Evidence map›Paper›PMID 29510710›Full record

ArticleBMC health services research2018

Substance use and self-harm: a cross-sectional study of the prevalence, correlates and patterns of medical service utilisation among patients admitted to a South African hospital.

Elsie Breet, Jason Bantjes, Ian Lewis

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Primary healthcare approach to substance abuse management.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  6. Motives for deliberate self-harm in a South African tertiary hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2021
    Article
  7. 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

3 authors at 2 institutions in 1 country.

Elsie BreetDepartment of Psychology, Stellenbosch University, Private Bag X1, Matieland, Stellenbosch, Cape Town, 7602, South Africa. elsie@sun.ac.za.ORCID http://orcid.org/0000-0002-6974-8215
Jason BantjesDepartment of Psychology, Stellenbosch University, Private Bag X1, Matieland, Stellenbosch, Cape Town, 7602, South Africa.
Ian LewisDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Stellenbosch University · ZAUniversity of Cape Town · ZA

Funding

National Foundation for Cancer Research (US) TTK13070620647National Research Foundation Innovation Doctoral Scholarship UID-102311
6 · The paper itself

Abstract

backgroundSubstance use is a potentially modifiable risk factor for suicidal behaviour. Little is known about the epidemiology of substance use among self-harm patients in South Africa. This study set out to collect epidemiological data about the prevalence, correlates, and patterns of medical service utilisation among self-harm patients who used substances at the time of self-injury.

methodsData from 238 consecutive self-harm patients treated at an urban hospital in South Africa were analysed using bivariate and multivariate statistics.

resultsApproximately 20% of patients reported substance use at the time of self-harm. When compared to other self-harm patients, higher rates of patients who had used substances: had depressed levels of consciousness on admission; utilised more medical resources and required longer hospital admissions; cited relationship difficulties and financial concerns as reasons for their self-harm; reported a previous episode of self-harm; and intended to die as a result of their injuries. Although the observed differences were not statistically significant (p > 0.05), the proportional differences were congruent with international literature.

conclusionAcute use of substances among self-harm patients warrants more focused research and clinical attention particularly in the context of reducing utilisation of scarce medical resources.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleHealth Services ResearchHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CarePrevalenceRisk FactorsSelf-Injurious BehaviorSouth AfricaSubstance-Related DisordersSuicidal IdeationAcute use of substancesMedical service utilisationSelf-harmSubstance useSuicidal behaviour

Identifiers

PMID29510710
PMCPMC5840832
OpenAlexW2791341471

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.