Postcards from the EDge project: randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning
- PMID: 16183654
- PMCID: PMC1246077
- DOI: 10.1136/bmj.38579.455266.E0
Postcards from the EDge project: randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning
Abstract
Objective: To determine whether an intervention using postcards (postcards from the EDge project) reduces repetitions of hospital treated deliberate self poisoning.
Design: Randomised controlled trial.
Setting: Regional referral service for general hospital treated deliberate self poisoning in Newcastle, Australia.
Participants: 772 patients aged over 16 years with deliberate self poisoning.
Intervention: Non-obligatory intervention using eight postcards over 12 months along with standard treatment compared with standard treatment alone.
Main outcome measures: Proportion of patients with one or more repeat episodes of deliberate self poisoning and the number of repeat episodes for deliberate self poisoning per person in 12 months.
Results: The proportion of repeaters with deliberate self poisoning in the intervention group did not differ significantly from that in the control group (57/378, 15.1%, 95% confidence interval 11.5% to 18.7% v 68/394, 17.3%, 13.5% to 21.0%: difference between groups -2%, -7% to 3%). In unadjusted analysis the number of repetitions were significantly reduced (incidence risk ratio 0.55, 0.35 to 0.87).
Conclusion: A postcard intervention reduced repetitions of deliberate self poisoning, although it did not significantly reduce the proportion of individual repeaters.
Figures
Comment in
-
Do get in touch.BMJ. 2005 Oct 8;331(7520):788-9. doi: 10.1136/bmj.331.7520.788. BMJ. 2005. PMID: 16210256 Free PMC article. No abstract available.
-
Postcards from the edge: GPs have role in reducing repetition of self harm.BMJ. 2005 Oct 22;331(7522):966. doi: 10.1136/bmj.331.7522.966-d. BMJ. 2005. PMID: 16239705 Free PMC article. No abstract available.
-
Postcards from the edge: homelessness poses extra challenge in reducing self harm.BMJ. 2005 Oct 22;331(7522):966. doi: 10.1136/bmj.331.7522.966-c. BMJ. 2005. PMID: 16239706 Free PMC article. No abstract available.
References
-
- McGrath J. A survey of deliberate self-poisoning. Med J Aust 1989;150: 317-22. - PubMed
-
- Linehan MM, Armstrong HE, Suarez A, Allmon D, Heard HL. Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch Gen Psychiatry 1991;48: 1060-4. - PubMed
-
- Bateman A, Fonagy P. Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial. Am J Psychiatry 1999;156: 1563-9. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical