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Suicide & self-harm monitoring

Intentional self-harm hospitalisations by method

Background

Understanding the methods used for intentional self-harm can play an important role in its prevention. These data are provided to inform discussion around restriction of access to means as a policy intervention for the prevention of suicide and self-harm.

Please consider your need to read the following information. If this material raises concerns for you or if you need immediate assistance, please contact a crisis support service, available free of charge, 24 hours a day, 7 days a week.

Please consider the Mindframe guidelines if reporting on these statistics.

The classification system used to code hospital admissions data, ICD-10-AM, uses the term ‘mechanism’ to refer to the external cause of a self-inflicted injury. Throughout Suicide and self-harm monitoring, ‘mechanism’ has been used in data visualisations, while the term ‘method’ has been used in the accompanying text.

Hospitalisations data for patients with intentional self-harm injuries includes those with and without suicidal intent. For further information see Technical notes.

The line graph shows the age-specific rates of intentional self-harm hospitalisations for persons of all ages from 2008–09 to 2023–24 by method of self-harm. Users can also choose to view age-specific rates, numbers, and proportions of hospitalisations for intentional self-harm by sex for each age group.

The line graph shows the age-specific rates of intentional self-harm hospitalisations for persons of all ages from 2008–09 to 2023–24 by method of self-harm. Users can also choose to view age-specific rates, numbers, and proportions of hospitalisations for intentional self-harm by sex for each age group.

Hospitalisations by method of self-harm

Most intentional self-harm hospitalisations are due to poisoning by pharmaceutical drugs

Between 2008–09 and 2023–24, the 2 most common methods of self-harm resulting in hospitalisation were intentional self-poisoning by anti-epileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified (benzodiazepines are included in this category) (X61) and intentional self-poisoning by nonopioid analgesics, antipyretics and antirheumatics (X60):

  • Intentional self-poisoning by anti-epileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified(X61), was responsible for 36% of intentional self-harm hospitalisations in 2023–24.
    • In 2022–24, 5,761 females were hospitalised as a result of this method of self-harm, compared to 2,946 males. This is almost 2 times as many hospitalisations among females compared to males in 2023–24.
  • Intentional self-poisoning by nonopioid analgesics, antipyretics and antirheumatics(X60) was responsible for 20% of intentional self-harm hospitalisations in 2023–24.
    • This category includes anti-inflammatory drugs, such as ibuprofen, antipyretics (for example, aspirin and paracetamol) and anti-rheumatics (some of which are used to treat arthritis).
    • More than 3 times as many hospitalisations were among females due to this method of self-harm in 2023–24 compared to male hospitalisations (3,761 and 1,074 hospitalisations, respectively).

Other drugs (X63, X64) was another common method of self-harm resulting in hospitalisation.

  • Other drugs included Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system (X63) and Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances (X64).
  • This method of self-inflicted injury accounted for 14% of all intentional self-harm hospitalisations in 2023–24, with more hospitalisations among females than males (2,182 and 1,222 hospitalisations, respectively).

Hanging (X70), Gas (X67) and Other cause (X71–X77, X79, X80-X84, Y87.0) were the only methods of intentional self-harm that resulted in more male than female hospitalisations overall in 2023–24 (423 and 284 hospitalisations due to hanging, 84 and 30 hospitalisations due to gas, and 497 and 483 hospitalisations due to Other cause, respectively).

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Supplementary tables

Hospitalisations for intentional self-harm 2023–24 – National Hospital Morbidity Database

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Caution: Some people may find parts of this content confronting or distressing.

Please carefully consider your needs when reading the following information about suicide and self-harm. If this material raises concerns for you contact Lifeline on 13 11 14, or see other ways you can seek help.

The information included here places an emphasis on data, and as such, can appear to depersonalise the pain and loss behind the statistics. The AIHW acknowledges the individuals, families and communities affected by suicide each year in Australia.

Aboriginal and Torres Strait Islander (First Nations) readers are advised that the National Suicide and Self-harm Monitoring System includes information about the suicide and self-harm of First Nations people.

The AIHW supports the use of the Mindframe guidelines on responsible, accurate and safe suicide and self-harm reporting. Please consider these guidelines when reporting on statistics on the monitoring of suicide and self-harm.