Evidence map›Paper›PMID 38205598›Full record

ReviewBJPsych open2024

Global prevalence of psychosocial assessment following hospital-treated self-harm: systematic review and meta-analysis.

Katrina Witt, Katie McGill, Bernard Leckning, Nicole T M Hill, Benjamin M Davies, Jo Robinson, Gregory Carter

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. 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

7 authors.

Katrina WittCentre for Youth Mental Health, The University of Melbourne, Australia; and Orygen, Parkville, Australia.ORCID https://orcid.org/0000-0002-1489-4573
Katie McGillSchool of Medicine and Public Health, The University of Newcastle, Australia; and Hunter New England Local Health District, Waratah, Australia.
Bernard LeckningMenzies School of Health Research, Charles Darwin University, Australia.
Nicole T M HillSchool of Population and Global Health, The University of Western Australia, Australia; and Telethon Kids Institute, Nedlands, Australia.
Benjamin M DaviesDepartment of Surgery, University of Cambridge, UK.
Jo RobinsonCentre for Youth Mental Health, The University of Melbourne, Australia; and Orygen, Parkville, Australia.ORCID https://orcid.org/0000-0001-5652-918X
Gregory CarterSchool of Medicine and Public Health, The University of Newcastle, Australia.

Funding

Forrest Research Foundation Prospect FellowshipHunter New England Local Health District Burdekin Suicide Prevention InitiativeNational Health and Medical Research Council 1177787Suicide Prevention Australia Suicide Prevention Research Fund, PhD scholarshipsUniversity of Melbourne Dame Kate Campbell Fellowship
6 · The paper itself

Abstract

backgroundHospital-treated self-harm is common, costly and associated with repeated self-harm and suicide. Providing a comprehensive psychosocial assessment following self-harm is recommended by professional bodies and may improve outcomes.

aimsTo review the provision of psychosocial assessments after hospital-presenting self-harm and the extent to which macro-level factors indicative of service provision explain variability in these estimates.

methodWe searched five electronic databases to 3 January 2023 for studies reporting data on the proportion of patients and/or events that were provided a psychosocial assessment. Pooled weighted prevalence estimates were calculated with the random-effects model. Random-effects meta-regression was used to investigate between-study variability.

results119 publications (69 unique samples) were included. Across ages, two-thirds of patients had a psychosocial assessment (0.67, 95% CI 0.58-0.76). The proportion was higher for young people and older adults (0.75, 95% CI 0.36-0.99 and 0.83, 95% CI 0.48-1.00, respectively) compared with adults (0.64, 95% CI 0.54-0.73). For events, around half of all presentations had these assessments across the age range. No macro-level factor explained between-study heterogeneity.

conclusionsThere is room for improvement in the universal provision of psychosocial assessments for self-harm. This represents a missed opportunity to review and tailor aftercare supports for those at risk. Given the marked unexplained heterogeneity between studies, the person- and system-level factors that influence provision of psychosocial assessments after self-harm should be studied further.

Indexed as

mental health servicespsychosocial interventionsrisk assessmentSelf-harmsuicide

Identifiers

PMID38205598
PMCPMC10790226

What OpenQuestion holds

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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.