Evidence map›Paper›PMID 12830563›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003

General practitioner contacts with patients before and after deliberate self harm.

K Houston, C Haw, E Townsend, K Hawton

Open access · greenAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Role of the GP in the management of patients with self-harm behaviour: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Pooled it
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  20. Self-harm in young people: the exceptional potential of the general practice consultation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

K HoustonCentre for Suicide Research, Department of Psychiatry, University of Oxford.
C Haw
E Townsend
K Hawton
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeliberate self harm (DSH) is an increasingly common problem. Although much attention is focused on suicide prevention by psychiatric services, the role of the general practitioner (GP) in the prevention of suicidal behaviour and in the aftercare of DSH patients is also important.

aimTo examine the nature and timing of GP contacts with DSH patients before and after an episode of DSH, and patients' satisfaction with these contacts. DESIGN OF STUDY: Structured interviews with patients shortly after an episode of DSH and again approximately one year later.

settingA representative sample of 139 DSH patients presenting to a district general hospital.

methodPatients were interviewed shortly after DSH and at follow-up about GP contacts, prescribed medication and psychiatric symptoms.

resultsAt the time of DSH, 91.4% of patients were diagnosed with a psychiatric disorder (depression 69.8%), with 28% receiving treatment from psychiatric services. Two-thirds of patients had been in contact with their GP in the month before DSH, but only 13.3% reported expressing suicidal thoughts. Patients consulted their GP in the week following DSH in 40.6% of cases. Over half (57.9%) the patients discussed the reasons for their DSH at the first consultation and 69.5% reported that this was helpful. Overall, 64.3% of patients were satisfied with the follow-up consultations.

conclusionsThe major role of the GP in the prevention of suicidal behaviour is in the detection and treatment of depression, and in the aftercare of DSH patients.

Indexed as

Physician's RoleAdolescentAdultFamily PracticeFemaleFollow-Up StudiesHumansMaleMental DisordersMiddle AgedPhysician-Patient RelationsSelf-Injurious BehaviorSuicide, AttemptedTreatment Outcome

Identifiers

PMID12830563
PMCPMC1314595
OpenAlexW2115413769

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.