In people who present to hospital after self harm does a package of measures including problem solving therapy plus treatment as usual result in better outcomes than treatment as usual.

Problem solving therapy (4-6 sessions lasting about 45 minutes each); Improved access to GP (by providing participants with a voucher to access their GP without cost); Risk management (using the principles of aviation risk management which include checklists, crew resource management techniques and continuous identification and management of adverse events); Cultural assessment (assessment of identity and sense of belonging and prompting for this as a potential problem in the problem solving therapy); Postcards (eight postcards sent to the particpants over a year saying "hope you are well"); Patient support (minimum of two phone calls over two weeks to make sure participants receive the treatment they are supposed to have and to co-ordinate intervention).