Disorders - suicide or self-harm behaviours
Hetrick, S. E., Yuen, H. P., Bailey,
E., Cox, G. R., Templer, K., Rice, S. M., Bendall, S., Robinson, J.
BACKGROUND: Suicide-related
behaviours are common in young people and associated with a range of negative outcomes. There are few evidence-based interventions; however,
cognitive behavioural therapy (CBT) shows promise. Internet delivery of CBT is popular, with potential to increase reach and accessibility.
\rOBJECTIVE: To test the effectiveness of an internet-based CBT program (Reframe-IT) in reducing suicide-related behaviours, depression, anxiety,
hopelessness and improving problem solving and cognitive and behavioural skills in school students with suicide-related behaviours.\rMETHODS: A
parallel randomised controlled trial testing the effectiveness of Reframe-IT plus treatment as usual (TAU) compared with TAU alone in reducing
suicidal ideation, suicide attempts, depression, hopelessness, symptoms of anxiety, negative problem orientation and cognitive and behavioural skill
acquisition was undertaken. We recruited students experiencing suicidal ideation from 18 schools in Melbourne, Australia, between August 2013 and
December 2016. The intervention comprised eight modules of CBT delivered online over 10 weeks with assessments conducted at baseline, 10 weeks and 22
weeks.\rFINDINGS: Only 50 of the planned 169 participants were recruited. There were larger improvements in the Reframe-IT group compared with the
TAU group for the primary outcome of suicidal ideation (intervention -61.6, SD 41.6; control -47.1, SD 42.3, from baseline to 22-week follow-up
intervention); however, differences were non-significant (p=0.593). There were no increases in distress in the majority of participants (91.1%) after
completion of each module. Changes in depression and hopelessness partly mediated the effect of acquisition of CBT skills on suicidal ideation.
\rCONCLUSIONS: The trial was underpowered due to difficulties recruiting participants as a result of the complex recruitment procedures that were
used to ensure safety of participants. Although there were no significant differences between groups, young people were safely and generally well
engaged in Reframe-IT and experienced decreases in suicidal ideation and other symptoms as well as improvements in CBT skills. The study is the first
online intervention trial internationally to include young people demonstrating all levels of suicide risk.\rCLINICAL IMPLICATIONS: Integration of
internet-delivered interventions for young people with suicide-related behaviour may result in reductions in these behaviours. Further research is
needed, but researchers should feel more confident about being able to safely undertake research with young people who experience these behaviours.
\rTrial registration number: actrn12613000864729.
, 12 : 12
- Year: 2017
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Technology, interventions delivered using technology (e.g. online, SMS)
Hazell, P.
Background: About 25% of
adolescents self-harm at some time, and one in three of those will be repeaters. Historically, interventions to prevent the recurrence of deliberate
self-harm (DSH) by adolescents have been ineffective. Objectives: To critically examine systematic evidence for the effectiveness of interventions
designed to reduce the recurrence of DSH among clinically referred populations of adolescents. Methods: Electronic search of PubMed (to April 2014)
using the following terms: self-harm AND review AND adolescent. We also contacted the authors of a Cochrane Review in revision to determine if there
were relevant unpublished studies. Findings: From four systematic reviews, we identified 14 relevant randomized controlled trials (RCTs), with a
total of 1965 participants. We identified three further RCTs: Small, single studies of modified cognitive behavioural therapy (CBT), mentalization-
based therapy (MBT) and dialectical behaviour therapy (DBT). DBT showed superiority over treatment as usual (TAU) in reducing the rate of repetition
of DSH. The reviews found none of the following interventions any more effective than TAU: family intervention for suicide prevention; token allowing
re-admission; home-based family intervention; compliance enhancement in hospital; skills-based treatment; youthnominated support team; therapeutic
assessment at point of presentation; and developmental group psychotherapy. Conclusions: Modified CBT, MBT and DBT may be effective in reducing the
repetition of DSH among adolescents, but the findings require replication before the treatments can be widely recommended. The goals of treatment
need also to be reconsidered, since a reduction in the frequency and severity of DSH may be a more realistic outcome than complete cessation.
Australian and New Zealand Journal of
Psychiatry, 51 (1 Supplement 1) : 82
- Year: 2017
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any)
Pistorello, J., Jobes, D. A., Compton, S. N., Locey, N. S., Walloch, J. C., Gallop, R. et al.
