Self-harm Mental and Behavioural Disorders
Conditions
Interventions
The ASsuRED pilot study is a single-arm trial taking place across four sites. Participants who present to Emergency Departments having self-harmed will be recruited and will be offered a brief psychol
Sponsors
Devon Partnership NHS Trust
City, University of London
Eligibility
Sex/Gender
All
Age
16 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. >16 years of age 2. Presenting in the ED 3. Presenting with self-harm, i.e., an intentional act of self-poisoning or self-injury, irrespective of the motivation or apparent purpose of the act 4. On presenting to the ED, can be admitted for a brief admission to the acute hospital
Exclusion criteria
Exclusion criteria: 1. Admitted to a psychiatric hospital 2. Cognitive (e.g. dementia) or other psychiatric difficulties interfering with ability to participate 3. Experiencing a psychotic episode 4. No capacity to provide written informed consent 5. Needing an interpreter 6. Ministry of Justice patients subject to a restriction order
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Repeat self-harm identified by searching Emergency Department electronic records at the end of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 28/05/2021: At baseline and 6 months follow up: 1. Therapeutic relationship, self-rated by patients on the Helping Alliance Scale 2. Self-reported self-harm 3. Suicide severity from the Columbia–Suicide Severity Rating scale 4. Social outcomes from the Social Outcomes Index (SIX) 5. Quality of Life measured with the Manchester Short Assessment of Quality of Life (MANSA) 6. Psychological distress measured with Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM) 7. Experiences of attending accident & emergency measured using the experiences of attending accident & emergency questionnaire 8. Death by suicide, i.e. cause of death is intentional self-harm or undetermined intent, derived from NHS/local authority/coroner records Previous secondary outcome measures: At baseline and 6 months follow up: 1. Therapeutic relationship, self-rated by patients on the Helping Alliance Scale 2. Self-reported self-harm 3. Suicide severity from the Columbia–Suicide Severity Rating scale 4. Beck Depression Inventory 5. Beck Hopelessness Scale 6. Quality of life measured with CORE-OM 7. Death by suicide, i.e., cause of death is intentional self-harm or undetermined intent derived from NHS/ local authority/coroner records | — |
Countries
England, United Kingdom
Contacts
Public ContactSally O'Keeffe
Outcome results
None listed