Evidence map›Paper›PMID 40379329›Full record

ArticleBMJ open2025

Documentation of suicidality in connection with specialised healthcare for physical conditions: a retrospective review of somatic medical records prior to suicide in Sweden.

Tabita Sellin, Margda Waern, Erik Bergqvist, Nina Palmqvist Öberg, Sara Lindström, Elin Fröding, Anna Ehnvall, Åsa Westrin

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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.

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0citing papers in PubMed
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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

8 authors.

Tabita SellinFaculty of Medicine and Health, University Health Care Research Center, Örebro University Hospital, Örebro University, Orebro, Sweden tabita.sellin-jonsson@regionorebrolan.se.ORCID http://orcid.org/0000-0002-5030-6353
Margda WaernDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg. Psychosis Department, Sahlgrenska University Hospital, Region Västra Götaland, SE-431 30 Mölndal, Göteborg, Sweden.ORCID http://orcid.org/0000-0002-8330-6915
Erik BergqvistDepartment of Clinical Sciences, Psychiatry, Lund University. Psychiatric In-patient Clinic, Hallands Sjukhus Varberg, Region Halland, SE-432 81 Varberg, Lund, Sweden.
Nina Palmqvist ÖbergDepartment of Clinical Sciences, Psychiatry, Lund University. Psychitaric Clinic, Region Skåne, SE-221 85, Lund, Sweden.ORCID http://orcid.org/0000-0002-5961-3552
Sara LindströmDepartment of Clinical Sciences, Lund University. The Region Skåne Committee on Psychiatry, Habilitation and Technical Aids, SE-221 85, Lund, Sweden.ORCID http://orcid.org/0000-0003-0333-1887
Elin FrödingRegion Jönköpings län, Jönkoping, Sweden.ORCID http://orcid.org/0000-0002-9095-1322
Anna EhnvallDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg. Psychiatric Outpatient Clinic, Region Halland, SE-432 43 Varberg, Göteborg, Sweden.
Åsa WestrinDepartment of Clinical Sciences, Psychiatry, Lund University. The Region Skåne Committee on Psychiatry, Habilitation and Technical Aids, SE-221 85, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate whether suicidality was documented prior to suicide in patients in contact with specialised somatic healthcare providers for physical conditions and to identify factors related to such documentation. DESIGN AND SETTINGS: Retrospective cohort study in which medical records from specialised somatic (non-psychiatric) healthcare services (internal medicine, infectious disease, surgery, urology, etc) in 20 of Sweden's 21 regions were reviewed up to 2 years before suicide.

participantsThose who died by suicide in Sweden 2015 and had received specialised somatic healthcare for a diagnosed physical condition were included, n=468 (331 men and 137 women). THE OUTCOME VARIABLE:

resultsOf the 468 patients, 111 (24%) were positive for the outcome variable

conclusionsDocumentation of suicidality was observed in one quarter of patients who received specialised somatic healthcare for physical conditions and subsequently died by suicide. These results indicate a need to increase clinician awareness of suicidal issues and assessments and to integrate questions about mental health into specialised somatic practice.

Indexed as

DocumentationMedical RecordsSuicidal IdeationSuicideAdultAgedFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective StudiesRisk FactorsSuicide, AttemptedSwedenYoung AdultChronic DiseaseRisk FactorsSuicide & self-harm

Identifiers

PMID40379329
PMCPMC12083290

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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.