TY  - JOUR
PY  - 2002//
TI  - Self-harm in adults: A randomised controlled trial of nurse-led case management versus routine care only
JO  - Journal of mental health
A1  - Clarke, T.
A1  - Baker, P.
A1  - Watts, C.J.
A1  - Williams, K.
A1  - Feldman, R.A.
A1  - Sherr, L.
SP  - 167
EP  - 176
VL  - 11
IS  - 2
N2  - 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>
LA  - en
SN  - 0963-8237
UR  - http://dx.doi.org/10.1080/09638230020023561-1
ID  - ref1
ER  -