Accuracy of clinician predictions of future self-harm: a systematic review and meta-analysis of predictive studies

Title: Accuracy of clinician predictions of future self-harm: a systematic review and meta-analysis of predictive studies
Creator: Woodford, Rachel; Spittal, Matthew J.; Milner, Allison; McGill, Katie; Kapur, Navneet; Pirkis, Jane; Mitchell, Alex; Carter, Gregory
Relation: Suicide and Life-Threatening Behavior Vol. 49, Issue 1, p. 23-40
Publisher Link: http://dx.doi.org/10.1111/sltb.12395
Publisher: John Wiley & Sons
Resource Type: journal article
Date: 2019
Description: 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.
Subject: assessment; psychiatric hospitalization; self-harm; after-care
Identifier: http://hdl.handle.net/1959.13/1458790
Identifier: uon:45505
Identifier: ISSN:0363-0234
Language: eng