{"id":"https://openalex.org/W2955924907","doi":"https://doi.org/10.1177/1833358319857188","title":"Suicidal and self-harm presentations to Emergency Departments: The challenges of identification through diagnostic codes and presenting complaints","display_name":"Suicidal and self-harm presentations to Emergency Departments: The challenges of identification through diagnostic codes and presenting complaints","publication_year":2019,"publication_date":"2019-07-04","ids":{"openalex":"https://openalex.org/W2955924907","doi":"https://doi.org/10.1177/1833358319857188","mag":"2955924907","pmid":"https://pubmed.ncbi.nlm.nih.gov/31272232"},"language":"en","primary_location":{"id":"doi:10.1177/1833358319857188","doi":"https://doi.org/10.1177/1833358319857188","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1833358319857188","pdf_url":null,"source":{"id":"https://openalex.org/S5406950132","display_name":"Health Information Management Journal","issn_l":"1833-3583","issn":["1833-3583","1322-4913","1833-3575"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["dongbi-c","doyens","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Information Management Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pure.bond.edu.au/ws/files/35166189/Sub_Suicidal_and_self_harm_presentations_to_Emergency_Departments.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053253784","display_name":"Jerneja Sveti\u010di\u010d","orcid":"https://orcid.org/0000-0002-7378-3582","observed_orcids":["https://orcid.org/0000-0002-7378-3582"]},"institutions":[{"id":"https://openalex.org/I4210151437","display_name":"Gold Coast Health","ror":"https://ror.org/04zt8gw89","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210151437"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Jerneja Sveticic","raw_affiliation_strings":["Gold Coast Health, Australia"],"raw_orcid":"https://orcid.org/0000-0002-7378-3582","affiliations":[{"raw_affiliation_string":"Gold Coast Health, Australia","institution_ids":["https://openalex.org/I4210151437"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066737176","display_name":"Nicolas J. C. Stapelberg","orcid":"https://orcid.org/0000-0003-2397-4337","observed_orcids":["https://orcid.org/0000-0003-2397-4337"]},"institutions":[{"id":"https://openalex.org/I120125038","display_name":"Bond University","ror":"https://ror.org/006jxzx88","country_code":"AU","type":"education","lineage":["https://openalex.org/I120125038"]},{"id":"https://openalex.org/I4210151437","display_name":"Gold Coast Health","ror":"https://ror.org/04zt8gw89","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210151437"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Nicholas CJ Stapelberg","raw_affiliation_strings":["Bond University, Australia","Gold Coast Health, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bond University, Australia","institution_ids":["https://openalex.org/I120125038"]},{"raw_affiliation_string":"Gold Coast Health, Australia","institution_ids":["https://openalex.org/I4210151437"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025981881","display_name":"Kathryn A. Turner","orcid":"https://orcid.org/0000-0002-8828-5260","observed_orcids":["https://orcid.org/0000-0002-8828-5260"]},"institutions":[{"id":"https://openalex.org/I4210151437","display_name":"Gold Coast Health","ror":"https://ror.org/04zt8gw89","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210151437"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Kathryn Turner","raw_affiliation_strings":["Gold Coast Health, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gold Coast Health, Australia","institution_ids":["https://openalex.org/I4210151437"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5053253784"],"corresponding_institution_ids":["https://openalex.org/I4210151437"],"apc_list":{"value":3650,"currency":"USD","value_usd":3650},"apc_paid":null,"fwci":8.4614,"has_fulltext":true,"cited_by_count":68,"citation_normalized_percentile":{"value":0.97890686,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"49","issue":"1","first_page":"38","last_page":"46"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13605","display_name":"Homicide, Infanticide, and Child Abuse","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/suicide-attempts","display_name":"suicide attempts","score":0.9309999942779541},{"id":"https://openalex.org/keywords/non-suicidal-self-injury","display_name":"non-suicidal self-injury","score":0.996999979019165},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":1.0},{"id":"https://openalex.org/keywords/emergency-department-presentation","display_name":"emergency department presentation","score":0.7910000085830688},{"id":"https://openalex.org/keywords/presenting-symptoms","display_name":"presenting symptoms","score":0.9589999914169312},{"id":"https://openalex.org/keywords/data-validity","display_name":"data