Trial reportBMC psychiatry2013
Employing crisis postcards with case management in Kaohsiung, Taiwan: 6-month outcomes of a randomised controlled trial for suicide attempters.
Trial report in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Psychosocial interventions for self-harm and suicide prevention in liaison psychiatry: an overview of systematic reviews.BMC psychiatry · 2025Pooled it
- Effectiveness of Suicide Safety Planning Interventions: A Systematic Review Informing Occupational Therapy.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2023Pooled it
- Suicide during Transition of Care: a Review of Targeted Interventions.The Psychiatric quarterly · 2020Pooled it
- Mechanisms of brief contact interventions in clinical populations: a systematic review.BMC psychiatry · 2016Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2016Pooled it
- Comparing the Impacts of Crisis Response Plan and Self-Administered Safety Plan Use in Real Life on Key Clinical Outcomes.Suicide & life-threatening behavior · 2025Trial
- Effectiveness of brief interventions and contacts after suicide attempt: a systematic review and meta-analysis.EClinicalMedicine · 2026Article
- Case management for suicide prevention: a rapid review and evidence map.Social psychiatry and psychiatric epidemiology · 2025Review
- Article
- The effect of the SAFE intervention on post-discharge suicidal behavior: a quasi-experimental study using propensity score matching.Social psychiatry and psychiatric epidemiology · 2024Article
- The association between reattempted suicide and incoming calls to the brief contact intervention service, VigilanS: a study of the clinical profile of callers.BMC psychiatry · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuicide attempts constitute a serious clinical problem and have important implications for healthcare resources. The aim of the present study was to evaluate the effectiveness of case management using crisis postcards over a 6-month follow-up period.
methodA randomised controlled trial was conducted in Kaohsiung, Taiwan. Prevention of further suicide attempts was compared between two groups with and without the postcard intervention. The intervention group consisted of 373 participants (139 males, 234 females; age: 39.8 ± 14.0 yrs.). The control group consisted of 388 participants (113 males, 275 females; age: 40.0 ± 16.0 yrs.). A survival analysis was used to test the effectiveness of the crisis postcard intervention for the prevention of suicide reattempts. Per-protocol and intention-to-treat analyses were conducted.
resultsThe intention-to-treat analysis indicated that the crisis postcard had no effect (hazard ratio = 0.84; 95% CI = 0.56 - 1.29), whereas the per-protocol analysis showed a strong benefit for the crisis postcard (hazard ratio = 0.39; 95% CI = 0.21 - 0.72).
conclusionAlthough the results of the present study indicated that the postcard intervention did not reduce subsequent suicide behaviour, our study provides an alteration to the postcard intervention. Further studies need to be conducted to clarify whether this type of intervention can reduce subsequent suicidal behaviour, with a particular focus on reducing the rate of loss to follow-up.
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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.