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

Quality assessmentNo. of patientsEffectQualityImportance
No. of studiesDesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsEmergency cardTAURelative risk (95% CI)Absolute
Repetition of self-harm – at 12 months
2Randomised trialsNo serious limitationsSerious1No serious indirectnessSerious2None95/518 (18.3%)89/521 (17.1%)RR 0.83 (0.35 to 1.97)29 fewer per 1000 (from 111 fewer to 166 more)[plus sign in circle][plus sign in circle]○○
LOW
-
-14.8%25 fewer per 1000 (from 96 fewer to 144 more)
Suicides
2Randomised trials----None2/518 (0.39%)1/521 (0.19%)Not pooledNot pooled--
-0.1%Not pooled
1

Moderate heterogeneity (50 to 79%).

2

Not statistically significant.

Moderate heterogeneity (50 to 79%).

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.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Enquiries in this regard should be directed to the British Psychological Society.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.