A randomized, controlled trial of a brief interventional package for schizophrenic out-patients
Version of Record online: 20 DEC 2001
Acta Psychiatrica Scandinavica
Volume 103, Issue 5, pages 362–369, May 2001
How to Cite
Cunningham Owens, D. G., Carroll, A., Fattah, S., Clyde, Z., Coffey, I. and Johnstone, E. C. (2001), A randomized, controlled trial of a brief interventional package for schizophrenic out-patients. Acta Psychiatrica Scandinavica, 103: 362–369. doi: 10.1034/j.1600-0447.2001.00132.x
- Issue online: 20 DEC 2001
- Version of Record online: 20 DEC 2001
- Accepted for publication December 4, 2000
- suicidal ideation
Objective: To evaluate the impact on outcome of a simple educational intervention in schizophrenic patients at risk of relapse.
Method: At discharge, 114 schizophrenic patients with at least one previous episode were assigned randomly to a simple educational intervention which had no resource implications, or standard care.
Results: The intervention failed to improve outcome. While insight and treatment attitudes improved, suicidal ideation increased. Systematic management of treatment-emergent adverse effects offered no benefits, although incapacitation from extrapyramidal side-effects at discharge predicted relapse.
Conclusion: There are limits to which psychoeducational interventions can be simplified without loss of effectiveness in terms of relapse prevention in schizophrenia. Enhanced insight may be associated with increased suicidal ideation.