Mental health and self-harm admissions for children and young people

Identifying and treating mental health conditions early on is essential to prevent self-harm and enable better management of mental health problems in adults.

What are the trends in hospital admissions as a result of self-harm for children and young people?

Here we look at directly standardised rates of finished admission episodes for self-harm per 100,000 population aged 10-24 years. The rate of hospital admission has been continuously increasing over time. There has been an increase by approximately 7 % (from 330 to 352 admissions per 100,000) between 2007/2008 - 2009/2010 (pooled) and 2010/11-2012/13 (pooled).

Source: 

ChiMat Health Intelligence Network, Local Authority Child Health Profiles

What are the trends in hospital admissions for children and young people with a mental illness?

Contrary to the slowly increasing trend in hospital admissions for self-harm, hospital admissions for mental illness broadly in the under 18 year olds have been declining, from 109 in 2010/11 to 88 per 100,000 in 2012/13. While it is difficult to determine what the appropriate hospital admission rate should be for children and young people with a mental illness, the declining trend may suggest improved accessed to more appropriate treatment options in the community.

Source: 
Local Authority Child Health Profiles, ChiMat Health Intelligence Network
About this data

Hospital admissions as a result of self-harm:

Numerator: Number of finished admission episodes in children aged between 10 and 24 years where the main recorded cause is between X60 and X84 (Intentional self-harm).

Denominator: Mid-year population estimates: single year of age and sex for local authorities in England and Wales (ages 10-24 years).

Hospital admissions for mental illness:

Nominator: First finished episodes for all persons aged 0 to 17 years with primary diagnosis codes F00 to F99 (Mental and behavioural disorders).

  • F00-F09 Organic, including symptomatic, mental disorders
  • F10-F19 Mental and behavioural disorders due to psychoactive substance use
  • F20-F29 Schizophrenia, schizotypal and delusional disorders
  • F30-F39 Mood [affective] disorders
  • F40-F48 Neurotic, stress-related and somatoform disorders
  • F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors
  • F60-F69 Disorders of adult personality and behaviour
  • F70-F79 Mental retardation
  • F80-F89 Disorders of psychological development
  • F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
  • F99 Unspecified mental disorder

Denominator: Mid-year population estimates: single year of age and sex for local authorities in England and Wales (ages 0-17 years).

For more information about these indicators see the Children and Young People's Health Benchmarking Tool.

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