Evidence map›Paper›PMID 23618204›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2013

Emergency department presentations for self-harm among Ontario youth.

Jennifer Bethell, Susan J Bondy, W Y Wendy Lou, Astrid Guttmann, Anne E Rhodes

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Self-harm among youth during the first 28 months of the COVID-19 pandemic in Ontario, Canada: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022
    Article
  8. Near-Fatal Self-Harm Among Canadian Adolescents.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022
    Article
  9. Article
  10. Development of a Self-Harm Monitoring System for Victoria.International journal of environmental research and public health · 2020
    Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. The Cumulative Incidence of Self-Reported Suicide-Related Thoughts and Attempts in Young Canadians.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Community pharmacists and the assessment and management of suicide risk.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2015
    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

5 authors.

Jennifer BethellSuicide Studies Research Unit, St. Michael's Hospital, Toronto, ON. bethellj@smh.ca
Susan J Bondy
W Y Wendy Lou
Astrid Guttmann
Anne E Rhodes

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSelf-harm is an important public health issue among youth, including as a major risk factor for suicide (a leading cause of death in this age group). This study used population-based emergency department data to describe clinical and demographic characteristics of emergency department presentations for self-harm among youth (12-17 year-olds) in the province of Ontario, Canada.

methodsAdministrative data capturing every emergency department visit in Ontario between April 1, 2002 and March 31, 2009 were used to identify and describe self-harm presentations.

resultsOver the 7-year period between 2002/03 and 2008/09, there were 16,835 self-harm presentations by 12,907 youth. Two thirds of self-harm presentations were self-poisonings (almost always with medicinal agents), followed by self-cutting, which accounted for about one quarter. Incidence rates were higher in girls than boys, increased with age, were inversely related to neighbourhood income and were highest in rural areas. Self-harm accounted for about 1 in 100 emergency department presentations by youth, but also a disproportionate number of presentations triaged as high acuity or admitted to hospital (about 1 in 20).

conclusionSelf-harm is an important public health issue, requiring a comprehensive approach to prevention. Ontario has useful data with which to study emergency department presentations for self-harm, and the similarities between self-harm presentations among Ontario youth and those reported from the United States and Europe suggest generalizability of results between populations. Further research is needed to address the reasons for the geographic differences in frequency of self-harm.

Indexed as

AdolescentAge DistributionChildEmergency Service, HospitalFemaleHumansIncidenceMaleOntarioRisk FactorsSelf-Injurious BehaviorSex DistributionSocioeconomic Factorsadolescentchildemergency medical servicesepidemiologySelf-injurious behavior

Identifiers

PMID23618204
PMCPMC6974110

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.