Effectiveness of a ‘Green Card’ Intervention for Patients Engaging in Deliberate Self-Harm

A service enhancement program for deliberate self-harm (DSH) patients in 2 area mental health services in New South Wales, Australia, examined the effectiveness of emergency cards (‘Green Cards’) in enhancing patients’ return rates, & perceived effectiveness by service personnel. 84% of patients receiving a Card attended their appointment, compared with 40% receiving another form of referral. While Green Cards were found to be effective for patients engaging in DSH, challenges to implementation, including resistance from staff, are discussed. (22 refs)