validity","score":0.4429999887943268},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.48899999260902405},{"id":"https://openalex.org/keywords/medical-record-review","display_name":"medical records review","score":0.5080000162124634},{"id":"https://openalex.org/keywords/queensland","display_name":"Queensland","score":0.38999998569488525}],"concepts":[{"id":"https://openalex.org/C2776641880","wikidata":"https://www.wikidata.org/wiki/Q944142","display_name":"Suicidal ideation","level":4,"score":0.8055545091629028},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.719196617603302},{"id":"https://openalex.org/C45827449","wikidata":"https://www.wikidata.org/wiki/Q5270338","display_name":"Diagnosis code","level":3,"score":0.5392836928367615},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.5377424359321594},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.5357239842414856},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5275732278823853},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.4961720407009125},{"id":"https://openalex.org/C2780842732","wikidata":"https://www.wikidata.org/wiki/Q3518184","display_name":"Suicide attempt","level":4,"score":0.4649108350276947},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.44493570923805237},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4170553684234619},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.4117632806301117},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000068598","descriptor_name":"Data Accuracy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011793","descriptor_name":"Queensland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013406","descriptor_name":"Suicide, Attempted","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D015203","descriptor_name":"Reproducibility of Results","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016728","descriptor_name":"Self-Injurious Behavior","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D038801","descriptor_name":"International Classification of Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D059019","descriptor_name":"Clinical Coding","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D059020","descriptor_name":"Suicidal Ideation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1177/1833358319857188","doi":"https://doi.org/10.1177/1833358319857188","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1833358319857188","pdf_url":null,"source":{"id":"https://openalex.org/S5406950132","display_name":"Health Information Management Journal","issn_l":"1833-3583","issn":["1833-3583","1322-4913","1833-3575"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["dongbi-c","doyens","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Information Management Journal","raw_type":"journal-article"},{"id":"pmid:31272232","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31272232","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health information management : journal of the Health Information Management Association of Australia","raw_type":"Journal Article"},{"id":"pmh:oai:https://pure.bond.edu.au/:publications/d0657c29-e039-4c74-b3c3-288bee7549e0","doi":null,"is_oa":true,"landing_page_url":"https://research.bond.edu.au/en/publications/d0657c29-e039-4c74-b3c3-288bee7549e0","pdf_url":"https://pure.bond.edu.au/ws/files/35166189/Sub_Suicidal_and_self_harm_presentations_to_Emergency_Departments.pdf","source":{"id":"https://openalex.org/S4306402608","display_name":"Bond University Research Portal (Bond University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I120125038","host_organization_name":"Bond University","host_organization_lineage":["https://openalex.org/I120125038"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Sveticic, J, Stapelberg, N & Turner, K 2020, 'Suicidal and self-harm presentations to Emergency Departments: The challenges of identification through diagnostic codes and presenting complaints', Health Information Management Journal, vol. 49, no. 1, pp. 38-46. https://doi.org/10.1177/1833358319857188","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:research-repository.griffith.edu.au:10072/388804","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10072/388804","pdf_url":null,"source":{"id":"https://openalex.org/S7407064376","display_name":"Griffith Research Online","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal article"}],"best_oa_location":{"id":"pmh:oai:https://pure.bond.edu.au/:publications/d0657c29-e039-4c74-b3c3-288bee7549e0","doi":null,"is_oa":true,"landing_page_url":"https://research.bond.edu.au/en/publications/d0657c29-e039-4c74-b3c3-288bee7549e0","pdf_url":"https://pure.bond.edu.au/ws/files/35166189/Sub_Suicidal_and_self_harm_presentations_to_Emergency_Departments.pdf","source":{"id":"https://openalex.org/S4306402608","display_name":"Bond University Research Portal (Bond University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I120125038","host_organization_name":"Bond University","host_organization_lineage":["https://openalex.org/I120125038"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Sveticic, J, Stapelberg, N & Turner, K 2020, 'Suicidal and self-harm presentations to Emergency Departments: The challenges of identification through diagnostic codes and presenting complaints', Health Information Management Journal, vol. 49, no. 1, pp. 38-46. https://doi.org/10.1177/1833358319857188","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2955924907.pdf","grobid_xml":"https://content.openalex.org/works/W2955924907.