Trial reportPloS one2014
Effect of crisis plans on admissions and emergency visits: a randomized controlled trial.
Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Supported Decision-Making Interventions in Mental Healthcare: A Systematic Review of Evidence on the Outcomes for People With Mental Ill Health.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Supported decision-making interventions in mental healthcare: A systematic review of current evidence and implementation barriers.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Advance Decision Making in Bipolar: A Systematic Review.Frontiers in psychiatry · 2020Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2016Pooled it
- Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Pooled it
- Psychiatric advance directives facilitated by peer workers among people with mental illness: economic evaluation of a randomized controlled trial (DAiP study).Epidemiology and psychiatric sciences · 2023Trial
- Preference-based crisis care is an infrastructure problem: lessons from joint crisis plans and advance choice documents for Japan.BJPsych open · 2026Article
- Non-emergency department (ED) interventions to reduce ED utilization: a scoping review.BMC emergency medicine · 2024Article
- Family involvement practices for persons with psychotic disorders in community mental health centres - a cross-sectional fidelity-based study.BMC psychiatry · 2021Article
- The Joint Crisis Plan: A Powerful Tool to Promote Mental Health.Frontiers in psychiatry · 2021Article
- Reflections on the lived experience of working with limited personal protective equipment during the COVID-19 crisis.Nursing inquiry · 2021Article
- Assessing the Acceptability, Feasibility and Sustainability of an Intervention to Increase Detection of Domestic Violence and Abuse in Patients Suffering From Severe Mental Illness: A Qualitative Study.Frontiers in psychiatry · 2020Article
- Crisis-planning interventions for people with psychotic illness or bipolar disorder: systematic review and meta-analyses.BJPsych open · 2019Article
- Psychosocial Interventions to Reduce Compulsory Psychiatric Admissions: A Rapid Evidence Synthesis.EClinicalMedicine · 2019Article
- "Why have I not been told about this?": a survey of experiences of and attitudes to advance decision-making amongst people with bipolar.Wellcome open research · 2019Article
- Working Alliance in Patients with Severe Mental Illness Who Need a Crisis Intervention Plan.Community mental health journal · 2016Article
- Joint crisis planning in mental health care: the challenge of implementation in randomized trials and in routine care.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2015Article
- The PACT advance decision-making template: preparing for Mental Health Act reforms with co-production, focus groups and consultation.International journal of law and psychiatryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo establish whether patients with a crisis plan had fewer voluntary or involuntary admissions, or fewer outpatient emergency visits, than patients without such a plan.
designMulticenter randomized controlled trial with two intervention conditions and one control condition.
participantsAdult outpatients diagnosed with psychotic or bipolar disorder who had experienced at least one psychiatric crisis in the previous two years.
interventionTwo types of advance statement were used: (1) a crisis plan formulated by the patient with the help of a patient advocate (Patient Advocate Crisis Plan: PACP); and (2) a crisis plan developed together with the clinician (Clinician-facilitated Crisis Plan: CCP). OUTCOME: The percentages of patients admitted voluntarily or involuntarily (on an emergency basis or by court order), and the percentage who made outpatient emergency visits over an 18-month follow-up period.
resultsA total of 212 patients were included: 69 in the PACP condition, 70 in the CCP condition, and 73 in the control condition. No effects of the two interventions were found on the numbers of voluntary admissions, involuntary admissions and emergency visits. Regarding involuntary admissions, there was no significant effect on emergency admissions, which were 17% (12/69) in the PACP condition, 10% (7/70) in the CCP condition, and 19% (14/73) in the control condition. There was a significant effect on planned court-ordered admissions, with 16% (11/69) in the PACP condition, 10% (7/70) in the CCP condition, and 26% (19/73) in the control condition. Finally, the interventions had no effect on outpatient emergency visits, with 32% (22/69) in the PACP group, 31% (22/70) in the CCP group, and 34% (25/73) in the control group.
conclusionsCrisis plans may be an effective intervention for reducing court-ordered admissions in patients with psychotic and bipolar disorders.
trial registrationCurrent Controlled Trails NTR1166.
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.