Evidence map›Paper›PMID 26467530›Full record

Trial reportBMC psychiatry2015

Structured follow-up by general practitioners after deliberate self-poisoning: a randomised controlled trial.

T K Grimholt, D Jacobsen, O R Haavet, L Sandvik, T Jorgensen, A B Norheim, O Ekeberg

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01342809 (Follow up After Self-poisoning by General Practitioner- a Randomised Clinical Trial), which is not on this map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT01342809 nacompletednot on this map

Follow up After Self-poisoning by General Practitioner- a Randomised Clinical Trial

TypeinterventionalSponsorOslo University HospitalRan2009 to 2014Enrolled202ConditionsSuicidal and Self-injurious BehaviourArmsFollow up
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
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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

7 authors at 4 institutions in 1 country.

T K GrimholtDepartment of Acute Medicine, Oslo University Hospital, Pb. 4950 Nydalen, 0424, Oslo, Norway. tinegrim@yahoo.no.
D JacobsenDepartment of Acute Medicine, Oslo University Hospital, Pb. 4950 Nydalen, 0424, Oslo, Norway. uxdaja@ous-hf.no.
O R HaavetDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway. o.r.haavet@medisin.uio.no.
L SandvikDepartment of Biostatistics Oslo University Hospital, Oslo, Norway. uxledv@ous.hf.no.
T JorgensenPsychiatric Consultation Team, Akershus University Hospital, Akershus, Norway. Trond.G.Jorgensen@ahus.no.
A B NorheimRegional Centre of Violence, Traumatic Stress and Suicide Prevention, Eastern Norway, Norway. AstridBerge.Norheim@diakonsyk.no.
O EkebergDepartment of Acute Medicine, Oslo University Hospital, Pb. 4950 Nydalen, 0424, Oslo, Norway. uxoiek@ous-hf.no.
Oslo University Hospital · NOUniversity of Oslo · NOAkershus University Hospital · NODiakonhjemmet Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral Practitioners (GPs) play an important role in the follow-up of patients after deliberate self-poisoning (DSP). The aim was to examine whether structured follow-up by GPs increased the content of, adherence to, and satisfaction with treatment after discharge from emergency departments.

methodsThis was a multicentre, randomised trial with blinded assignment. Five emergency departments and general practices in the catchment area participated. 202 patients discharged from emergency departments after DSP were assigned. The intervention was structured follow-up by the GP over a 6-month period with a minimum of five consultations, accompanied by written guidelines for the GPs with suggestions for motivating patients to follow treatment, assessing personal problems and suicidal ideation, and availability in the case of suicidal crisis. Outcome measures were data retrieved from the Register for the control and payment of reimbursements to health service providers (KUHR) and by questionnaires mailed to patients and GPs. After 3 and 6 months, the frequency and content of GP contact, and adherence to GP consultations and treatment in general were registered. Satisfaction with general treatment received and with the GP was measured by the EUROPEP scale.

resultsPatients in the intervention group received significantly more consultations than the control group (mean 6.7 vs. 4.5 (p = 0.004)). The intervention group was significantly more satisfied with the time their GP took to listen to their personal problems (93.1% vs. 59.4% (p = 0.002)) and with the fact that the GP included them in medical decisions (87.5% vs. 54. 8% (p = 0.009)). The intervention group was significantly more satisfied with the treatment in general than the control group (79% vs. 51% (p = 0.026)).

conclusionsGuidelines and structured, enhanced follow-up by the GP after the discharge of the DSP patient increased the number of consultations and satisfaction with aftercare in general practice. Consistently with previous research, there is still a need for interventional studies.

trial registrationClinicalTrials.gov Identifier: NCT01342809. Registered 18 April 2011.

Indexed as

AdultAftercareEmergency Medical ServicesFemaleFollow-Up StudiesGeneral PracticeHumansMaleOutcome Assessment, Health CarePatient CompliancePatient SatisfactionPoisoningReferral and ConsultationSingle-Blind MethodSurveys and Questionnaires

Identifiers

PMID26467530
PMCPMC4604741
OpenAlexW2122754022

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.