Evidence map›Paper›PMID 35346983›Full record

ArticleEvidence-based mental health2022

Self-harm, somatic disorders and mortality in the 3 years following a hospitalisation in psychiatry in adolescents and young adults.

Fabrice Jollant, Karine Goueslard, Keith Hawton, Catherine Quantin

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Suicidal transition rates and their predictors in the adult general population: a repeated survey over 21 years in France.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Article
  5. Article
  6. Article
  7. What I stand for asBMJ mental health · 2023
    Article
  8. 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

4 authors at 3 institutions in 5 countries.

Fabrice JollantDepartment of psychiatry, Jena University Hospital, Jena, Germany jollantf@gmail.com.ORCID 0000-0001-5809-4503
Karine GoueslardDepartment of Biostatistics and Medical Informatics, Academic Hospital (CHU) Dijon Bourgogne, Dijon, France.
Keith HawtonDepartment of Psychiatry, University of Oxford, Oxford, UK.
Catherine QuantinDepartment of Biostatistics and Medical Informatics, Academic Hospital (CHU) Dijon Bourgogne, Dijon, France.
Council of Independent Colleges · USInserm · FROxford Health NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited recent information regarding the risk of self-harm, somatic disorders and premature mortality following discharge from psychiatric hospital in young people.

objectiveTo measure these risks in young people discharged from a psychiatric hospital as compared with both non-affected controls and non-hospitalised affected controls.

methodsData were extracted from the French national health records. Cases were compared with two control groups. CASES: all individuals aged 12-24 years, hospitalised in psychiatry in France in 2013-2014. Non-affected controls: matched for age and sex with cases, not hospitalised in psychiatry and no identification of a mental disorder in 2008-2014. Affected controls: unmatched youths identified with a mental disorder between 2008 and 2014, never hospitalised in psychiatry. Follow-up of 3 years. Logistic regression analyses were conducted with these confounding variables: age, sex, past hospitalisation for self-harm, past somatic disorder diagnosis.

findingsThe studied population comprised 73 300 hospitalised patients (53.6% males), 219 900 non-affected controls and 9 683 affected controls. All rates and adjusted risks were increased in hospitalised patients versus both non-affected and affected controls regarding a subsequent hospitalisation for self-harm (HR=105.5, 95% CIs (89.5 to 124.4) and HR=1.5, 95% CI (1.4 to 1.6)), a somatic disorder diagnosis (HR=4.1, 95% CI (3.9-4.1) and HR=1.4, 95% CI (1.3-1.5)), all-cause mortality (HR=13.3, 95% CI (10.6-16.7) and HR=2.2, 95% CI (1.5-3.0)) and suicide (HR=9.2, 95% CI (4.3-19.8) and HR=1.7, 95% CI (1.0-2.9)).

conclusionsThe first 3 years following psychiatric hospital admission of young people is a period of high risk for self-harm, somatic disorders and premature mortality. CLINICAL IMPLICATIONS: Attention to these negative outcomes urgently needs to be incorporated in aftercare policies.

Indexed as

Mental DisordersPsychiatrySelf-Injurious BehaviorSuicideAdolescentFemaleFollow-Up StudiesHospitalizationHumansMaleYoung Adultadult psychiatrychild & adolescent psychiatrysuicide & self-harm

Identifiers

PMID35346983
PMCPMC9685725
OpenAlexW4220770176

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.