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首页> 外文期刊>The British journal of psychiatry : >Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning
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Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning

机译：EDge的明信片：医院治疗的自体中毒的随机对照试验的5年结果

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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.
机译：背景：自毒中毒的患者经常会反复接受医院治疗的中毒和入院。目的：评估5年后明信片干预的疗效。方法：对中毒患者进行的随机对照试验：明信片干预（12个月内有8次）加常规治疗与常规治疗。我们的主要结局是自我中毒入院和精神科入院（比例和事件发生率）。结果：两组之间的重复发作自我中毒入院率均无差异（干预组：24.9％，95％CI 20.6-29.5;对照组：27.2％，95％CI 22.8-31.8），但有明显降低事件发生率（发生风险比（IRR）= 0.54，95％CI 0.37-0.81），节省306天病床。精神科入院率无差异（干预组：38.1％，95％CI 33.1-43.2;对照组：35.5％，95％CI 30.8-40.5），但事件发生率显着降低（IRR = 0.66，95） ％CI 0.47-0.91），节省了2565个床日。结论：明信片干预可将自我中毒事件减半，并在5年后将精神病住院率降低三分之一。在综合医院和精神病院就诊日节省了大量资金。

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