Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Repetition of deliberate self-harm | |||||
Systematic review |
People admitted to hospital after deliberate self-harm, 30%–100% with a previous history of deliberate self-harm 6 RCTs in this analysis |
Repetition of deliberate self-harm
4 to 12 months
92/580 (16%) with intensive intervention 107/581 (18%) with treatment as usual |
Peto OR 0.84 95% CI 0.62 to 1.15 P = 0.28 |
Not significant | |
RCT |
1867 suicide attempters enrolled in the emergency departments of 5 participating sites (culturally diverse settings) Further report of reference |
Repeated suicide attempts
18 months
66/863 (7.6%) with brief intervention and contact 60/800 (7.5%) with usual care |
Reported as not significant P = 0.909 |
Not significant | |
RCT |
243 people aged 11–69 years (mean age 31) with recent (within last 14 days) suicide attempts |
Proportion of participants with suicide re-attempts (based on hospital records)
1 year
20/123 (16%) with intensive intervention 13/120 (11%) with usual care |
OR 1.60 95% CI 0.76 to 3.38 P = 0.22 |
Not significant | |
RCT |
64 adults aged >18 years contacted within 3 days of presenting to hospital with an episode of self-harm |
Proportion of participants with self-harm repetition
12 months
11/32 (34%) with intensive intervention 4/32 (13%) with usual care |
OR 3.67 95% CI 1.0 to 13.1 P = 0.046 |
Moderate effect size | usual care |
Suicide | |||||
RCT |
1867 suicide attempters enrolled in the emergency departments of 5 participating sites (culturally diverse settings); median age 23 years |
Proportion of participants dying by suicide
18 months
2/872 (0%) with brief intervention and contact 18/827 (2%) with treatment as usual |
P <0.001 |
Effect size not calculated | brief intervention and contact |
RCT |
243 people aged 11–69 years (mean age 31) with recent (within last 14 days) suicide attempts |
Proportion of participants dying by suicide
1 year
1/123 (0.8%) with intensive intervention 0/120 (0%) with usual care |
Not reported |
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RCT |
64 adults aged >18 years contacted within 3 days of presenting to hospital with an episode of self-harm |
Proportion of participants dying by suicide
12 months
1/32 (3%) with intensive intervention 0/32 (0%) with usual care |
Not reported |
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Admission to hospital | |||||
RCT |
64 adults aged >18 years contacted within 3 days of presenting to hospital with an episode of self-harm |
Psychiatric hospital admissions
12 months
1/32 (3%) with intensive intervention 2/32 (6%) with usual care |
Not reported |