MIDSHIPS: Multicentre Intervention Designed for Self-Harm using Interpersonal Problem-Solving: protocol for a randomised controlled feasibility study

详细信息    查看全文

• 作者：Michelle Collinson ; David Owens ; Paul Blenkiron ; Kayleigh Burton ; Liz Graham…
• 关键词：Self ; harm ; Problem ; solving therapy ; Suicide ; Self ; poisoning ; Self ; injury
• 刊名：Trials
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：15
• 期：1
• 全文大小：223 KB
• 参考文献：1. Hawton, K, Zahl, D, Weatherall, R (2003) Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry 182: pp. 537-542 CrossRef
  2. Bergen, H, Hawton, K, Waters, K, Cooper, J, Kapur, N (2010) Epidemiology and trends in non-fatal self-harm in three centres in England, 2000 to 2007. Br J Psychiatry 197: pp. 493-498 CrossRef
  3. Hawton, K, Bergen, H, Casey, D, Simkin, S, Palmer, B, Cooper, J, Kapur, N, Horrocks, J, House, A, Lilley, R, Noble, R, Owens, D (2007) Self-harm in England: a tale of three cities. Soc Psychiatry Psychiatr Epidemiol 42: pp. 513-521 CrossRef
  4. Comtois, K, Russo, J, Snowden, M, Srebnik, D, Ries, R, Roy-Byrne, P (2003) Factors associated with high use of public mental health services by persons with borderline personality disorder. Psychiatr Serv 54: pp. 1149-1154 CrossRef
  5. Owens, D, Horrocks, J, House, A (2002) Fatal and non-fatal repetition of self-harm: a systematic review. Br J Psychiatry 181: pp. 193-199 CrossRef
  6. Cooper, J, Kapur, N, Webb, R, Lawlor, M, Guthrie, E, Mackway-Jones, K, Appleby, L (2005) Suicide after deliberate self-harm: a 4?year cohort study. Am J Psychiatry 162: pp. 297-303 CrossRef
  7. Owens, D, Wood, C, Greenwood, D, Hughes, T, Dennis, M (2005) Mortality and suicide after non-fatal self-poisoning: a 16-year outcome study of patients attending accident and emergency. Br J Psychiatry 187: pp. 470-475 CrossRef
  8. Owens, D, House, A (1994) General hospital services for deliberate self-harm. J Roy Coll Phys Lond 28: pp. 370-371
  9. Hawton, K, Harriss, L, Zahl, D (2006) Death from all causes in a long-term follow-up study of 11 583 deliberate self-harm patients. Psychol Med 36: pp. 397-405 CrossRef
  10. Carter, G, Reith, DM, Whyte, IM, McPherson, M (2005) Non-suicidal deaths following hospital-treated self-poisoning. Aust NZ J Psychiat 39: pp. 101-107 CrossRef
  11. Karasouli, E, Owens, D, Abbott, RL, Hurst, KM, Dennis, M (2011) All-cause mortality after non-fatal self-poisoning: a cohort study. Soc Psychiatry Psychiatr Epidemiol 46: pp. 455-462 CrossRef
  12. Milnes, D, Owens, D, Blenkiron, P (2002) Problems reported by self-harm patients: perception, hopelessness and suicidal intent. J Psychosom Res 53: pp. 819-822 CrossRef
  13. Gunnell, D, Bennewith, O, Peters, TJ, House, A, Hawton, K (2005) The epidemiology and management of self-harm amongst adults in England. J Public Health 27: pp. 67-73 CrossRef
  14. Hawton K, Townsend E, Arensman E, Gunnell D, Hazell P, House A, van Heeringen K: Psychosocial and pharmacological treatments for deliberate self-harm. / Cochrane DB Syst Rev 1999., (Issue 4): DOI: 10.1002/14651858.CD001764
  15. Townsend, E, Hawton, K, Altman, DG, Arensman, E, Gunnell, D, Hazell, P, House, A, van Heeringen, K (2001) The efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems. Psychol Med 31: pp. 979-988 CrossRef
  Screening for suicide risk: recommendation and rationale. Ann Intern Med 140: pp. 820-821 CrossRef
  Self harm: the short term physical and psychological manage
• 刊物主题：Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
• 出版者：BioMed Central
• ISSN：1745-6215

文摘

Background Around 150,000 people each year attend hospitals in England due to self-harm, many of them more than once. Over 5,000 people die by suicide each year in the UK, a quarter of them having attended hospital in the previous year because of self-harm. Self-harm is a major identifiable risk factor for suicide. People receive variable care at hospital; many are not assessed for their psychological needs and little psychological therapy is offered. Despite its frequent occurrence, we have no clear research evidence about how to reduce the repetition of self-harm. Some people who have self-harmed show less active ways of solving problems, and brief problem-solving therapies are considered the most promising psychological treatments. Methods/Design This is a pragmatic, individually randomised, controlled, feasibility study comparing interpersonal problem-solving therapy plus treatment-as-usual with treatment-as-usual alone, for adults attending a general hospital following self-harm. A total of 60 participants will be randomised equally between the treatment arms, which will be balanced with respect to the type of most recent self-harm event, number of previous self-harm events, gender and age. Feasibility objectives are as follows: a) To establish and field test procedures for implementing the problem-solving intervention; b) To determine the feasibility and best method of participant recruitment and follow up; c) To assess therapeutic delivery; d) To assess the feasibility of obtaining the definitive trial’s primary and secondary outcomes; e) To assess the perceived burden and acceptability of obtaining the trial’s self-reported outcome data; f) To inform the sample size calculation for the definitive trial. Discussion The results of this feasibility study will be used to determine the appropriateness of proceeding to a definitive trial and will allow us to design an achievable trial of interpersonal problem-solving therapy for adults who self-harm. Trial registration Current Controlled Trials (ISRCTN54036115)