@article{ref1,
title="Accuracy of clinician predictions of future self-harm: a systematic review and meta-analysis of predictive studies",
journal="Suicide and life-threatening behavior",
year="2019",
author="Woodford, Rachel and Spittal, Matthew J. and Milner, Allison and McGill, Katie and Kapur, Navneet and Pirkis, Jane and Mitchell, Alex and Carter, Gregory",
volume="49",
number="1",
pages="23-40",
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.<br><br>© 2017 The American Association of Suicidology.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12395",
url="http://dx.doi.org/10.1111/sltb.12395"
}