title: Geographic trends of scientific output and citation practices in psychiatry.
abstract: BACKGROUND
  Measures of research productivity are increasingly used to determine how research should be evaluated and funding decisions made. In psychiatry, citation patterns within and between countries are not known, and whether these differ by choice of citation metric.
  
  
  METHODS
  In this study, we examined publication characteristics and citation practices in articles published in 50 Web of Science indexed psychiatric and relevant clinical neurosciences journals, between January 2004 and December 2009 comprising 51,072 records that produced 375,962 citations. We compared citation patterns, including self-citations, between countries using standard x(2) tests.
  
  
  RESULTS
  We found that most publications came from the USA, with Germany being second and UK third in productivity. USA articles received most citations and the highest citation rate with an average 11.5 citations per article. The UK received the second highest absolute number of citations, but came fourth by citation rate (9.7 citations/article), after the Netherlands (11.4 citations/article) and Canada (9.8 citations/article). Within the USA, Harvard University published most articles and these articles were the most cited, on average 20.0 citations per paper. In Europe, UK institutions published and were cited most often. The Institute of Psychiatry/Kings College London was the leading institution in terms of number of published records and overall citations, while Oxford University had the highest citation rate (18.5 citations/record). There were no differences between the self-citation practices of American and European researchers. Articles that examined some aspect of treatment in psychiatry were the most published. In terms of diagnosis, papers about schizophrenia-spectrum disorders were the most published and the most cited.
  
  
  CONCLUSIONS
  We found large differences between and within countries in terms of their research productivity in psychiatry and clinical neuroscience. In addition, the ranking of countries and institutions differed widely by whether productivity was assessed by total research records published, overall citations these received, or citations per paper. The choice of measures of scientific output could be important in determining how research output translates into decisions about resource allocation.
authors.affiliation: Violence Prevention Research Unit, Wolfson Centre of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, Garrod Building, Turner Street, London, E1 2AD, England. a.igoumenou@qmul.ac.uk.
authors.forename: Artemis
authors.initials: A
authors.lastname: Igoumenou
authors.affiliation: Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, England. klaus.ebmeier@psych.ox.ac.uk.
authors.forename: Klaus
authors.initials: K
authors.lastname: Ebmeier
authors.affiliation: Bodlean Library, Oxford, England. nia.roberts@bodleian.ox.ac.uk.
authors.forename: Nia
authors.initials: N
authors.lastname: Roberts
authors.affiliation: Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, England. seena.fazel@psych.ox.ac.uk.
authors.forename: Seena
authors.initials: S
authors.lastname: Fazel
mesh_terms: D035843:Biomedical Research / Q000379:methods / Q000639:trends*; D002170:Canada; D005843:Geography; D005858:Germany; D006801:Humans; D055811:Journal Impact Factor; D009426:Netherlands; D010506:Periodicals as Topic / Q000639:trends*; D011570:Psychiatry / Q000379:methods / Q000639:trends*; D006113:United Kingdom; D014481:United States