© 1998 Evidence-Based Mental Health
A home based family intervention for children who had deliberately poisoned themselves did not reduce suicidal ideation
Harrington R, Kerfoot M, Dyer E, et al. Randomized trial of a home-based family intervention for children who have deliberately poisoned themselves.J Am Acad Child Adolesc Psychiatry 1998 May;37:512–8[Medline]
Question In children and adolescents who have deliberately poisoned themselves, can a home based family intervention by child psychiatric social workers reduce suicidal feelings and improve family functioning?
Randomised controlled trial with 6 months follow up.
4 hospitals in Manchester, UK.
162 patients, 
16 years of age (mean age 15 y, 90% girls), who had deliberately poisoned themselves. Exclusion criteria were self harm such as cutting or attempted hanging; family situation precluding a family intervention; or clinical or psychiatric contraindication. 149 patients (92%) were assessed at 6 months.
85 patients were allocated to routine care plus a home based family problem solving intervention, and 77 were allocated to routine care only. The home based intervention consisted of an assessment session and 4 home visits by psychiatric social workers. The routine care group received no home visits.
The primary outcome measures were changes on the Suicidal Ideation Questionnaire, the Hopelessness Scale, and the Family Assessment Device. The secondary outcome measures were changes on a subscale of the Social Problem Solving Inventory, the General Health Questionnaire, and a scale of
Cornell University Medical College White Plains, New York, USA
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