Should telephone contact versus treatment as usual (TAU) be used for people who self-harm?

Quality assessmentNo. of patientsEffectQualityImportance
No. of studiesDesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsTelephone contactTAURelative risk (95% CI)Absolute
Suicide – at last follow-up
2Randomised trials----None2/400 (0.5%)3/421 (0.71%)Not pooledNot pooled--
-0.8%Not pooled
Repetition of self-harm – between 3 and 12 months
2Randomised trialsNo serious limitationsNo serious inconsistencyNo serious indirectnessSerious1None34/253 (13.4%)74/421 (17.6%)RR 0.72 (0.45 to 1.16)49 fewer per 1000 (from 97 fewer to 28 more)[plus sign in circle][plus sign in circle][plus sign in circle]
MODERATE
-
-18.9%53 fewer per 1000 (from 104 fewer to 30 more)
Repetition of self-harm – between 1 and 12 months
2Randomised trialsNo serious limitationsNo serious inconsistencyNo serious indirectnessSerious1None38/254 (15%)74/421 (17.6%)RR 0.95 (0.48 to 1.87)9 fewer per 1000 (from 91 fewer to 153 more)[plus sign in circle][plus sign in circle][plus sign in circle]
MODERATE
-
-13.8%7 fewer per 1000 (from 72 fewer to 120 more)
Attendance (at least once during 12 months' follow-up)
1Randomised trials----None60/83 (72.3%)58/89 (65.2%)Not pooledNot pooled--
-65.2%Not pooled
1

Not statistically significant.

Not statistically significant.

From: Appendix 17, GRADE evidence profiles

Cover of Self-Harm: Longer-Term Management
Self-Harm: Longer-Term Management.
NICE Clinical Guidelines, No. 133.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2012.
Copyright © 2012, The British Psychological Society & The Royal College of Psychiatrists.

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