Evidence map›Paper›PMID 26629812›Full record

Trial reportPloS one2015

Effect of Systematic Follow-Up by General Practitioners after Deliberate Self-Poisoning: A Randomised Controlled Trial.

Tine K Grimholt, Dag Jacobsen, Ole Rikard Haavet, Leiv Sandvik, Trond Jorgensen, Astrid Berge Norheim, Oivind Ekeberg

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

Trial report in PloS one, 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 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
3.8field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Systematic Literature Review of Attempted Suicide and Offspring.International journal of environmental research and public health · 2018
    Pooled it
  6. Developing Longitudinal Post-Overdose Care: A Call to Action.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
  7. Article
  8. Article
  9. Improving the management of self-harm in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  10. Article
  11. Article
  12. 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

7 authors at 4 institutions in 1 country.

Tine K GrimholtDepartment of Acute Medicine, Oslo University Hospital, Oslo, Norway.
Dag JacobsenDepartment of Acute Medicine, Oslo University Hospital, Oslo, Norway.
Ole Rikard HaavetDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Leiv SandvikDepartment of Biostatistics, Oslo University Hospital, Oslo, Norway.
Trond JorgensenPsychiatric Consultation Team, Akershus University Hospital, Akershus,Norway.
Astrid Berge NorheimRegional Centre of Violence, Traumatic Stress and Suicide Prevention Eastern Norway, Oslo, Norway.
Oivind EkebergDepartment of Acute Medicine, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NONorwegian Centre for Violence and Traumatic Stress Studies · NOAkershus University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether systematic follow-up by general practitioners (GPs) of cases of deliberate self-poisoning (DSP) by their patients decreases psychiatric symptoms and suicidal behaviour compared with current practice.

designRandomised clinical trial with two parallel groups.

settingGeneral practices in Oslo and the eastern part of Akershus County.

participantsPatients aged 18-75 years admitted to hospital for DSP. We excluded patients diagnosed with psychoses, without a known GP, those not able to complete a questionnaire, and patients admitted to psychiatric in-patient care or other institutions where their GP could not follow them immediately after discharge.

interventionThe GPs received a written guideline, contacted the patients and scheduled a consultation within one week after discharge, and then provided regular consultations for six months. We randomised the patients to either intervention (n = 78) or treatment as usual (n = 98).

main outcome measuresPrimary outcome measure was the Beck Scale for Suicide Ideation (SSI). Secondary outcomes were Beck Depression Inventory (BDI) and Beck Hopelessness Scale (BHS), self-reported further self-harm and treatment for DSP in a general hospital or an emergency medical agency (EMA). We assessed patients on entry to the trial and at three and six months. We collected data from interviews, self-report questionnaires, and hospital and EMA medical records.

resultsThere were no significant differences between the groups in SSI, BDI, or BHS mean scores or change from baseline to three or six months. During follow-up, self-reported DSP was 39.5% in the intervention group vs. 15.8% in controls (P = 0.009). Readmissions to general hospitals were similar (13% in both groups (P = 0.963), while DSP episodes treated at EMAs were 17% in the intervention group and 7% in the control group (P = 0.103).

conclusionStructured follow-up by GPs after an episode of DSP had no significant effect on suicide ideation, depression or hopelessness. There was no significant difference in repeated episodes of DSP in hospitals or EMAs. However, the total number of incidents of deliberate self-harm reported by the patients was significantly higher in the intervention group.

trial registrationTrial registration ClinicalTrials.gov Identifier: NCT01342809.

Indexed as

General PractitionersAdolescentAdultAgedAppointments and SchedulesDepressionFemaleFollow-Up StudiesHopeHumansMaleMiddle AgedPatient DischargePoisoningSelf-Injurious BehaviorSuicidal Ideation

Identifiers

PMID26629812
PMCPMC4667913
OpenAlexW2182059932

What OpenQuestion holds

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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.