Evidence map›Paper›PMID 30904843›Full record

SynthesisBMJ open2019

Meta-analysis of suicide rates in the first week and the first month after psychiatric hospitalisation.

Daniel Chung, Dusan Hadzi-Pavlovic, Maggie Wang, Sascha Swaraj, Mark Olfson, Matthew Large

2 registry-linked trialsAbstract readMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT04907669 nacompletednot on this mapstarted 2022, after this paper: background citation

An Implementation Study of Suicide Risk Management Among Discharged Psychiatric Patients Based on Brief Contact Interventions and Sequential Multiple Assignment Randomized Trial

TypeinterventionalSponsorShenzhen Kangning HospitalRan2022 to 2025Enrolled498ConditionsSuicideArmsBrief contact intervention
NCT05793541 narecruitingnot on this mapstarted 2024, after this paper: background citation

Micro-randomized Trial to Assess Brief, Just-in-time Interventions for Reducing Short-term Suicide Risk

TypeinterventionalSponsorMassachusetts General HospitalRan2024 to 2026Enrolled185ConditionsSuicideArmsPhone call, Text messaging, Automated interactive smartphone-based tool, Non-interactive pop-up messages
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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32 more citing papers are in PubMed but not listed here.

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.

Daniel ChungSchool of Psychiatry, The University of New South Wales, Randwick, New South Wales, Australia.
Dusan Hadzi-PavlovicSchool of Psychiatry, The University of New South Wales, Randwick, New South Wales, Australia.
Maggie WangSchool of Psychiatry, The University of New South Wales, Randwick, New South Wales, Australia.
Sascha SwarajSchool of Psychiatry, The University of New South Wales, Randwick, New South Wales, Australia.
Mark OlfsonDepartment of Psychiatry, Columbia University, New York City, New York, USA.
Matthew LargeSchool of Psychiatry, The University of New South Wales, Randwick, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the magnitude of suicide rates in the first week and first month postdischarge following psychiatric hospitalisation.

designMeta-analysis of relevant English-language, peer-reviewed papers published in MEDLINE, PsycINFO or Embase between 01 January 1945 and 31 March 2017 and supplemented by hand searching and personal communication. A generalised linear effects model was fitted to the number of suicides, with a Poisson distribution, log link and log of person years as an offset. A random effects model was used to calculate the overall pooled rates and within subgroups in sensitivity analyses. OUTCOME MEASURES: Suicides per 100 000 person years in the first week and the first month after discharge from psychiatric hospitalisation.

resultsThirty-four included papers comprised 29 studies that reported suicides in the first month postdischarge (3551 suicides during 222 546 patient years) and 24 studies that reported suicides in the first week postdischarge (1928 suicides during 60 880 patient years). The pooled estimate of the suicide rate in the first month postdischarge suicide was 2060 per 100 000 person years (95% CI=1300 to 3280, I

conclusionAcknowledging the presence of marked heterogeneity between studies and the likelihood of bias towards publication of studies reporting a higher postdischarge suicide rate, the first week and first month postdischarge following psychiatric hospitalisation are periods of extraordinary suicide risk. Short-term follow-up of discharged patients should be augmented with greater focus on safe transition from hospital to community care. PROSPERO REGISTRATION NUMBER: PROSPERO registration CRD42016038169.

Indexed as

Hospitals, PsychiatricHumansPatient DischargeSuicideepidemiologyrisk management

Identifiers

PMID30904843
PMCPMC6475206

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.