Evidence map›Paper›PMID 30155558›Full record

ArticleSocial psychiatry and psychiatric epidemiology2018

Confidence and attitudes of pharmacy students towards suicidal crises: patient simulation using people with a lived experience.

Evelyn A Boukouvalas, Sarira El-Den, Timothy F Chen, Rebekah Moles, Bandana Saini, Alison Bell, Claire L O'Reilly

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Evaluating the Study Designs and Outcome Measures Used in Service User Involvement in Health Professional Entry-Level Education: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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  5. Harnessing lived experience in health professions simulation-based education: a scoping review.Advances in health sciences education : theory and practice · 2026
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  9. Lived Experience Participation in Suicide Prevention Activities in Australia, a Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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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

7 authors at 1 institution in 1 country.

Evelyn A BoukouvalasThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Pharmacy and Bank Building A15, Sydney, NSW, 2006, Australia.
Sarira El-DenThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Pharmacy and Bank Building A15, Sydney, NSW, 2006, Australia.
Timothy F ChenThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Pharmacy and Bank Building A15, Sydney, NSW, 2006, Australia.
Rebekah MolesThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Pharmacy and Bank Building A15, Sydney, NSW, 2006, Australia.
Bandana SainiThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Pharmacy and Bank Building A15, Sydney, NSW, 2006, Australia.
Alison BellOne Door Mental Health, Gladesville, NSW, Australia.
Claire L O'ReillyThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Pharmacy and Bank Building A15, Sydney, NSW, 2006, Australia. claire.oreilly@sydney.edu.au.ORCID http://orcid.org/0000-0001-6416-8150
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHealth care professionals, including pharmacists, have the potential to recognise and assist those at risk of suicide. The primary aim of this study was to assess the impact of utilising people with a lived experience of mental illness as simulated patients on final year pharmacy students' attitudes toward and confidence in caring for people at risk of suicide after first receiving Mental Health First Aid (MHFA) training.

methodsA parallel group repeated measures design was used. People with a lived experience of mental illness enacted patients experiencing a mental health crisis, including possible suicidal ideation. Following MHFA training, the first group directly participated in the simulation, the second group observed, and the final group had no exposure to the simulation. Validated surveys measuring student attitudes and confidence were conducted at three time points; pre and post MHFA, and then at 2-4 weeks follow-up.

resultsFull datasets of survey responses were received from 34/40 direct participants (85%), 104/146 observers (71%) and 50/66 comparison students (76%). Mean confidence scores significantly improved for all groups post MHFA training (p < 0.05). At follow-up, all 8 confidence items for the direct participant and observer group maintained significance from baseline to post intervention (p < 0.05). Mixed results in relation to attitudes towards suicide were evident at each time point and among each participant group.

conclusionsUtilising people with a lived experience of mental illness as simulated patients has a positive effect on sustaining pharmacy student confidence in discussing suicidal behaviour post MHFA training. The inconsistency in attitudes towards suicide suggests that attitudes are complex in nature, involving multiple dynamic influences.

Indexed as

Attitude of Health PersonnelEducation, PharmacyHealth Knowledge, Attitudes, PracticeMental DisordersPatient SimulationStudents, PharmacySuicideAdultFemaleHumansMaleYoung AdultAttitudesConfidenceHealthcare personnelSimulated patientsSuicide

Identifiers

PMID30155558
OpenAlexW2889497390

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.