Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning

Carter, Gregory L., Clover, Kerrie, Whyte, Ian M., Dawson, Andrew H. and D'Este, Catherine (2013) Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning. British Journal of Psychiatry, 202 5: 372-380. doi:10.1192/bjp.bp.112.112664


Author Carter, Gregory L.
Clover, Kerrie
Whyte, Ian M.
Dawson, Andrew H.
D'Este, Catherine
Title Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning
Journal name British Journal of Psychiatry   Check publisher's open access policy
ISSN 0007-1250
1472-1465
Publication date 2013-05
Year available 2013
Sub-type Article (original research)
DOI 10.1192/bjp.bp.112.112664
Open Access Status
Volume 202
Issue 5
Start page 372
End page 380
Total pages 9
Place of publication London, United Kingdom
Publisher Royal College of Psychiatrists
Collection year 2014
Language eng
Formatted abstract
Background
Repetition of hospital-treated self-poisoning and admission to psychiatric hospital are both common in individuals who self-poison.
Aims
To evaluate efficacy of postcard intervention after 5 years.
Method
A randomised controlled trial of individuals who have self-poisoned: postcard intervention (eight in 12 months) plus treatment as usual v. treatment as usual. Our primary outcomes were self-poisoning admissions and psychiatric admissions (proportions and event rates).
Results
There was no difference between groups for any repeat-episode self-poisoning admission (intervention group: 24.9%, 95% CI 20.6-29.5; control group: 27.2%, 95% CI 22.8-31.8) but there was a significant reduction in event rates (incidence risk ratio (IRR) = 0.54, 95% CI 0.37-0.81), saving 306 bed days. There was no difference for any psychiatric admission (intervention group: 38.1%, 95% CI 33.1-43.2; control group: 35.5%, 95% CI 30.8-40.5) but there was a significant reduction in event rates (IRR = 0.66, 95% CI 0.47-0.91), saving 2565 bed days.
Conclusions
A postcard intervention halved self-poisoning events and reduced psychiatric admissions by a third after 5 years. Substantial savings occurred in general hospital and psychiatric hospital bed days.
Keyword Borderline personality disorder
Oriented partial hospitalization
Follow-up
Behavioral treatment
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
Centre for Military and Veterans' Health Publications
 
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