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Accuracy of Clinician Predictions of Future Self-Harm: A Systematic Review and Meta-Analysis of Predictive Studies.
- Source :
-
Suicide & Life-Threatening Behavior . Feb2019, Vol. 49 Issue 1, p23-40. 18p. 1 Diagram, 6 Charts, 1 Graph. - Publication Year :
- 2019
-
Abstract
- Assessment of a patient after hospital-treated self-harm or psychiatric hospitalization often includes a risk assessment, resulting in a classification of high risk versus low risk for a future episode of self-harm. Through systematic review and a series of meta-analyses looking at unassisted clinician risk classification (eight studies; N = 22,499), we found pooled estimates for sensitivity 0.31 (95% CI: 0.18-0.50), specificity 0.85 (0.75-0.92), positive predictive value 0.22 (0.21-0.23), and negative predictive value 0.89 (0.86-0.92). Clinician classification was too inaccurate to be clinically useful. After-care should therefore be allocated on the basis of a needs rather than risk assessment. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03630234
- Volume :
- 49
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Suicide & Life-Threatening Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 134642727
- Full Text :
- https://doi.org/10.1111/sltb.12395