This pilot study investigated the potential to utilize adaptive treatment strategies for treating moderate to severe
suicidal risk among college students. This article will describe the unique study design and report on feasibility and acceptability findings. A 2-
stage Sequential Multiple Assignment Randomized Trial (SMART) was conducted: In Stage 1, 62 suicidal college students were randomized to either a
suicide-focused or a treatment-as-usual condition (4-8 weeks). Those deemed insufficient responders were re-randomized to one of two Stage 2
interventions-both suicide-focused but one comprehensive and multimodal and the other flexible and theoretically agnostic (4-16 additional weeks).
Recruitment rates were high, treatment dropout levels were lower than expected for the setting, study dropouts were rare, and counselors were able to
deliver suicide-focused approaches with fidelity. Treatment satisfaction was high among clients and moderately high among counselors. Findings from
this pilot show that a SMART is highly feasible and acceptable to suicidal college students, counselors, and campuses.
Archives of suicide research : official journal of the International Academy
for Suicide Research, 22(4) : 644-664
- Year: 2017
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder), Treatment resistant/treatment refractory
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Dialectical behavioural therapy
(DBT), Other Psychological Interventions, Other service delivery and improvement
interventions
Pistorello, J., Jobes, D. A., Compton, S. N., Locey, N. S., Walloch, J. C., Gallop, R. et al.
This pilot study investigated the potential to utilize adaptive treatment strategies for treating moderate to severe
suicidal risk among college students. This article will describe the unique study design and report on feasibility and acceptability findings. A 2-
stage Sequential Multiple Assignment Randomized Trial (SMART) was conducted: In Stage 1, 62 suicidal college students were randomized to either a
suicide-focused or a treatment-as-usual condition (4-8 weeks). Those deemed insufficient responders were re-randomized to one of two Stage 2
interventions-both suicide-focused but one comprehensive and multimodal and the other flexible and theoretically agnostic (4-16 additional weeks).
Recruitment rates were high, treatment dropout levels were lower than expected for the setting, study dropouts were rare, and counselors were able to
deliver suicide-focused approaches with fidelity. Treatment satisfaction was high among clients and moderately high among counselors. Findings from
this pilot show that a SMART is highly feasible and acceptable to suicidal college students, counselors, and campuses.
Archives of suicide research : official journal of the International Academy
for Suicide Research, 22(4) : 644-664
- Year: 2017
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder), Treatment resistant/treatment refractory
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Dialectical behavioural therapy
(DBT), Other Psychological Interventions, Other service delivery and improvement
interventions
Zalsman, G., Hawton, K., Wasserman, D., van-Heeringen, K. Arensman,
E., Sarchiapone, M., Carli, V., Hoschl, C., Barzilay, R., Balazs, J., Purebl, G., Kahn, J.
P., Saiz, P. A., Lipsicas, C. B., Bobes, J., Cozman, D., Hegerl, U., Zohar, J.
BACKGROUND: Many countries are developing suicide
prevention strategies for which up-to-date, high-quality evidence is required. We present updated evidence for the effectiveness of suicide
prevention interventions since 2005.\rMETHODS: We searched PubMed and the Cochrane Library using multiple terms related to suicide prevention for
studies published between Jan 1, 2005, and Dec 31, 2014. We assessed seven interventions: public and physician education, media strategies,
screening, restricting access to suicide means, treatments, and internet or hotline support. Data were extracted on primary outcomes of interest,
namely suicidal behaviour (suicide, attempt, or ideation), and intermediate or secondary outcomes (treatment-seeking, identification of at-risk
individuals, antidepressant prescription or use rates, or referrals). 18 suicide prevention experts from 13 European countries reviewed all articles
and rated the strength of evidence using the Oxford criteria. Because the heterogeneity of populations and methodology did not permit formal meta-
analysis, we present a narrative analysis.\rFINDINGS: We identified 1797 studies, including 23 systematic reviews, 12 meta-analyses, 40 randomised
controlled trials (RCTs), 67 cohort trials, and 22 ecological or population-based investigations. Evidence for restricting access to lethal means in
prevention of suicide has strengthened since 2005, especially with regard to control of analgesics (overall decrease of 43% since 2005) and hot-spots
for suicide by jumping (reduction of 86% since 2005, 79% to 91%). School-based awareness programmes have been shown to reduce suicide attempts (odds
ratio [OR] 0.45, 95% CI 0.24-0.85; p=0.014) and suicidal ideation (0.5, 0.27-0.92; p=0.025). The anti-suicidal effects of clozapine and lithium have
been substantiated, but might be less specific than previously thought. Effective pharmacological and psychological treatments of depression are
important in prevention. Insufficient evidence exists to assess the possible benefits for suicide prevention of screening in primary care, in general
public education and media guidelines. Other approaches that need further investigation include gatekeeper training, education of physicians, and
internet and helpline support. The paucity of RCTs is a major limitation in the evaluation of preventive interventions.\rINTERPRETATION: In the quest
for effective suicide prevention initiatives, no single strategy clearly stands above the others. Combinations of evidence-based strategies at the
individual level and the population level should be assessed with robust research designs.\rFUNDING: The Expert Platform on Mental Health, Focus on
Depression, and the European College of Neuropsychopharmacology.\rCopyright © 2016 Elsevier Ltd. All rights reserved.
