School of Social Sciences and Psychology, Western Sydney University (WSU), Kingswood, NSW, Australia.
Triage and Assessment Centre, Mental Health Centre, Nepean Hospital, Nepean Blue Mountains LHD, Kingswood, NSW, Australia.
BMC Psychiatry. 2019 Apr 18;19(1):117. doi: 10.1186/s12888-019-2104-9.
Hospital-treated deliberate self-harm (DSH) is common, costly and has high repetition rates. Since brief contact interventions (BCIs) may reduce the risk of DSH repetition, we aim to evaluate whether a SMS (Short Message Service) text message Intervention plus Treatment As Usual (TAU) compared to TAU alone will reduce hospital DSH re-presentation rates in Western Sydney public hospitals in Australia.
METHODS/DESIGN: Our study is a 24-month randomized controlled trial (RCT). Adult patients who present with DSH to hospital emergency, psychiatric, and mental health triage and assessment departments will be randomly assigned to an Intervention condition plus TAU receiving nine SMS text messages at 1, 2, 3, 4, 5, 6, 8, 10 and 12-months post-discharge. Each message will contain telephone numbers for two mental health crises support tele-services. Primary outcomes will be the difference in the number of DSH re-presentations, and the time to first re-presentation, within 12-months of discharge.
This study protocol describes the design and implementation of an RCT using SMS text messages, which aim to reduce hospital re-presentation rates for DSH. Positive study findings would support the translation of an SMS-aftercare protocol into mental health services at minimal expense.
This trial has been registered with the Australian and New Zealand Clinical Trials Registry (Trial registration: ACTRN12617000607370 . Registered 28 April 2017) and has been approved by two Local Health Districts (LHDs). Western Sydney LHD Human Research Ethics Committee approved the study for Westmead Hospital and Blacktown Hospital (Protocol: HREC/16/WMEAD/336). Nepean Blue Mountains LHD Research Governance Office approved the study for Nepean Hospital (SSA/16/Nepean/170).
医院治疗的蓄意自伤（DSH）很常见，费用高昂，且复发率很高。由于简短接触干预（BCIs）可能降低 DSH 复发的风险，我们旨在评估短信服务（SMS）文本消息干预加常规治疗（TAU）与单独 TAU 相比是否会降低澳大利亚西悉尼公立医院的 DSH 再入院率。
方法/设计：我们的研究是一项为期 24 个月的随机对照试验（RCT）。因 DSH 到医院急诊、精神科和精神健康分诊和评估部门就诊的成年患者将被随机分配到干预组加 TAU，在出院后 1、2、3、4、5、6、8、10 和 12 个月接受 9 条 SMS 文本消息。每条消息将包含两个心理健康危机支持热线的电话号码。主要结局是出院后 12 个月内 DSH 再入院人数的差异和首次再入院时间。
本研究方案描述了使用 SMS 短信进行 RCT 的设计和实施，旨在降低 DSH 的医院再入院率。阳性研究结果将支持以最小的费用将 SMS 随访方案转化为精神卫生服务。
该试验已在澳大利亚和新西兰临床试验注册中心（试验注册：ACTRN12617000607370. 2017 年 4 月 28 日注册）注册，并获得了两个地方卫生区（LHDs）的批准。西悉尼 LHD 人类研究伦理委员会批准了该研究在 Westmead 医院和 Blacktown 医院的实施（方案：HREC/16/WMEAD/336）。Nepean Blue Mountains LHD 研究治理办公室批准了该研究在 Nepean 医院的实施（SSA/16/Nepean/170）。
