Evidence map›Paper›PMID 40228850›Full record

ArticleBMJ open2025

Characterizing suicidal thoughts and behaviours in individuals presenting to a psychiatric emergency department: a protocol for a multimethod approach for suicide prevention research.

Paria Baharikhoob, Marta Maslej, Albert H C Wong, Benoit Mulsant, Daniel Blumberger, Darren Courtney, Muhammad Ishrat Husain, Paul Kurdyak, Robert A Kleinman, Aislynn Torfason and 23 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

33 authors.

Paria Baharikhoob *Emergency Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0009-0004-7115-1786
Marta Maslej *Emergency Department; Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Albert H C WongEmergency Department; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Benoit MulsantDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Daniel BlumbergerDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Darren CourtneyEmergency Department; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-1491-0972
Muhammad Ishrat HusainDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Paul KurdyakEmergency Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-8115-7437
Robert A KleinmanDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Aislynn TorfasonEmergency Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Amy GajariaDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-1824-5615
Andreea DiaconescuKrembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Andrew MaEmergency Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Anne SonleyDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Alex AbramovichInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Allison CrawfordDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Arturas PetronisDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Bruce FageCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Christa OrchardCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Daniel Z BuchmanCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Fang LiuDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Gillian StrudwickInformation Management Group, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-1080-7372
June Sing Hong LamCentre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-9797-4041
Max BerrevoetsEmergency Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Mindaugas MozuraitisCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Nadine ReidCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Omair HusainDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-8575-3364
Shehzad AliEpidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada.ORCID http://orcid.org/0000-0002-8042-3630
Shelley McMainDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Vincenzo De LucaDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Vicky StergiopoulosDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Yona LunskyDepartment of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-1866-9728
Juveria ZaheerEmergency Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada Juveria.zaheer@camh.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIdentifying individuals at risk of suicide remains an ongoing challenge. Previous research investigating risk factors for suicidal thoughts and behaviours (STB) has been informative for assessing suicide risk. However, the complex biological, psychological and sociocultural factors underlying STB have not been comprehensively captured to date, which has limited our understanding of how these factors interact to influence STB. Moreover, acute care settings, such as emergency departments (EDs), are often first points of contact for individuals with STB, highlighting a need for more research in these settings. METHODS AND ANALYSIS: We aim to (1) characterize a cohort seeking care for STB and their clinical trajectories; (2) situate the cohort by comparing its characteristics and outcomes to other groups seeking emergency care; (3) explore their experiences of seeking care; and (4) examine blood-based biomarkers modulating risk for STB. Using a multimethod, prospective cohort design, we will follow up to 500 people aged 16 or older presenting to the ED with STB at a psychiatric hospital over 1 year. Analyses will involve descriptive statistics and latent profile analysis to characterize the cohort, hypothesis tests and regression models to situate the cohort, qualitative analysis based on a realist research framework to understand experiences, and within-participant comparisons of proteins, mRNA and epigenetic DNA modifications to examine biomarkers of contrasting states of STB. ETHICS AND DISSEMINATION: This study was approved by the hospital's Research Ethics Board with safeguards in place to ensure the well-being of participants and research team. An integrated knowledge translation approach will be used for dissemination, wherein patient and family advisors are engaged throughout each study phase. Findings will enhance our understanding of the multifactorial nature of suicide risk, inform strategies for prevention and provide important insights into characteristics, experiences and outcomes of individuals with STB, who are under-represented in mental health research.

Indexed as

Emergency Service, HospitalEmergency Services, PsychiatricSuicidal IdeationSuicide PreventionAdolescentAdultBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesResearch DesignRisk AssessmentRisk FactorsYoung AdultBiomarkersEmergency DepartmentsEmergency Service, HospitalMENTAL HEALTHPSYCHIATRYSuicide & self-harm

Identifiers

PMID40228850
PMCPMC11997841

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.