, 3(7) : 646-59
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm), Suicide or self-harm with comorbid mental disorder
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder), Universal prevention
-
Treatment and intervention: Biological Interventions
(any), Service Delivery & Improvement, Psychological Interventions
(any), Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement
interventions
Hill, R. M., Pettit, J.
W.
This research draws upon the interpersonal-psychological theory of suicide in the development of the LEAP intervention, a web-
based selective preventive suicide intervention targeting cognitions of perceived burdensomeness toward others. The pilot randomized controlled trial
consisted of 80 adolescents (68.8% female, 65.8% Hispanic) 13-19 of age years who were randomly assigned to either the LEAP intervention or a
psychoeducational control condition. Participants completed baseline, posttreatment, and 6-week follow-up assessments. All participants reported high
levels of satisfaction with the program. Findings on outcome variables differed across intent-to-treat analyses and treatment completer analyses.
Intent-to-treat analysis yielded no significant between-condition differences in perceived burdensomeness at posttreatment or follow-up. Treatment
completer analyses revealed significant between-condition differences on outcome variables such that participants who completed the LEAP intervention
showed significantly lower perceived burdensomeness scores at postintervention and significantly lower perceived burdensomeness, thwarted
belongingness, and depressive symptom scores at follow-up as compared to participants in the control condition. No significant differences in
suicidal ideation were found between conditions. These findings support the promise of the LEAP intervention as a brief, web-based selective
preventive intervention for reducing perceived burdensomeness among adolescents who complete the intervention. This study provides evidence that
perceived burdensomeness can be modified via a psychosocial intervention. Future research is needed to identify ways to enhance adolescent engagement
with and completion of the intervention.
Journal of Clinical Child & Adolescent Psychology, : 1-
12
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Devenish, B., Berk, L., Lewis, A. J.
OBJECTIVE: Given
depression is a significant risk factor for suicidal behaviour, it is possible that interventions for depression may also reduce the risk of suicide
in adolescents. The purpose of this literature review is to determine whether psychological interventions aimed to prevent and/or treat depression in
adolescents can also reduce suicidality.\rMETHODS: We conducted a systematic review of psychological interventions aimed to prevent and/or treat
depression in adolescents in which outcomes for suicidality were reported, using five databases: PsycINFO, Embase, Medline, CINAHL and Scopus. Study
quality was assessed using the Cochrane Collaboration's tool for assessing risk of bias.\rRESULTS: A total of 35 articles pertaining to 12 treatment
trials, two selective prevention trials and two universal prevention trials met inclusion criteria. No studies were identified that used a no-
treatment control. In both intervention and active control groups, suicidality decreased over time; however, most structured psychological depression
treatment interventions did not outperform pharmaceutical or treatment as usual control groups. Depression prevention studies demonstrated small but
statistically significant reductions in suicidality.\rLIMITATIONS: Analysis of study quality suggested that at least 10 of the 16 studies have a high
risk of bias. Conclusive comparisons across studies are problematic due to differences in measures, interventions, population differences and control
groups used.\rCONCLUSIONS: It is unclear whether psychological treatments are more effective than no treatment since no study has used a no-treatment
control group. There is evidence to suggest that Cognitive Behavioural Therapy interventions produce pre-post reductions in suicidality with moderate
effect sizes and are at least as efficacious as pharmacotherapy in reducing suicidality; however, it is unclear whether these effects are sustained.
