Evidence map›Paper›PMID 40103556›Full record

ArticleThe British journal of psychiatry : the journal of mental science2025

Hidden suicides: focus on England and Wales - comparison with other nations.

John Snowdon

Abstract readComparative Study
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

1 author.

John SnowdonSydney University, Sydney, Australia.ORCID https://orcid.org/0000-0001-9554-3187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most deaths around the world are certified, registered and then 'coded' for statistical purposes. Misclassified ('hidden') suicides are deaths assigned an ICD code that is either erroneous or that should never be specified as a cause of death. Public health strategies depend on provision of accurate mortality statistics. Suicides are under-counted, largely through misattribution to natural disease, accident, ill-defined or unknown cause (code R99) or an event of undetermined intent. Proportions of suicides misclassified to each of these codes vary between nations. It is recommended that psychological or verbal autopsies be used when investigating external deaths of uncertain cause or intention, and some R99 deaths. This applies in Britain and wherever unusual patterns of deaths could signal hidden suicides - exemplified by high rates of drug deaths in North America.

Indexed as

SuicideCause of DeathEnglandHumansInternational Classification of DiseasesWalesAccidental deathmisclassificationpsychological autopsysuicide ratesundetermined deaths

Identifiers

PMID40103556
PMCPMC12355464

What OpenQuestion holds

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LicenceCC BY
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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.