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The British Journal of Psychiatry (2005) 187: 186-187
© 2005 The Royal College of Psychiatrists

SHORT REPORTS

Crisis card following self-harm: 12-month follow-up of a randomised controlled trial

JONATHAN EVANS, MRCPsych, MARK EVANS, MRCPsych, H. GETHIN MORGAN, FRCPsych, ALAN HAYWARD, MSc and DAVID GUNNELL, PhD

Division of Psychiatry, University of Bristol
Department of Psychotherapy, Gaskell House, Manchester
University of Bristol, Cotham House, Bristol;
Cedar House, Blackberry Hill Hospital, Bristol
Department of Social Medicine, University of Bristol, Canynge Hall, Bristol, UK

Correspondence: Dr J. Evans, Consultant Senior Lecturer, Division of Psychiatry, University of Bristol, Cotham House, Cotham Hill, Bristol BS6 6JL, UK. Tel: +44 (0)117 9546635; fax: +44 (0) 117 9546672; e-mail: j.evans j.evans{at}bristol.ac.uk

Declaration of interest None.

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.




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