title: Crisis card following self-harm: 12-month follow-up of a randomised controlled trial.
abstract: No intervention has been shown to be effective in preventing repetition of self-harm. In the 6-month follow-up of a large randomised controlled trial, we previously reported no effectiveness of the provision of a card offering 24-h crisis telephone consultation on repetition of self-harm. However, there was a possible benefit among those presenting following a first episode (OR=0.64, 95% CI 0.34-1.22). Here we report the 12-month follow-up of the trial. The results confirm no overall benefit of the intervention (OR=1.19, 95% CI 0.85-1.67). Among those with a first episode of self-harm, the possible benefit of the intervention had diminished (OR=0.89, 95% CI 0.52-1.52), although a modest effect cannot be excluded.
authors.affiliation: Division of Psychiatry, University of Bristol, Cotham House, Cotham Hill, Bristol BS6 6JL, UK. j.evans@bristol.ac.uk
authors.forename: Jonathan
authors.initials: J
authors.lastname: Evans
authors.forename: Mark
authors.initials: M
authors.lastname: Evans
authors.forename: H Gethin
authors.initials: HG
authors.lastname: Morgan
authors.forename: Alan
authors.initials: A
authors.lastname: Hayward
authors.forename: David
authors.initials: D
authors.lastname: Gunnell
mesh_terms: D003419:Crisis Intervention / Q000379:methods*; D005500:Follow-Up Studies; D015277:Hotlines; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D019114:Remote Consultation / Q000379:methods*; D016728:Self-Injurious Behavior / Q000517:prevention & control*