@article{ref1,
title="Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning",
journal="British journal of psychiatry",
year="2013",
author="Carter, Gregory L. and Clover, Kerrie and Whyte, Ian M. and Dawson, Andrew H. and D'Este, Catherine",
volume="202",
number="5",
pages="372-380",
abstract="BACKGROUND: Repetition of hospital-treated self-poisoning and admission to psychiatric hospital are both common in individuals who self-poison. AIMS: To evaluate efficacy of postcard intervention after 5 years. METHOD: A randomised controlled trial of individuals who have self-poisoned: postcard intervention (eight in 12 months) plus treatment as usual v. treatment as usual. Our primary outcomes were self-poisoning admissions and psychiatric admissions (proportions and event rates). RESULTS: There was no difference between groups for any repeat-episode self-poisoning admission (intervention group: 24.9%, 95% CI 20.6-29.5; control group: 27.2%, 95% CI 22.8-31.8) but there was a significant reduction in event rates (incidence risk ratio (IRR) = 0.54, 95% CI 0.37-0.81), saving 306 bed days. There was no difference for any psychiatric admission (intervention group: 38.1%, 95% CI 33.1-43.2; control group: 35.5%, 95% CI 30.8-40.5) but there was a significant reduction in event rates (IRR = 0.66, 95% CI 0.47-0.91), saving 2565 bed days. CONCLUSIONS: A postcard intervention halved self-poisoning events and reduced psychiatric admissions by a third after 5 years. Substantial savings occurred in general hospital and psychiatric hospital bed days.<p /> <p>Language: en</p>",
language="en",
issn="0007-1250",
doi="10.1192/bjp.bp.112.112664",
url="http://dx.doi.org/10.1192/bjp.bp.112.112664"
}