The Te Ira Tangata Study: In Maori who present to hospital with self harm is a complex package of interventions better than treatment as usual in preventing repetition of self harm twelve months after the index episode?

Conditions

None listed

Brief summary

Thye study is designed to answer the question "in Maori who present to hospital with self harm is a complex package of interventions delivered in a culturally acceptable way plus treatment as usual better than treatment as usual alone". The treatment package consists of several elements including patient support designed to stop patients slipping through the cracks in between hospital and community care; problem solving therapy; improved access to general practitioners; risk management for the self harm team; cultural assessment; regular postcards for a year. This is delivered in a culturally appropriate way using Maori clinicians and cultural workers with their unique networks to supplement problem solving.

Hatcher S, Coupe N, Wikiriwhi K, Durie SM, Pillai A.

2016-03-0823 citations

10.1007/s00127-016-1194-7

Te Ira Tangata: a Zelen randomised controlled trial of a treatment package including problem solving therapy compared to treatment as usual in Maori who present to hospital after self harm.

Hatcher S, Coupe N, Durie M, Elder H, Tapsell R, Wikiriwhi K, Parag V.

2011-05-117 citations

10.1186/1745-6215-12-117

Interventions

The intervention package consists of the following elements delivered by Maori mental health workers, cultural workers and kaumatua which have some variation between cases depending on the clinical context: i) patient support - usually in the two weeks post discharge two phone calls or face to face contacts to check the discharge paln from hospital is actually happening. ii) problem solving therapy - four to six sessions of 30 to 60 minutes over four weeks iii) a cultural assessment - focusing o

The intervention package consists of the following elements delivered by Maori mental health workers, cultural workers and kaumatua which have some variation between cases depending on the clinical context: i) patient support - usually in the two weeks post discharge two phone calls or face to face contacts to check the discharge paln from hospital is actually happening. ii) problem solving therapy - four to six sessions of 30 to 60 minutes over four weeks iii) a cultural assessment - focusing on sense of belonging and cultural identity iv) a risk management programme for the clinicians v) postcards in the year after the attempt posted monthly after the first month vi) improved access to general practice

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

17 Years to No maximum

Healthy volunteers

No

Inclusion criteria

Maori presenting to hospital with self harm

Exclusion criteria

Under age Out of area Unable to consent (e.g. psychotic, cognitively impaired)

Outcome results