中自杀行为的高发生率。并转院接受精神科住院治疗。限制：限制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：爱尔兰旅行者和普通人群之间的自杀行为模式存在显着差异。需要进一步的研究来了解和解决这一人群中自杀行为的高发生率。