Multicentre Intervention Designed for Self-Harm using Interpersonal Problem Solving: a feasibility study

Conditions

Self-harm in adults Mental and Behavioural Disorders Intentional self-harm

Owens D, Wright-Hughes A, Graham L, Blenkiron P, Burton K, Collinson M, Farrin A, Hatcher S, Martin K, O'Dwyer J, Pembroke L, Protheroe D, Tubeuf S, House A.

2020-08-196 citations

10.1186/s40814-020-00668-0

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

Michelle Collinson, David Owens, Paul Blenkiron, Kayleigh Burton, Liz Graham et al. (12 authors)

Trials2014-05-1010 citations

10.1186/1745-6215-15-163

Interventions

Interpersonal Problem Solving Therapy (PST) will be delivered by therapists who have received trial-specific training in the intervention. Participants randomised to problem-solving therapy will recei

referral to a mental health crisis team and recommendation for engagement with other health and non-health services such as alcohol and drug treatment centres. In many cases no aftercare is offered an

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Aged 18 years or over 2. Attended the emergency department or admitted to general hospital as a consequence of self-harm within the last six weeks 3. Not already participating in the MIDSHIPS trial 4. Where the presenting episode is due to alcohol or recreational drugs, there has been an explicit statement that he / she was intending self-harm by use of alcohol/recreational drugs

Exclusion criteria

Exclusion criteria: 1. Involved in another research project (involving an active intervention, which would conflict with MIDSHIPS) 2. Does not live in the LPFT catchment area 3. Refuses to provide fully informed written consent 4. Lacks capacity to comply with trial requirements 5. Insufficient proficiency in English to contribute to the data collection required for the research 6. Known risk of violence 7. Researcher unable to contact participant within eight weeks following self-harm event

Design outcomes

Primary

Measure	Time frame
As this is a feasibility study, the outcomes relate to the feasibility of recruitment, therapeutic delivery, retention in therapy and outcome data collection. These are as follows: 1. Establishing the problem solving intervention: 1.1. Agreed process for recruiting therapists 1.2. Agreed training manual and procedure for training therapists 1.3. Agreed method for assessing therapist competence 1.4. Agreed procedure for ongoing supervision of therapists 2. Recruitment methods, uptake and follow-up: 2.1. Agreed method for screening for eligibility 2.2. Proportion screened for eligibility out of number seen in the Emergency Department (ED) 2.3. Number of study cards given out and proportion completed 2.4. Proportion eligible out of those followed-up by the Researcher 2.5. Proportion that consent to the study out of those found eligible 2.6. Proportion randomised out of those that consent 2.7. Reasons for non-participation 2.8. Proportion completing the study out of those randomised, number of withdrawals from the study, reasons for withdrawal 3. Therapeutic delivery: 3.1. Proportion of participants randomised to the intervention arm successfully completing the required number of therapy sessions as agreed with the study therapist 3.2. Agreed method for measuring participant and therapist adherence to the problem solving therapy including, number of problem solving therapy sessions undertaken, number of tasks written in the participants workbooks , number of early drop-outs from treatment, reasons for early drop outs 3.3. Map the range of treatment-as-usual pathways across treatment groups 4. Follow-up data collection: 4.1. Proportion of participants wit	—

Measure

Time frame

As this is a feasibility study, the outcomes relate to the feasibility of recruitment, therapeutic delivery, retention in therapy and outcome data collection. These are as follows: 1. Establishing the problem solving intervention: 1.1. Agreed process for recruiting therapists 1.2. Agreed training manual and procedure for training therapists 1.3. Agreed method for assessing therapist competence 1.4. Agreed procedure for ongoing supervision of therapists 2. Recruitment methods, uptake and follow-up: 2.1. Agreed method for screening for eligibility 2.2. Proportion screened for eligibility out of number seen in the Emergency Department (ED) 2.3. Number of study cards given out and proportion completed 2.4. Proportion eligible out of those followed-up by the Researcher 2.5. Proportion that consent to the study out of those found eligible 2.6. Proportion randomised out of those that consent 2.7. Reasons for non-participation 2.8. Proportion completing the study out of those randomised, number of withdrawals from the study, reasons for withdrawal 3. Therapeutic delivery: 3.1. Proportion of participants randomised to the intervention arm successfully completing the required number of therapy sessions as agreed with the study therapist 3.2. Agreed method for measuring participant and therapist adherence to the problem solving therapy including, number of problem solving therapy sessions undertaken, number of tasks written in the participants workbooks , number of early drop-outs from treatment, reasons for early drop outs 3.3. Map the range of treatment-as-usual pathways across treatment groups 4. Follow-up data collection: 4.1. Proportion of participants wit

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Secondary

Measure	Time frame
No secondary outcome measures	—

Countries

United Kingdom

Outcome results

None listed