Trial reportBMJ (Clinical research ed.)2012
Effect of assertive outreach after suicide attempt in the AID (assertive intervention for deliberate self harm) trial: randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
AID-trial:A Randomized Clinical Trial Comparing the Effect on Repeated Self-harm of Assertive Intervention and Standard Treatment After Deliberate Self-harm
Phone Call Follow-up After Crisis Centre Presentation With Suicidal Ideation and Behaviours.
The BEACON Study: Protocol for Cluster RCT of a Service to Deliver Smartphone-Assisted Problem-Solving Therapy Compared to Usual Care in Men Who Present With Intentional Self-Harm to the ED in Ontario (Protocol A)
Who cites it
30 citing papers in PubMed, 9 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Acute-Phase Interventions After Self-Harm for Preventing Suicide and Recurrence: A Systematic Review and Meta-Analysis.Acta psychiatrica Scandinavica · 2026Pooled it
- Reducing self-harm in adolescents: the RISA-IPD individual patient data meta-analysis and systematic review.Health technology assessment (Winchester, England) · 2026Pooled it
- Reducing self-harm in adolescents: the RISA-IPD comprehensive synopsis.Health technology assessment (Winchester, England) · 2026Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2016Pooled it
- Deliberate self-harm (and attempted suicide).BMJ clinical evidence · 2015Pooled it
- Hospital presenting self-harm and risk of fatal and non-fatal repetition: systematic review and meta-analysis.PloS one · 2014Pooled it
- Hospital-Based Psychosocial Case Management and Suicide Prevention in South Korea: A Randomized Clinical Trial.JAMA network open · 2026Trial
- A Novel Brief Therapy for Patients Who Attempt Suicide: A 24-months Follow-Up Randomized Controlled Study of the Attempted Suicide Short Intervention Program (ASSIP).PLoS medicine · 2016Trial
- Structured follow-up by general practitioners after deliberate self-poisoning: a randomised controlled trial.BMC psychiatry · 2015Trial
- Effect of Systematic Follow-Up by General Practitioners after Deliberate Self-Poisoning: A Randomised Controlled Trial.PloS one · 2015Trial
- Impact of a Clinician and Lived Experience Peer Worker Co-Led Aftercare Program on Suicide Risk Factors.Suicide & life-threatening behavior · 2026Article
- Feasibility and acceptability of the Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): randomised controlled trial.BJPsych open · 2025Article
- Case management for suicide prevention: a rapid review and evidence map.Social psychiatry and psychiatric epidemiology · 2025Review
- Evaluation of a youth-focused suicide prevention HOPE aftercare service: protocol for a non-randomized hybrid effectiveness-implementation type I design.BMC health services research · 2024Article
- Implementations of an evidence-based assertive case management intervention for suicide attempters: Post-ACTION-J Study (PACS).PCN reports : psychiatry and clinical neurosciences · 2023Article
- Rates and Correlates of Suicidality in VA Intensive Case Management Programs.Community mental health journal · 2022Article
- Suicide Models and Treatment Models Are Separate Entities. What Does It Mean for Clinical Suicide Prevention?International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess whether an assertive outreach intervention after suicide attempt could reduce the frequency of subsequent suicidal acts, compared with standard treatment.
designRandomised, parallel group, superiority trial with blinded outcome assessment.
settingOutpatient intervention at one location at Copenhagen University Hospital, Denmark.
participantsPatients older than 12 years admitted to regional hospitals in Copenhagen with a suicide attempt within the past 14 days. We excluded patients diagnosed with schizophrenia spectrum disorders and patients living in institutions.
interventionCase management through assertive outreach that provided crisis intervention and flexible problem solving. This approach incorporated motivational support and actively assisted patients to scheduled appointments to improve adherence with after-treatment as an add on to standard treatment. MAIN OUTCOME: Repeated suicide attempt and death by suicide, recorded in medical records and death register at 1-year follow-up.
results243 patients were included. During 12 months of follow-up, 20/123 (16%) patients in the intervention group had been registered in hospital records with subsequent suicide attempt, compared with 13/120 (11%) in the control group (odds ratio 1.60, 95% confidence interval 0.76 to 3.38; P=0.22). By contrast, self reported data on new events showed 11/95 (12%) in the intervention group versus 13/74 (18%) in the control group (0.61, 0.26 to 1.46; P=0.27). By imputing missing data on the selfreported outcomes, we estimated 15/123 (12%) events in the intervention group and 23/120 (19%) in the control group (0.69, 0.34 to 1.43; P=0.32).
conclusionAssertive outreach showed no significant effect on subsequent suicide attempt. The difference in rates of events between register data and self reported data could indicate detection bias.
trial registrationClinicalTrials.gov NCT00700089.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.