Should home versus outpatient problem-solving therapy be used for people who self-harm?

Quality assessmentNo. of patientsEffectQualityImportance
No. of studiesDesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsHomeOutpatientRelative risk (95% CI)Absolute
1Randomised trialsNo serious limitations--Serious1,2None5/48 (10.4%)7/48 (14.6%)RR 0.71 (0.24 to 2.09)42 fewer per 1000 (from 111 fewer to 159 more)--
-14.6%42 fewer per 1000 (from 111 fewer to 159 more)
Attendance in treatment
1Randomised trialsNo serious limitations---None45/48 (93.8%)35/48 (72.9%)Not pooledNot pooled--
-72.9%Not pooled

Not statistically significant.


Total sample size smaller than 300.

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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