Citation

Beautrais AL, Gibb SJ, Faulkner A, Fergusson DM, Mulder RT. Br. J. Psychiatry 2010; 197(1): 55-60.

Affiliation

PhD, Yale University School of Medicine, Department of Emergency Medicine, 464 Congress Avenue, Suite 260, New Haven, CT, 06519, USA. Annette.Beautrais@yale.edu.

Copyright

(Copyright © 2010, Royal College of Psychiatry)

DOI

10.1192/bjp.bp.109.075754

PMID

20592434

Abstract

BACKGROUND: Self-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. AIMS: To examine whether a postcard intervention reduces self-harm re-presentations in individuals presenting to the emergency department. METHOD: Randomised 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. RESULTS: After 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. CONCLUSIONS: The 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.

Language: en