{"id":"W4406564276","doi":"10.1016/j.lanwpc.2024.101263","title":"The risk of repeated self-harm and suicide after emergency department presentation with self-harm in mental health presenters: a retrospective cohort study with data linkage in Queensland, Australia","year":2025,"lang":"en","type":"article","venue":"The Lancet Regional Health - Western Pacific","topic":"Suicide and Self-Harm Studies","field":"Psychology","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"Public Health Ontario; University of Toronto; Centre for Addiction and Mental Health","funders":"Emergency Medicine Foundation","keywords":"Harm; Emergency department; Mental health; Presentation (obstetrics); Retrospective cohort study; Occupational safety and health; Medicine; Cohort; Medical emergency; Suicide prevention; Poison control; Family medicine; Psychiatry; Psychology; Social psychology; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.003127697,0.0003199806,0.0005464137,0.001638727,0.0009190186,0.001067945,0.001035192,0.0005423157,0.0009789057],"category_scores_gemma":[0.007993657,0.0008975492,0.0008543432,0.002593866,0.0005488126,0.0009201606,0.001953088,0.001047709,0.0001911067],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001827593,"about_ca_system_score_gemma":0.001780144,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.1184828,"about_ca_topic_score_gemma":0.08991363,"domain_scores_codex":[0.9973284,0.000686701,0.0003351449,0.0006974858,0.000574561,0.0003776616],"domain_scores_gemma":[0.9941513,0.0006036094,0.003222595,0.0005953166,0.0008946728,0.0005325389],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00003789636,0.00002500653,0.9986593,0.00002032555,0.00007160622,0.00008729411,0.0004293834,0.00002722169,0.00004549815,0.00001455483,0.0001564022,0.0004255073],"study_design_scores_gemma":[0.000007171042,0.00004898789,0.9990234,0.00002609221,0.0000313419,0.0001661711,0.0003677505,0.0001302403,0.00001131003,0.00001413244,0.0001683557,0.00000496331],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9979683,0.0002959816,0.0001491501,0.0001020101,0.000006285764,0.00007285057,0.001157891,0.000004176478,0.0002433274],"genre_scores_gemma":[0.9985336,0.0002052519,0.0002021732,0.00006356138,0.000008842244,0.00009559965,0.00070818,0.000003184036,0.0001796077],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1184828,"threshold_uncertainty_score":0.2355863,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05842746995725491,"score_gpt":0.3917746888842129,"score_spread":0.333347218926958,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}