| Outcomes |
Illustrative comparative risks*
(95% CI) |
Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
|---|---|---|---|---|---|---|
| Assumed risk | Corresponding risk | |||||
| STANDARD CARE | CRISIS INTERVENTION | |||||
|
Global state Global Assessment Scale (GAS) Follow-up: 12 months |
The mean global state in the control groups was 64.4 | The mean global state in the intervention groups was 5.7 higher (0.26 lower to 11.66 higher) | 142 (1 study) | ⊕ ⊕ ⊕ ○ moderate1,2 | Outcome measure favours crisis intervention over standard care, although not to a significant extent | |
| Mental state - general Brief Psychiatric Rating Scale (BPRS) Follow-up: 3 months | The mean mental state - general in the control groups was 43.5 | The mean mental state - general in the intervention groups was 4.03 lower (8.18 lower to 0.12 higher) | 248 (2 studies) | ⊕ ⊕ ○ ○ low3,4 | Outcome measure favours crisis intervention, although not to a significant extent | |
| Patient Satisfaction Client Satisfaction Questionnaire (CSQ-8) Follow-up: 20 months | The mean patient satisfaction in the control groups was 22.0 | The mean patient satisfaction in the intervention groups was 5.4 higher (3.91 to 6.89 higher) | 137 (1 study) | ⊕ ⊕ ⊕ ○ moderate1,2 | Outcome favours crisis intervention to a significant extent | |
| Quality of Life Manchester Short Assessment (MANSA) Follow-up: 6 months | The mean quality of life in the control groups was 41.7 | The mean quality of life in the intervention groups was 1.5 lower (5.15 lower to 2.15 higher) | 226 (1 study) | ⊕ ⊕ ○ ○ low3,4 | Outcome favours standard care although not to a significant extent | |
| Burden on family Numbers of families stating that overall burden is great Follow-up: 6 months | 583 per 1000 | 198 per 1000 (117 to 344) | RR 0.34 (0.2 to 0.59) | 120 (1 study) | ⊕ ⊕ ○ ○ low2,4 | Outcome significantly favours crisis intervention |
| Hospital use Repeat admissions excluding index admission Follow-up: 6 months | 758 per 1000 | 470 per 1000 (387 to 576) | RR 0.62 (0.51 to 0.76) | 258 (1 study) | ⊕ ⊕ ⊕ ⊕ high | Outcome significantly favours crisis intervention |
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; RR: Risk ratio;
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
Details of randomisation not described.
Blinding not described
Raters not blinded
Loss of some participants not described