Evidence map›Paper›PMID 30938686›Full record

ArticleJMIR mental health2019

Service Use History of Individuals Enrolling in a Web-Based Suicidal Ideation Treatment Trial: Analysis of Baseline Data.

Quincy Jj Wong, Aliza Werner-Seidler, Michelle Torok, Bregje van Spijker, Alison L Calear, Helen Christensen

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Article in JMIR mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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. Trial
  2. Article
  3. Article
  4. 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

6 authors.

Quincy Jj WongBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID http://orcid.org/0000-0001-9393-4301
Aliza Werner-SeidlerBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID http://orcid.org/0000-0002-9046-6159
Michelle TorokBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID http://orcid.org/0000-0003-3741-8075
Bregje van SpijkerCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.ORCID http://orcid.org/0000-0002-8124-2559
Alison L CalearCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.ORCID http://orcid.org/0000-0002-7028-725X
Helen ChristensenBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID http://orcid.org/0000-0003-0435-2065

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA significant recent innovation is the development of internet-based psychological treatments for suicidal thinking. However, we know very little about individuals experiencing suicidal ideation who seek help through Web-based services and, in particular, their previous health service use patterns.

objectiveWe aimed to examine service use history and its correlates among adults experiencing suicidal ideation who enrolled in a Web-based suicidal ideation treatment trial.

methodsWe used baseline data of 418 individuals seeking Web-based treatment for their suicidal ideation recruited into a randomized controlled trial of a 6-week Web-based self-help program. Participants at preintervention reported demographic information, clinical characteristics, and health service use over the previous 6 months.

resultsParticipants had a high rate of service use in the 6 months before enrolling in the treatment trial (404/418, 96.7% of participants had contact with services). The two most common contact points were general practitioners (385/418, 92.1% of participants) and mental health professionals (295/418, 70.6% of participants). Notably, those with a previous single suicide attempt had lower odds of contact with any service than those with no attempt (odds ratio [OR] 0.21, 95% CI 0.05-0.86; P=.03). Those living in rural or remote areas had lower odds of contacting general practitioners (OR 0.35, 95% CI 0.13-0.91; P=.03) or mental health professionals (OR 0.44, 95% CI 0.23-0.83; P=.01) than those living in metropolitan areas.

conclusionsIndividuals enrolling in an electronic health intervention trial have often received treatment from general practitioners or mental health professionals. These services can therefore play an important role in preventing the escalation of suicidal thinking. Enrollment in our Web-based treatment trial suggested, though, that face-to-face health services may not be enough. Our study also highlighted the need to improve the provision of coordinated and assertive care after a suicide attempt, as well as health service availability and utilization for those living in rural and remote areas.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613000410752; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364016 (Archived by WebCite at http://www.webcitation.org/6vK5FvQXy); Universal Trial Number U1111-1141-6595.

Indexed as

facilities and services utilizationhealth serviceinternetservice usesuicidal ideationsuicidesuicide, attemptedtelehealthtreatment

Identifiers

PMID30938686
PMCPMC6465979

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LicenceCC BY
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Registered trials

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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.