Postcard intervention for repeat self-harm: randomised controlled trial

Postcard intervention for repeat self-harm: randomised controlled trial
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DOI:
10.1192/bjp.bp.109.075754
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发表时间:
2010-07-01
影响因子:
10.5
通讯作者:
Mulder, Roger T.
Mulder, Roger T.
中科院分区:
医学1区
文献类型:
--
作者:
Beautrais, Annette L.;Gibb, Sheree J.;Mulder, Roger T.

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背景自残和自杀行为是急诊科常见的原因。那些谁目前与自我伤害有进一步的自杀行为和death.AimsTo研究是否明信片干预减少自我伤害的重新介绍在个人提出的emergency department.Methodrandomised对照试验在新西兰的基督城。干预措施包括6张明信片邮寄12个月后,指数急诊室出席自残。结果的措施是参与者的比例重新提出与自我伤害和重新提出自我伤害的数量在12个月后的初步presentation.ResultsAfter调整为以前的自我伤害,对照组和干预组在再次出现自我伤害的参与者比例或再次出现自我伤害的总数方面没有显著差异,伤害。ConclusionsThe明信片干预并没有减少进一步的自我伤害。与以前的结果一起,这一发现表明,明信片干预可能只对选定的亚组有效。
BackgroundSelf-harm and suicidal behaviour are common reasons for emergency department presentation. Those who present with self-harm have an elevated risk of further suicidal behaviour and death.AimsTo examine whether a postcard intervention reduces self-harm re-presentations in individuals presenting to the emergency department.MethodRandomised controlled trial conducted in Christchurch, New Zealand. The intervention consisted of six postcards mailed during the 12 months following an index emergency department attendance for self-harm. Outcome measures were the proportion of participants re-presenting with self-harm and the number of re-presentations for self-harm in the 12 months following the initial presentation.ResultsAfter adjustment for prior self-harm, there were no significant differences between the control and intervention groups in the proportion of participants re-presenting with self-harm or in the total number of re-presentations for self-harm.ConclusionsThe postcard intervention did not reduce further self-harm. Together with previous results this finding suggests that the postcard intervention may be effective only for selected subgroups.