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The lack of data on clear indications, together with the suggestion of possible harm in this study, calls for studies on the risk benefit of platelet transfusion in the critically ill.
Smoking was however not significantly associated with alcohol drinking patterns and alcohol-related harm in this study.
It is possible that the strong associations found with future self harm in this study may begin to attenuate over future assessments.
Unlike many other self-report studies examining deliberate self harm, in this study a standardised definition of deliberate self harm was used, thereby enabling valid international comparisons with other European countries.
The S-RAMM-C scale performed well but the S-RAMM-B (background or fixed historical risk factors for suicide), S-RAMM-F ('future' risk factors for suicide), START-S and START-V were notable for their lack of predictive capability for self harm in this study.
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The main method of self-harm in this study was self-poisoning.
Similar to the findings of Appleby and Turnbull (1995) and Schiff and Grossman (2006), the main method of self-harm in this study was self-poisoning.
The S-RAMM predicted violence (AUC = 0.838) though not as quite so well as the HCR-20 and the S-RAMM predicted self-harm (AUC = 0.818) as did the S-RAMM sub-scales, though the S-RAMM-background and future scales did not reach significance for self-harm in this study.
No bears or snakes were harmed in this study.
In addition, the patient harm described in this study may be an under-representation of the true volume of patient harm identified by SEA since GPs are selective in the type of significant events that they choose to submit to this peer review model and those GPs who do submit their SEA for feedback may not be representative of their GP colleagues.
The number needed to harm reported in this study was small for opioids, and clinically relevant.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com