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

Simple item page
dc.contributor.authorMcAuliffe, Carmel
dc.contributor.authorMcLeavey, Breda C.
dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorCorcoran, Paul
dc.contributor.authorCarroll, Bernie
dc.contributor.authorRyan, Louise
dc.contributor.authorFitzgerald, Eva
dc.contributor.authorO'Regan, Mary
dc.contributor.authorMulqueen, Jillian
dc.contributor.authorArensman, Ella
dc.contributor.funderHealth Research Boarden
dc.contributor.funderHealth Service Executive, Irelanden
dc.contributor.funderPobal, Dormant Accounts Fund, Irelanden
dc.date.accessioned2016-07-21T11:29:54Z
dc.date.available2016-07-21T11:29:54Z
dc.date.issued2014-05-01
dc.date.updated2014-11-07T15:30:59Z
dc.description.abstractBackground: 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.sponsorshipHealth 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcAuliffe, 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.111.101816en
dc.identifier.doi10.1192/bjp.bp.111.101816
dc.identifier.endpage390en
dc.identifier.issn0007-1250
dc.identifier.issued5en
dc.identifier.journaltitleBritish Journal of Psychiatryen
dc.identifier.startpage383en
dc.identifier.urihttps://hdl.handle.net/10468/2914
dc.identifier.volume204en
dc.language.isoenen
dc.publisherRoyal College of Psychiatristsen
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.subjectPsychiatric outpatientsen
dc.subjectPsychometric propertiesen
dc.subjectSuicide attemptersen
dc.subjectPoisoning patientsen
dc.subjectRepetitionen
dc.subjectBehaviouren
dc.subjectParasuicideen
dc.subjectQuestionnaireen
dc.subjectInterventionen
dc.subjectMeta-analysisen
dc.titleGroup problem-solving skills training for self-harm: randomised controlled trialen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
Group_problem_solving_skills_training_for_self_harm._Randomised_controlled_trial.pdf
Size:
344.12 KB
Format:
Adobe Portable Document Format
Description:
Author's Original
Thumbnail Image
Name:
PC_GroupAV2014.pdf
Size:
487.88 KB
Format:
Adobe Portable Document Format
Description:
Accepted Version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Public Health - Journal Articles