TY  - JOUR
PY  - 2019//
TI  - Accuracy of clinician predictions of future self-harm: a systematic review and meta-analysis of predictive studies
JO  - Suicide and life-threatening behavior
A1  - Woodford, Rachel
A1  - Spittal, Matthew J.
A1  - Milner, Allison
A1  - McGill, Katie
A1  - Kapur, Navneet
A1  - Pirkis, Jane
A1  - Mitchell, Alex
A1  - Carter, Gregory
SP  - 23
EP  - 40
VL  - 49
IS  - 1
N2  - 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>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12395
ID  - ref1
ER  -