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

Quality assessmentNo. of patientsEffectQualityImportance
No. of studiesDesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsSupportive contactTAURelative risk (95% CI)Absolute
Repetition of self-harm – at 18 months
1Randomised trialsNo serious limitations--Serious1None60/800 (7.5%)66/863 (7.6%)RR 0.98 (0.7 to 1.37)2 fewer per 1000 (from 23 fewer to 28 more)--
-7.7%2 fewer per 1000 (from 23 fewer to 28 more)
Suicides – at 18 months
1Randomised trialsNo serious limitations---None2/872 (0.23%)18/827 (2.2%)Not pooledNot pooled--
-2.2%Not pooled

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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