@article{ref1,
title="Self-harm in adults: A randomised controlled trial of nurse-led case management versus routine care only",
journal="Journal of mental health",
year="2002",
author="Clarke, T. and Baker, P. and Watts, C.J. and Williams, K. and Feldman, R.A. and Sherr, L.",
volume="11",
number="2",
pages="167-176",
abstract="BACKGROUND: The Accident & Emergency Department is an important gateway to psychiatric nursing services for patients presenting following deliberate self-harm. To date, there are few systematic assessments of such services. Aims: To compare routine management enhanced by nurse-led case management with routine management only. <br><br>METHOD: Randomised controlled trial. <br><br>RESULTS: It was estimated that 20% of the study population were likely to be readmitted to A&E within 12 months of the index episode following a subsequent episode of self-harm. A power analysis determined that to show a statistically significant 50% reduction in this rate a minimum sample size of 438 was required. Four hundred and sixty-seven patients were identified over a 12-month period: 220 were allocated to the intervention group and 247 to the comparison group. One hundred and seven (49%) of eligible patients received the intervention being evaluated. Overall, readmission rates did not vary between the intervention group (9%) and the comparison group (10%). <br><br>CONCLUSIONS: The intervention did not result in a significant reduction in the readmission rate overall. Declaration of interest: Funded by the participating health authority.<p /><p>Language: en</p>",
language="en",
issn="0963-8237",
doi="10.1080/09638230020023561-1",
url="http://dx.doi.org/10.1080/09638230020023561-1"
}