Self-harm (deliberate overdoses, cutting, burning, banging head, ligatures) Mental and Behavioural Disorders Self-harm
Conditions
Interventions
Intervention:
The experimental group therapy intervention is a manualised treatment specifically designed for adolescents who harmed themselves. The group treatment is based on cognitive behaviour and
Sponsors
University of Manchester (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 12 - 17 years, either sex 2. Referred to mental health services in Greater Manchester following self-harm 3. The adolescent reports that in the last year he or she has harmed themselves on at least one other occasion
Exclusion criteria
Exclusion criteria: 1. The adolescent cannot attend groups (e.g., in secure care) 2. Has a psychotic or eating disorder 3. Unlikely to benefit from groups (e.g., learning problems) 4. Non-English speakers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency and severity of episodes of self harm assessed using an adapted self harm interview schedule. Steps will be taken with the interview schedule to minimise a recall bias towards more recent events and to get a clear picture of the pattern of self harm over the previous year. The self harm interview will be conducted by research assessors (blinded to treatment allocation) and additionally (to allow for reporting bias from young people) clinicians involved with the young person will also undertake the same interview. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to first and second repetition, number of severe suicidal acts (defined by medical risk of death) 2. Depression measured using the Moods and Feelings Questionnaire (MFQ) 3. Suicidality measured using the Suicidale Ideation Questionnaire 4. Global outcome assessed by the health of the nation outcome scales for children and adolescents (HoNOSCA) 5. Psychosocial stress assessed using the Kiddie Schedule for Affective Disorders and Scizophrenia (K-SADS) 6. Cost benefit analysis measured using the Service Use Inventory All the above administered at baseline, 6 and 12 months. At 3 months an assessment to measure emerging personality problems was undertaken (SCID II). | — |
Countries
United Kingdom
Outcome results
None listed