ArticleJournal of the American Medical Informatics Association : JAMIA2022
Accuracy of ICD-10-CM encounter diagnoses from health records for identifying self-harm events.
Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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.
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.
Who cites it
34 citing papers in PubMed.
- Effectiveness of Integrating Suicide Care in Primary Care : Secondary Analysis of a Stepped-Wedge, Cluster Randomized Implementation Trial.Annals of internal medicine · 2024Trial
- Risk of subsequent self-harm, suicide attempts and suicide following a first hospital-treated self-harm episode among young people: a population-based cohort study.BMJ mental health · 2026Article
- Detecting Uncoded Self-Harm in Veterans' Electronic Health Records Using Positive and Unlabeled Learning: Retrospective Cohort Study.Journal of medical Internet research · 2026Article
- Nonfatal self-injury in the first year after surgery: a population-based epidemiologic study.British journal of anaesthesia · 2026Article
- Validation of a Risk-Prediction Model in the Presence of Outcome Misclassification.Statistics in medicine · 2026Article
- Association of GLP-1 receptor agonists with intentional self-harm in patients with type 2 diabetes: a Sentinel Distributed Database study.BMJ open diabetes research & care · 2026Article
- Predicting and differentiating opioid and non-opioid drug poisonings using health records data.Journal of substance use and addiction treatment · 2026Article
- Comparing patterns of recent mental health service use for predicting suicidal events following emergency department mental health visits in the United States: A national cohort study.Social psychiatry and psychiatric epidemiology · 2026Article
- Suicidal thoughts and behaviours in pre-adolescent children: a population-based study in Olmsted County, Minnesota.BMJ open · 2026Article
- Study protocol for a type I hybrid effectiveness trial of strategies to prevent suicide attempts among adults recently released from jail.Contemporary clinical trials · 2026Article
- Predicting and differentiating accidental and self-harm drug poisonings using health records data.PLOS mental health · 2026Article
- Thyroid disease-attributed mortality burden and temporal trends among U.S. adults aged ≥65 years, 1999-2023: a nationwide analysis based on the CDC WONDER database.Frontiers in public health · 2026Article
- Intersectional Analysis of Suicide-related Emergency Department Visits in Youth in California, 2018-2021.The western journal of emergency medicine · 2025Article
- Childhood Suicide Risk in the Emergency Department.JAMA network open · 2025Article
- Zero Suicide Model Implementation and Suicide Attempt Rates in Outpatient Mental Health Care.JAMA network open · 2025Article
- Geography and risk of suicidal ideation and attempts post outpatient psychiatric visit in commercially insured US adults.Journal of psychiatric research · 2025Article
- Comparisons of mental health treatment frequency and risk of suicidal thoughts and behaviors among youth.Psychiatry research · 2024Article
- Randomized Pilot of a Clinical Decision Support Tool to Increase Suicide Screening for at-Risk Primary Care Patients With Opioid Use Disorder.AJPM focus · 2024Article
- Article
- Morbidity and mortality risks associated with valproate withdrawal in young adults with epilepsy.Brain : a journal of neurology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors.
Funding
Abstract
objectiveAssess the accuracy of ICD-10-CM coding of self-harm injuries and poisonings to identify self-harm events. MATERIALS AND
methodsIn 7 integrated health systems, records data identified patients reporting frequent suicidal ideation. Records then identified subsequent ICD-10-CM injury and poisoning codes indicating self-harm as well as selected codes in 3 categories where uncoded self-harm events might be found: injuries and poisonings coded as undetermined intent, those coded accidental, and injuries with no coding of intent. For injury and poisoning encounters with diagnoses in those 4 groups, relevant clinical text was extracted from records and assessed by a blinded panel regarding documentation of self-harm intent.
resultsDiagnostic codes selected for review include all codes for self-harm, 43 codes for undetermined intent, 26 codes for accidental intent, and 46 codes for injuries without coding of intent. Clinical text was available for review for 285 events originally coded as self-harm, 85 coded as undetermined intent, 302 coded as accidents, and 438 injury events with no coding of intent. Blinded review of full-text clinical records found documentation of self-harm intent in 254 (89.1%) of those originally coded as self-harm, 24 (28.2%) of those coded as undetermined, 24 (7.9%) of those coded as accidental, and 48 (11.0%) of those without coding of intent.
conclusionsAmong patients at high risk, nearly 90% of injuries and poisonings with ICD-10-CM coding of self-harm have documentation of self-harm intent. Reliance on ICD-10-CM coding of intent to identify self-harm would fail to include a small proportion of true self-harm events.
Indexed as
Identifiers
What OpenQuestion holds
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.