ArticleBJPsych open2019
Crisis-planning interventions for people with psychotic illness or bipolar disorder: systematic review and meta-analyses.
Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 7 of them syntheses that pooled it.
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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.
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Who cites it
43 citing papers in PubMed, 7 syntheses or guidelines pooled it, 87 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
- A qualitative meta-synthesis of service users' and carers' experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year update.BMC psychiatry · 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
- Clinical and social factors associated with involuntary psychiatric hospitalisation in children and adolescents: a systematic review, meta-analysis, and narrative synthesis.The Lancet. Child & adolescent health · 2021Pooled it
- Compulsory treatments in eating disorders: a systematic review and meta-analysis.Eating and weight disorders : EWD · 2021Pooled it
- Advance Decision Making in Bipolar: A Systematic Review.Frontiers in psychiatry · 2020Pooled it
- Clinical and social factors associated with increased risk for involuntary psychiatric hospitalisation: a systematic review, meta-analysis, and narrative synthesis.The lancet. Psychiatry · 2019Pooled it
- Feasibility testing and preliminary trial of a crisis planning and monitoring intervention to reduce compulsory readmissions: the FINCH Study.BMC medicine · 2025Trial
- Effectiveness of implementing family involvement on patient outcomes in individuals with psychotic disorders: a pragmatic cluster randomised controlled trial.BMC psychiatry · 2025Trial
- Can primary mental health services impact levels of involuntary admissions? A cluster-RCT of the ReCoN intervention.Social psychiatry and psychiatric epidemiology · 2025Trial
- 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
- Service users' perspectives on acute, outreach and outpatient psychiatric crisis interventions with and without peer support: results of a qualitative study.BMC health services research · 2026Article
- Preference-based crisis care is an infrastructure problem: lessons from joint crisis plans and advance choice documents for Japan.BJPsych open · 2026Article
- Article
- Ethics and Autonomy in Schizophrenia Care : Reflections from a Latin American Perspective.Journal of bioethical inquiry · 2026Article
- Social inclusion of people with severe mental illness: a review of current practices, evidence and unmet needs, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Whose voice is heard? Mental health professionals' involvement, epistemic injustice, and the ethics of psychiatric advance directives.Frontiers in psychiatry · 2026Review
- Restraint reduction in general hospital care by preventive patient involvement: a pilot study.BMC geriatrics · 2025Article
- Integration of Psychiatric Advance Directives Into the Patient-Accessible Electronic Health Record: Exploring the Promise and Limitations.Journal of medical Internet research · 2025Article
- Exploring pathways to compulsory detention and ways to prevent repeat compulsory detentions in England; clinician perspectives.PLOS mental health · 2025Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundMental health services lack a strong evidence base on the most effective interventions to reduce compulsory admissions. However, some research suggests a positive impact of crisis-planning interventions in which patients are involved in planning for their future care during a mental health crisis.
aimsThis review aimed to synthesise randomised controlled trial (RCT) evidence on the effectiveness of crisis-planning interventions (for example advance statements and joint crisis plans) in reducing rates of compulsory hospital admissions for people with psychotic illness or bipolar disorder, compared with usual care (PROSPERO registration number: CRD42018084808).
methodSix online databases were searched in October 2018. The primary outcome was compulsory psychiatric admissions and secondary outcomes included other psychiatric admissions, therapeutic alliance, perceived coercion and cost-effectiveness. Bias was assessed using the Cochrane collaboration tool.
resultsThe search identified 1428 studies and 5 RCTs were eligible. One study had high risk of bias because of incomplete primary outcome data. Random-effects meta-analysis showed a 25% reduction in compulsory admissions for those receiving crisis-planning interventions compared with usual care (risk ratio 0.75, 95% CI 0.61-0.93, P = 0.008; from five studies). There was no statistical evidence that the intervention reduced the risk of voluntary or combined voluntary and compulsory psychiatric admissions. Few studies assessed other secondary outcomes.
conclusionsOur meta-analysis suggests that crisis-planning interventions substantially reduce the risk of compulsory admissions among individuals with psychotic illness or bipolar disorder. Despite common components, interventions varied in their content and intensity across the trials. The optimal models and implementation of these interventions require further investigation. DECLARATION OF INTEREST: E.M., S.L., S.J. and B.L.-E. received funding from the National Institute for Health Research during the conduct of the study.
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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.