Evidence map›Paper›PMID 29121806›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2018

Les soins médicaux de jeunes hommes et de jeunes femmes qui décèdent par suicide.

Anne E Rhodes, Michael H Boyle, Jeffrey A Bridge, Mark Sinyor, Laurence Y Katz, Kathryn Bennett, Amanda S Newton, Paul S Links, Lil Tonmyr, Robin Skinner and 3 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

13 authors at 9 institutions in 2 countries.

Anne E Rhodes1 Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario.
Michael H Boyle3 The Offord Centre for Child Studies, Hamilton, Ontario.
Jeffrey A Bridge6 Center for Suicide Prevention and Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Mark Sinyor1 Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario.
Laurence Y Katz10 Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba.
Kathryn Bennett3 The Offord Centre for Child Studies, Hamilton, Ontario.
Amanda S Newton12 Department of Pediatrics, University of Alberta, Edmonton, Alberta.
Paul S Links4 Department of Psychiatry and Behavioural Neuroscience Sciences, McMaster University, Hamilton, Ontario.
Lil Tonmyr13 Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa.
Robin Skinner13 Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa.
Amy Cheung1 Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario.
Jennifer Bethell14 The Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario.
Corine Carlisle15 Department of Psychiatry, University of Toronto, Toronto, Ontario.
University of Toronto · CAImpact · CAPublic Health Agency of Canada · CAInstitute for Clinical Evaluative Sciences · CAMcMaster University · CASunnybrook Health Science Centre · CAThe Ohio State University · USUniversity of Alberta · CAUniversity of Manitoba · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivePrior year medical care was compared among youth dying by suicide to their peers. Effect modification of these associations by age or place of residency (rural versus larger community sizes) was examined in a large, medically insured population.

methodThis population-based case control study used data from the Office of the Chief Coroner in Ontario, Canada, linked to health care administrative data to examine associations between medical care for mental health or other reasons (versus no medical care) and suicide. Decedents ( n = 1203 males and n = 454 females) were youth (aged 10 to 25 years) who died by suicide in Ontario between April 2003 and March 2014, inclusive. Peers of the same ages were frequency matched to decedents on sex and place of residency. Logistic regression was used to calculate odds ratios and 95% confidence intervals and to test effect modification.

resultsAssociations with mental health care were stronger in decedents than peers with a gradation of care (i.e., outpatient only, emergency department [ED], inpatient care) in both sexes. However, these associations were weaker among youth living in rural communities. Furthermore, older males (aged 18 to 25 years) were less likely than younger males (aged 10 to 17 years) to access the ED (ambulatory care only). This decrease was observed in rural and larger communities alongside no increase in medical care for other reasons.

conclusionsGeographical and age-related barriers to mental health care exist for youth who die by suicide. Preventive efforts can address these barriers, intervening early and integrating services, including the ED.

Indexed as

access to careadolescencehealth care utilizationmental health servicesOntariosuicide

Identifiers

PMID29121806
PMCPMC5846965
OpenAlexW2768030088

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.