Evidence map›Paper›PMID 26572907›Full record

Observational studyCrisis2016

General Practitioners' Accounts of Patients Who Have Self-Harmed: A Qualitative, Observational Study.

Amy Chandler, Caroline King, Christopher Burton, Stephen Platt

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Crisis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 27% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. 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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  9. The social life of self-harm in general practice.Social theory & health : STH · 2020
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  12. Role of primary care in supporting older adults who self-harm: a qualitative study in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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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

4 authors at 4 institutions in 1 country.

Amy Chandler1 Centre for Research on Families and Relationships, University of Edinburgh, Edinburgh, UK.
Caroline King2 Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, UK.
Christopher Burton3 Centre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
Stephen Platt4 Centre for Population Health Sciences, University of Edinburgh, Edinburgh, UK.
Glasgow Caledonian University · GBGlasgow Centre for Population Health · GBUniversity of Aberdeen · GBUniversity of Edinburgh · GB

Funding

Chief Scientist Office CZH/4/783
6 · The paper itself

Abstract

backgroundThe relationship between self-harm and suicide is contested. Self-harm is simultaneously understood to be largely nonsuicidal but to increase risk of future suicide. Little is known about how self-harm is conceptualized by general practitioners (GPs) and particularly how they assess the suicide risk of patients who have self-harmed.

aimsThe study aimed to explore how GPs respond to patients who had self-harmed. In this paper we analyze GPs' accounts of the relationship between self-harm, suicide, and suicide risk assessment.

methodThirty semi-structured interviews were held with GPs working in different areas of Scotland. Verbatim transcripts were analyzed thematically.

resultsGPs provided diverse accounts of the relationship between self-harm and suicide. Some maintained that self-harm and suicide were distinct and that risk assessment was a matter of asking the right questions. Others suggested a complex inter-relationship between self-harm and suicide; for these GPs, assessment was seen as more subjective. In part, these differences appeared to reflect the socioeconomic contexts in which the GPs worked.

conclusionThere are different conceptualizations of the relationship between self-harm, suicide, and the assessment of suicide risk among GPs. These need to be taken into account when planning training and service development.

Indexed as

Attitude of Health PersonnelGeneral PractitionersSelf-Injurious BehaviorSuicideSuicide, AttemptedFemaleHumansMaleQualitative ResearchRiskRisk AssessmentScotlandUnited Kingdomgeneral practicerisk assessmentself-harmsuicide

Identifiers

PMID26572907
PMCPMC4904492
OpenAlexW2329754497

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.