Evidence map›Paper›PMID 28696434›Full record

ArticleMolecular psychiatry2018

When should governments increase the supply of psychiatric beds?

S Allison, T Bastiampillai, J Licinio, D A Fuller, N Bidargaddi, S S Sharfstein

Abstract readEditorial
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In one paragraph

Article in Molecular psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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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

6 authors at 3 institutions in 3 countries.

S AllisonDepartment of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
T BastiampillaiDepartment of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
J LicinioDepartment of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
D A FullerTreatment Advocacy Center, Arlington, VA, USA.
N BidargaddiDepartment of Personal Health Informatics, School of Medicine, Flinders University, Adelaide, SA, Australia.
S S SharfsteinPresident Emeritus, Shepherd Pratt Health System, Baltimore, MD, USA.
Flinders University · AUChildren's Advocacy Center · USSheppard Pratt Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system. In the USA, for example, prisons have replaced mental hospitals as the largest institutions housing people with SMI. There is no international consensus on the safe minimum numbers of acute, forensic and rehabilitation beds needed to reduce these risks. As a consequence, Organisation for Economic Cooperation and Development (OECD) countries have wide variations in the mix of hospital beds with an average of 71 beds per 100 000 population. Policymakers face difficult choices with few studies to guide decisions on supplying beds. The UK Royal College of Psychiatrists offered a policy framework, which was adapted for Australia. The government of the State of South Australia increased the supplies of crisis, acute and forensic beds to meet a mandatory target to safely reduce mental health boarding in the EDs.

Indexed as

GovernmentHospitalizationHospitals, PsychiatricHumansMental Disorders

Identifiers

PMID28696434
OpenAlexW2735976097

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.