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. 2017 Mar 20;7(3):e014153. doi: 10.1136/bmjopen-2016-014153

Table 3.

Defensive medicine: frequencies and correlations with acknowledgement of defensive practice and with anxiety

Per cent of defensive practice or behaviours Correlation with acknowledgement of defensive practice Correlation with anxiety
Acknowledgement of defensive practice 62.1% 1.00 0.30*
Defensive behaviours
Suicidal patients
 Advises unwarranted hospitalisation 54.2% 0.34† 0.47†
 Increases follow-up 75.6% 0.23† 0.25‡
 Initiates contact with family 93.3% −0.11 0.10
 Consults senior psychiatrist 52.6% 0.14 0.20
 Refers to another professional 65.9% 0.01 0.17
 Prescribes medication without indication 10.4% 0.09 −0.03
Changing or initiating new medication
 Informs about severe yet rare side effects 72.9% −0.10 0.18
 Records that explained about side effects 74.2% 0.06 0.08
 Informs of increased risk of suicidality 47.3% −0.01 0.23‡
Pregnant patients
 Avoids medication altogether 46.8% 0.05 0.39†
 Prescribes a smaller dosage 45.6% 0.27† 0.05
Elderly patients
 Informs of cerebrovascular diseases risk 55.4% −0.06 0.18
 Prescribes a smaller dosage 91.9% 0.23† 0.01

*p<0.05.

†p<0.001.

‡p<0.10.