Evidence map›Paper›PMID 8080520›Full record

ReviewBMJ (Clinical research ed.)1994

Prevention of suicide: aspirations and evidence.

D Gunnell, S Frankel

Abstract readReview
In one paragraph

Review in BMJ (Clinical research ed.), 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 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

67 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Pharmacological interventions for self-harm in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Lithium for maintenance treatment of mood disorders.The Cochrane database of systematic reviews · 2001
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Review
  13. Suicidality risk among adults with binge-eating disorder.Suicide & life-threatening behavior · 2021
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Better treatment for depression.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015
    Article
  20. Suicide Prevention.American journal of lifestyle medicine · 2014
    Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

D GunnellHealth Care Evaluation Unit, Department of Epidemiology and Public Health Medicine, Bristol.
S Frankel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Health of the Nation white paper set a target for 15% reduction in overall suicide rates by the year 2000. If the targets are to be achieved interventions must be identified which are of proved effectiveness. This paper examines the evidence on the available interventions and points of access to the population at risk. No single intervention has been shown in a well conducted randomised controlled trial to reduce suicide. The greatest potential seems to arise from limiting the availability of methods. In particular it is likely that the introduction of the catalytic convertor will lead to reduced lethality of care exhausts and reductions in suicide using this method. General practitioner education programmes, the effectiveness of lithium and maintenance antidepressants, and limits on the quantity of medicines available over the counter or on prescription should all be evaluated. Particular high risk groups include people recently discharged from psychiatric hospitals and those with a history of parasuicide. Many social processes affect suicide rates and these rather than specific interventions may help or hinder the ability to realise the Health of the Nation targets. Well conducted trials are essential to distinguish complex social processes from the effects of specific interventions for suicide prevention. This review of the available evidence offers little support for the aspiration that the posited targets can be achieved on the basis of current knowledge and current policy.

Indexed as

Suicide PreventionFamily PracticeFemaleHealth PolicyHealth PromotionHumansMalePublic HealthRandomized Controlled Trials as TopicRisk Factors

Identifiers

PMID8080520
PMCPMC2540097

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.