Ontario teens who visit ER for self-harm treatment at increased risk for later hospitalization, suicide, study shows

Story continues below advertisementThe move last week by Instagram, welcomed by mental-health experts, has also been criticized by young people who want to discuss healing and recovery online. In August, on the second anniversary since she stopped cutting, Ottawa teenager Emily Pierce proudly posted a smiling picture to Instagram. She is posing in a t-shirt in the sun, her healed scars faint, but showing. Instagram removed it.

“It made me angry,” she says. “I am not ashamed of my body.” At the same time, she understands that activity on the site has to be policed – it was a search on Instagram that first led Ms. Pierce to a “self-harm community” when she was 12, and struggling with suicidal thoughts after being bullied at school and family stress at home. That was the start, she says, of more than a dozen emergency-department visits and several hospitalizations for cutting and suicidal thoughts over the next year.

“It became an addiction,” she says. Her health-care experiences were mixed – one doctor dismissed her as a whiny teenager; others listened for story behind the scars on her arms and face. But by not stepping in early, she warns, the health-care system sends a dangerous message to teenagers –"that you have to be really bad to get help.”

As Dr. Goldner says, there is no single answer to a complicated health problem such as self-harm – scrubbing Instagram of anniversary photos won’t prevent the mental-health symptoms that makes a young girl turn to self-harm, won’t help the kids who turn up at crowded, understaffed emergency, won’t ease wait times for treatment in short supply.published in October, self-harm among youth has fallen since 2008.

The Danish story, Dr. Gardner says, points to the need for both individual and population-wide solutions. “There is something in society that is driving increased rates of ED visits, and we should be trying to figure it out."

...when compared with teens visiting the ER for other reasons. The headline seems to imply that visiting the ER increases the risk, which isn't what the study shows. Instead the study suggests that teens who self-harm are at increased risk than those who don't self-harm.

Past behavior predicts future behavior. One wonders how much time and money was spent on this study to arrive at that conclusion.

Does it take a study to figure this out?

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