Trial reportBMC health services research2021
Self-admission in the treatment of eating disorders: an analysis of healthcare resource reallocation.
Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02937259 (Self-admission), which is not on this map. Cited by 5 papers, 1 of them a synthesis 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.
Self-admission: A New Treatment Approach for Patients With Severe Eating Disorders
Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient Experiences of Patient-Initiated Brief Admission in Psychiatric Care: A Systematic Review.International journal of mental health nursing · 2025Pooled it
- Brief user-controlled admission (BUCA) in psychiatric care.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2026Review
- Brief Admission by Self-Referral: A 4-Year Follow-Up on Utilisation Patterns and Experiences.International journal of mental health nursing · 2025Article
- A call for a trauma-informed approach during compulsory care for enduring anorexia nervosa with combined PTSD - an autoethnographic perspective.Journal of eating disorders · 2025Article
- Implementation of Brief Admission by Self-Referral in Child and Adolescent Psychiatry in Sweden: Insights from Implementers and Staff.International journal of environmental research and public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundSelf-admission to psychiatric inpatient treatment is an innovative approach to healthcare rationing, based on reallocation of existing resources rather than on increased funding. In self-admission, patients with a history of high healthcare utilization are invited to decide for themselves when brief admission is warranted. Previous findings on patients with severe eating disorders indicate that self-admission reduces participants' need for inpatient treatment, but that it does not alone lead to symptom remission.
methodsThe aim of this study was to evaluate if, from a service provider perspective, the resource reallocation associated with self-admission is justified. The analysis makes use of data from a cohort study evaluating the one-year outcomes of self-admission at the Stockholm Centre for Eating Disorders.
resultsParticipants in the program reduced their need for regular specialist inpatient treatment by 67%. Thereby, hospital beds were made available for non-participants due to the removal of a yearly average of 13.2 high-utilizers from the regular waiting list. A sensitivity analysis showed that this "win-win situation" occurred within the entire 95% confidence interval of the inpatient treatment utilization reduction.
conclusionsFor healthcare systems relying on rationing by waiting list, self-admission has the potential to reduce the need for hospitalization for patients with longstanding eating disorders, while also offering benefits in the form of increased available resources for other patients requiring hospitalization.
trial registrationClinicalTrials.gov ID: NCT02937259 (retrospectively registered 10/15/2016).
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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.