A fourth pillar for evidence-based medicine: implications for psychiatry

Roz Shafran; Sarah Cohen-Woods; Isobel Heyman; Marcello Ienca; Neil J. Sebire; Tracey Wade

doi:10.1192/bjp.2026.10676

A fourth pillar for evidence-based medicine: implications for psychiatry

Roz Shafran
, Sarah Cohen-Woods
, Isobel Heyman
, Marcello Ienca
, Neil J. Sebire
, Tracey Wade

College of Human Sciences and Culture

Research output: Contribution to journal › Editorial

1 Citation (Scopus)

1 Downloads (Pure)

Abstract

It is time for evidence-based medicine to evolve and incorporate a fourth pillar of patient-level data. We describe what this pillar includes, how it integrates with existing pillars and its application to mental health treatment. We highlight key challenges and issue a ‘call to action’ for psychiatry and beyond.

Original language	English
Number of pages	4
Journal	British Journal of Psychiatry
DOIs	https://doi.org/10.1192/bjp.2026.10676
Publication status	E-pub ahead of print - 28 May 2026

Keywords

clinical decision-making
EBM model
Evidence-based medicine
four pillars
patient-level data

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10.1192/bjp.2026.10676Licence: CC BY-NC-ND

Final published versionFinal published version, 204 KBLicence: CC BY-NC-ND

Cite this

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AU - Sebire, Neil J.

AU - Wade, Tracey

PY - 2026/5/28

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KW - Evidence-based medicine

KW - four pillars

KW - patient-level data

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A fourth pillar for evidence-based medicine: implications for psychiatry

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Keywords

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