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1480078052","https://openalex.org/W1518466108","https://openalex.org/W1567707660","https://openalex.org/W1950664193","https://openalex.org/W2029044416","https://openalex.org/W2093183396","https://openalex.org/W2115017877","https://openalex.org/W2148107441","https://openalex.org/W2167376371","https://openalex.org/W2171924409","https://openalex.org/W2280800390","https://openalex.org/W2555756618","https://openalex.org/W2590140475","https://openalex.org/W2751667261","https://openalex.org/W2779076305","https://openalex.org/W2791857296","https://openalex.org/W2799445666","https://openalex.org/W2904040186","https://openalex.org/W2980525067","https://openalex.org/W3025274192","https://openalex.org/W4241840133","https://openalex.org/W4244330657"],"related_works":["https://openalex.org/W4320502887","https://openalex.org/W4383315381","https://openalex.org/W2590140475","https://openalex.org/W2779076305","https://openalex.org/W4394726643","https://openalex.org/W4405859576","https://openalex.org/W4414484001","https://openalex.org/W3088954810","https://openalex.org/W4413992441","https://openalex.org/W6888910086"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,73],"accuracy":[2],"of":[3,17,34,36,75,99,112,125,171,183,204,214],"data":[4,207],"on":[5,24],"suicide-related":[6],"presentations":[7,44,52,76,115,241],"to":[8,40,45,54,93,259],"Emergency":[9,87],"Departments":[10],"(EDs)":[11],"has":[12],"implications":[13],"for":[14,133,201],"the":[15,32,86,119],"provision":[16],"care":[18],"and":[19,42,60,67,82,103,128,139,145,148,152,177,186,197,229,239,248,262],"policy":[20],"development,":[21],"yet":[22],"research":[23],"its":[25],"validity":[26],"is":[27,264],"scarce.":[28],"OBJECTIVE:":[29],"To":[30],"test":[31],"reliability":[33],"allocation":[35],"ICD-10":[37],"codes":[38,81,127,138,157],"assigned":[39],"suicide":[41,55,134,172,215],"self-related":[43],"EDs":[46],"in":[47,85,168,210,245],"Queensland,":[48],"Australia.":[49],"METHOD:":[50],"All":[51],"due":[53],"attempts,":[56],"non-suicidal":[57],"self-injury":[58],"(NSSI)":[59],"suicidal":[61,149,178],"ideation":[62,150,179],"between":[63],"1":[64],"July":[65],"2017":[66,70],"31":[68],"December":[69],"were":[71,91,116],"reviewed.":[72],"number":[74],"identified":[77,95,117],"through":[78,96,118],"relevant":[79,114,188],"ICD-10-AM":[80,126,184],"presenting":[83,129,141,189],"complaints":[84,130],"Department":[88],"Information":[89],"System":[90],"compared":[92],"those":[94],"an":[97,100],"application":[98],"evolutionary":[101],"algorithm":[102],"medical":[104],"record":[105],"review":[106],"(gold":[107],"standard).":[108],"RESULTS:":[109],"A":[110,181],"total":[111],"2540":[113],"gold":[120],"standard":[121],"methodology.":[122],"Great":[123],"heterogeneity":[124],"was":[131],"observed":[132],"attempts":[135,173,216],"(40":[136],"diagnostic":[137],"27":[140],"complaints),":[142],"NSSI":[143,175,230],"(27":[144],"16,":[146],"respectively)":[147],"(38":[151],"34,":[153],"respectively).":[154],"Relevant":[155],"ICD":[156],"applied":[158],"as":[159],"primary":[160],"or":[161,223],"secondary":[162],"diagnosis":[163],"had":[164],"very":[165],"low":[166],"sensitivity":[167],"detecting":[169,211],"cases":[170],"(18.7%),":[174],"(38.5%)":[176],"(42.3%).":[180],"combination":[182],"code":[185],"a":[187,255],"complaint":[190],"increased":[191],"specificity,":[192],"however":[193],"substantially":[194],"reduced":[195],"specificity":[196],"positive":[198],"predictive":[199],"values":[200],"all":[202],"types":[203],"presentations.":[205],"ED":[206,246],"showed":[208],"bias":[209],"higher":[212],"percentages":[213],"by":[217,224,231],"Indigenous":[218],"persons":[219],"(10.1%":[220],"vs.":[221,227,235],"6.9%)":[222],"cutting":[225],"(28.1%":[226],"10.3%),":[228],"female":[232],"presenters":[233],"(76.4%":[234],"67.4%).":[236],"CONCLUSION:":[237],"Suicidal":[238],"self-harm":[240],"are":[242],"grossly":[243],"under-enumerated":[244],"datasets":[247],"should":[249],"be":[250],"used":[251],"with":[252],"caution":[253],"until":[254],"more":[256],"standardised":[257],"approach":[258],"their":[260],"formulation":[261],"recording":[263],"implemented.":[265]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":11},{"year":2023,"cited_by_count":11},{"year":2022,"cited_by_count":11},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-07-12T00:00:00"}