Evidence map›Paper›PMID 34846182›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022

Near-Fatal Self-Harm Among Canadian Adolescents.

Rachel Hb Mitchell, Cornelius Ani, Claude Cyr, James Irvine, Ari R Joffe, Robin Skinner, Sam Wong, Antonia S Stang, Melanie Laffin, Daphne J Korczak

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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.

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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. A clinical review of acute poisoning among pediatric individuals.European journal of medical research · 2025
    Article
  7. Self-Harm Presentations to a Pediatric Trauma Centre During the First Year of the COVID-19 Pandemic.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025
    Article
  8. Article
  9. 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

10 authors.

Rachel Hb MitchellDepartment of Psychiatry, 71545Sunnybrook Health Science Centre, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-6361-0469
Cornelius AniDivision of Psychiatry, 156647Imperial College London Hammersmith Hospital Campus, London, United Kingdom.
Claude CyrDépartement de Pédiatrie, Université de Sherbrooke, 33495CHUS - Hôp Fleurimont, Sherbrooke, QC, Canada.
James IrvineDepartment of Family Medicine, Community Health and Epidemiology, 12371University of Saskatchewan, La Ronge, SK, Canada.ORCID 0000-0001-5104-903X
Ari R JoffeDivision of Critical Care Medicine, Department of Pediatrics, 103116Stollery Children's Hospital, University of Alberta, Edmonton, AB, Canada.
Robin Skinner41687Public Health Agency of Canada, Ottawa, ON, Canada.
Sam WongDivision of Critical Care Medicine, Department of Pediatrics, 103116Stollery Children's Hospital, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-2589-3891
Antonia S StangDepartment of Pediatrics, 9978Alberta Children's Hospital, University of Calgary, Calgary, AB, Canada.
Melanie LaffinCanadian Paediatric Surveillance Program, Ottawa, ON, Canada.
Daphne J KorczakDepartment of Psychiatry, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-0061-7495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical features of Canadian adolescents admitted to the intensive care unit (ICU) for medically serious self-harm.

methods2700 Canadian paediatricians were surveyed monthly over two years (January 2017 to December 2018) through the

resultsNinety-three cases (73 female; age 15.2 ± 1.5) met the case definition. Four provinces reported the majority of cases: Quebec (n = 27), Ontario (n = 26), Alberta (n = 21), and British Columbia (n = 8). There were 10 deaths, 9 by hanging. Overdose and hanging were the most frequently reported methods of self-harm (74.2% and 19.4%, respectively). Overdose was more common in females (80.8% females vs. 50% males; χ

conclusionsAmong Canadian adolescents admitted to the ICU with medically serious self-harm, females demonstrate a higher rate of suicide attempts and prior mental health care engagement, whereas males are more likely to die by suicide. These findings are consistent with data from other adolescent samples, as well as data from working-age and older adults. Therefore, a sex-specific approach to suicide prevention is warranted as part of a national suicide prevention strategy; family conflict may be a specific target for suicide prevention interventions among adolescents.

Indexed as

Drug OverdoseMental DisordersMental Health ServicesSelf-Injurious BehaviorAdolescentAgedAlbertaChildFemaleHumansMaleSuicide, Attemptedadolescentchildrenself-harmsuicide attemptyouth

Identifiers

PMID34846182
PMCPMC9301146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.