Group problem-solving skills training for self-harm: randomised controlled trial

Typeset version

 

TY  - JOUR
  - McAuliffe, C,McLeavey, BC,Fitzgerald, T,Corcoran, P,Carroll, B,Ryan, L,O'Keeffe, B,Fitzgerald, E,Hickey, P,O'Regan, M,Mulqueen, J,Arensman, E
  - 2014
  - May
  - British Journal of Psychiatry
  - Group problem-solving skills training for self-harm: randomised controlled trial
  - Validated
  - Altmetric: 24 ()
  - PSYCHIATRIC OUTPATIENTS PSYCHOMETRIC PROPERTIES SUICIDE ATTEMPTERS POISONING PATIENTS REPETITION BEHAVIOR PARASUICIDE QUESTIONNAIRE INTERVENTION METAANALYSIS
  - 204
  - 383
  - 390
  - BackgroundRates of self-harm are high and have recently increased. This trend and the repetitive nature of self-harm pose a significant challenge to mental health services.AimsTo determine the efficacy of a structured group problem-solving skills training (PST) programme as an intervention approach for self-harm in addition to treatment as usual (TAU) as offered by mental health services.MethodA total of 433 participants (aged 18-64 years) were randomly assigned to TAU plus PST or TAU alone. Assessments were carried out at. baseline and at 6-week and 6-month follow-up and repeated hospital-treated self-harm was ascertained at 12-month follow-up.ResultsThe treatment groups did not differ in rates of repeated self-harm at 6-week, 6-month and 12-month follow-up. Both treatment groups showed significant improvements in psychological and social functioning at follow-up. Only one measure (needing and receiving practical help from those closest to them) showed a positive treatment effect at 6-week (P=0.004) and 6-month (P=0.01) follow-up. Repetition was not associated with waiting time in the PST group.ConclusionsThis brief intervention for self-harm is no more effective than treatment as usual. Further work is required to establish whether a modified, more intensive programme delivered sooner after the index episode would be effective.
  - 10.1192/bjp.bp.111.101816
DA  - 2014/05
ER  - 
@article{V271355664,
   = {McAuliffe,  C and McLeavey,  BC and Fitzgerald,  T and Corcoran,  P and Carroll,  B and Ryan,  L and O'Keeffe,  B and Fitzgerald,  E and Hickey,  P and O'Regan,  M and Mulqueen,  J and Arensman,  E },
   = {2014},
   = {May},
   = {British Journal of Psychiatry},
   = {Group problem-solving skills training for self-harm: randomised controlled trial},
   = {Validated},
   = {Altmetric: 24 ()},
   = {PSYCHIATRIC OUTPATIENTS PSYCHOMETRIC PROPERTIES SUICIDE ATTEMPTERS POISONING PATIENTS REPETITION BEHAVIOR PARASUICIDE QUESTIONNAIRE INTERVENTION METAANALYSIS},
   = {204},
  pages = {383--390},
   = {{BackgroundRates of self-harm are high and have recently increased. This trend and the repetitive nature of self-harm pose a significant challenge to mental health services.AimsTo determine the efficacy of a structured group problem-solving skills training (PST) programme as an intervention approach for self-harm in addition to treatment as usual (TAU) as offered by mental health services.MethodA total of 433 participants (aged 18-64 years) were randomly assigned to TAU plus PST or TAU alone. Assessments were carried out at. baseline and at 6-week and 6-month follow-up and repeated hospital-treated self-harm was ascertained at 12-month follow-up.ResultsThe treatment groups did not differ in rates of repeated self-harm at 6-week, 6-month and 12-month follow-up. Both treatment groups showed significant improvements in psychological and social functioning at follow-up. Only one measure (needing and receiving practical help from those closest to them) showed a positive treatment effect at 6-week (P=0.004) and 6-month (P=0.01) follow-up. Repetition was not associated with waiting time in the PST group.ConclusionsThis brief intervention for self-harm is no more effective than treatment as usual. Further work is required to establish whether a modified, more intensive programme delivered sooner after the index episode would be effective.}},
   = {10.1192/bjp.bp.111.101816},
  source = {IRIS}
}
AUTHORSMcAuliffe, C,McLeavey, BC,Fitzgerald, T,Corcoran, P,Carroll, B,Ryan, L,O'Keeffe, B,Fitzgerald, E,Hickey, P,O'Regan, M,Mulqueen, J,Arensman, E
YEAR2014
MONTHMay
JOURNAL_CODEBritish Journal of Psychiatry
TITLEGroup problem-solving skills training for self-harm: randomised controlled trial
STATUSValidated
TIMES_CITEDAltmetric: 24 ()
SEARCH_KEYWORDPSYCHIATRIC OUTPATIENTS PSYCHOMETRIC PROPERTIES SUICIDE ATTEMPTERS POISONING PATIENTS REPETITION BEHAVIOR PARASUICIDE QUESTIONNAIRE INTERVENTION METAANALYSIS
VOLUME204
ISSUE
START_PAGE383
END_PAGE390
ABSTRACTBackgroundRates of self-harm are high and have recently increased. This trend and the repetitive nature of self-harm pose a significant challenge to mental health services.AimsTo determine the efficacy of a structured group problem-solving skills training (PST) programme as an intervention approach for self-harm in addition to treatment as usual (TAU) as offered by mental health services.MethodA total of 433 participants (aged 18-64 years) were randomly assigned to TAU plus PST or TAU alone. Assessments were carried out at. baseline and at 6-week and 6-month follow-up and repeated hospital-treated self-harm was ascertained at 12-month follow-up.ResultsThe treatment groups did not differ in rates of repeated self-harm at 6-week, 6-month and 12-month follow-up. Both treatment groups showed significant improvements in psychological and social functioning at follow-up. Only one measure (needing and receiving practical help from those closest to them) showed a positive treatment effect at 6-week (P=0.004) and 6-month (P=0.01) follow-up. Repetition was not associated with waiting time in the PST group.ConclusionsThis brief intervention for self-harm is no more effective than treatment as usual. Further work is required to establish whether a modified, more intensive programme delivered sooner after the index episode would be effective.
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ISBN_ISSN
EDITION
URL
DOI_LINK10.1192/bjp.bp.111.101816
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