Garrouste-Orgeas M, et al. - Through an assessor-blinded, multicenter, randomized clinical trial of 657 patients, experts evaluated the impact of an intensive care unit (ICU) diary on the psychological outcomes of ICU hospitalization to see if keeping a diary while in the ICU can decrease posttraumatic stress disorder (PTSD) symptoms among patients receiving mechanical ventilation. Individuals were randomized into the intervention group (n=355) and the control group (n=354). Significant PTSD symptoms were recorded by 49/164 patients in the intervention group compared with 60/175 in the control group. The median (interquartile range) Impact Event Scale-Revised score was 12 and 13 in the intervention group and in the control group, respectively. No important variations in any of the six prespecified secondary outcomes were noted. Use of an ICU diary filled in by clinicians and family members did not significantly lower the number of patients recording significant PTSD symptoms at 3 months amongst those who received mechanical ventilation in the ICU. Moreover, for preventing PTSD symptoms, these findings do not recommend the use of ICU diaries.