Group problem-solving skills training for self-harm: randomised controlled trial

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dc.contributor.author McAuliffe, Carmel
dc.contributor.author McLeavey, Breda C.
dc.contributor.author Fitzgerald, Anthony P.
dc.contributor.author Corcoran, Paul
dc.contributor.author Carroll, Bernie
dc.contributor.author Ryan, Louise
dc.contributor.author Fitzgerald, Eva
dc.contributor.author O'Regan, Mary
dc.contributor.author Mulqueen, Jillian
dc.contributor.author Arensman, Ella
dc.date.accessioned 2016-07-21T11:29:54Z
dc.date.available 2016-07-21T11:29:54Z
dc.date.issued 2014-05-01
dc.identifier.citation McAuliffe, C., McLeavey, B. C., Fitzgerald, T., Corcoran, P., Carroll, B., Ryan, L., O'Keeffe, B., Fitzgerald, E., Hickey, P., O'Regan, M., Mulqueen, J. and Arensman, E. (2014) 'Group problem-solving skills training for self-harm: randomised controlled trial', British Journal of Psychiatry, 204(5), pp. 383-390. http://dx.doi.org/10.1192/bjp.bp.111.101816 en
dc.identifier.volume 204 en
dc.identifier.issued 5 en
dc.identifier.startpage 383 en
dc.identifier.endpage 390 en
dc.identifier.issn 0007-1250
dc.identifier.uri http://hdl.handle.net/10468/2914
dc.identifier.doi 10.1192/bjp.bp.111.101816
dc.description.abstract Background: Rates of self-harm are high and have recently increased. This trend and the repetitive nature of self-harm pose a significant challenge to mental health services. Aims: To determine the efficacy of a structured group problem-solving skills training (PST) programme as an intervention approach for self-harm in addition to treatment as usual (TAU) as offered by mental health services. Method: A total of 433 participants (aged 18-64 years) were randomly assigned to TAU plus PST or TAU alone. Assessments were carried out at baseline and at 6-week and 6-month follow-up and repeated hospital-treated self-harm was ascertained at 12-month follow-up. Results: The treatment groups did not differ in rates of repeated self-harm at 6-week, 6-month and 12-month follow-up. Both treatment groups showed significant improvements in psychological and social functioning at follow-up. Only one measure (needing and receiving practical help from those closest to them) showed a positive treatment effect at 6-week (P = 0.004) and 6-month (P = 0.01) follow-up. Repetition was not associated with waiting time in the PST group. Conclusions: This brief intervention for self-harm is no more effective than treatment as usual. Further work is required to establish whether a modified, more intensive programme delivered sooner after the index episode would be effective. en
dc.description.sponsorship Health Service Executive (HSE South, HSE Mid-West, the HSE National Office for Suicide Prevention); Health Research Board; Pobal-Dormant Accounts Fund in Ireland. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Royal College of Psychiatrists en
dc.rights © 2014, Royal College of Psychiatrists. This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.org. en
dc.subject Psychiatric outpatients en
dc.subject Psychometric properties en
dc.subject Suicide attempters en
dc.subject Poisoning patients en
dc.subject Repetition en
dc.subject Behaviour en
dc.subject Parasuicide en
dc.subject Questionnaire en
dc.subject Intervention en
dc.subject Meta-analysis en
dc.title Group problem-solving skills training for self-harm: randomised controlled trial en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Paul Corcoran, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: pcorcoran@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2014-11-07T15:30:59Z
dc.description.version Accepted Version en
dc.internal.rssid 271355664
dc.internal.wokid 000336015500012
dc.contributor.funder Health Research Board en
dc.contributor.funder Health Service Executive, Ireland en
dc.contributor.funder Pobal, Dormant Accounts Fund, Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle British Journal of Psychiatry en
dc.internal.copyrightchecked Yes. !!CORA!! Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress pcorcoran@ucc.ie en


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