There are several trials showing promising evidence for family-based and interpersonal therapies, with large pre-post effect sizes, and further
evaluation with improved methodology is required. Depression prevention interventions show promising short-term effects.\rCopyright © The Royal
Australian and New Zealand College of Psychiatrists 2016.
Australian & New Zealand Journal of Psychiatry, 50(8) : 726-40
- Year: 2016
- Problem: Depressive Disorders, Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any)
Law, Y. W., Yip, P. S., Lai, C. C., Kwok, C. L., Wong, P. W., Liu, K. S., Ng, P. W., Liao, C. W., Wong, T. W.
BACKGROUND: Studies have shown
that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support
can help reduce self-harm repetition and improve psychosocial well-being. AIM: This study investigated the efficacy of volunteer support in
preventing repetition of self-harm. METHOD: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency
departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures
include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. RESULTS: A total of 74 cases were
recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the
baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide
ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. CONCLUSION: Postdischarge care provided
by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services.
Further research using rigorous methods is recommended for improving service quality in the long term.
Crisis, 37(6) : 415-
426
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Controlled clinical trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions
Hawton, K., Witt, K. G., Salisbury, T. L., Arensman,
E., Gunnell, D., Hazell, P., Townsend, E., van-Heeringen,
K.
Background: Self-harm (intentional acts of non-fatal self-poisoning or
self-injury) is common, particularly in young adults aged 15-35 years, often repeated, and strongly associated with suicide. Effective aftercare of
individuals who self-harm is therefore important. We have undertaken a Cochrane systematic review and meta-analysis of the effectiveness of
psychosocial interventions for self-harm in adults. Methods: We searched five electronic databases (CCDANCTR-Studies and References, CENTRAL,
MEDLINE, Embase, and PsycINFO) between Jan 1, 1998, and April 29, 2015, for randomised controlled trials of psychosocial interventions for adults
after a recent (within 6 months) episode of self-harm. Most interventions were assessed in single trials. We report results for interventions for
which at least three randomised controlled trials comparing interventions with treatment as usual have been published and hence might contribute to
clinical guidance. The primary outcome was repetition of self-harm at the conclusion of treatment and at 6, 12, and 24 months' follow-up analysed,
when available, with the intention-to-treat method; if this was not possible, we analysed with all available case data. Findings: We identified 29
non-overlapping randomised controlled trials with three independent trials of the same intervention. Cognitive-behavioural-based psychotherapy (CBT;
comprising cognitive-behavioural and problem-solving therapy) was associated with fewer participants repeating self-harm at 6 months' (odds ratio
0.54, 95% CI 0.34-0.85; 12 trials; n = 1317) and at 12 months' follow-up (0.80, 0.65-0.98; ten trials; n = 2232). There were also significant
improvements in the secondary outcomes of depression, hopelessness, suicidal ideation, and problem solving. Patients receiving dialectical behaviour
therapy (in three trials) were not less likely to repeat self-harm compared with those provided with treatment as usual at 6 months (odds ratio [OR]
0.59, 95% CI 0.16-2.15; n = 267, three trials) or at 12 months (0.36, 0.05-2.47; n = 172, two trials). However, the secondary endpoint of frequency
of self-harm was associated with a significant reduction with use of dialectical behaviour therapy (mean difference -18.82, 95% CI -36.68 to -0.95).
Four trials each of case management (OR 0.78, 95% CI 0.47-1.30; n = 1608) and sending regular postcards (OR 0.87, 95% CI 0.62-1.23; n = 3277) did not
reduce repetition of self-harm. Interpretation: CBT seems to be effective in patients after self-harm. Dialectical behaviour therapy did not reduce
the proportion of patients repeating self-harm but did reduce the frequency of self-harm. However, aside from CBT, there were few trials of other
promising interventions, precluding firm conclusions as to their effectiveness. Funding: National Institute for Health Research. (PsycINFO Database
Record (c) 2016 APA, all rights reserved)
The Lancet
Psychiatry, 3(8) : 740-750
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any)
Mehlum, L., Ramberg, M., Tormoen, A. J., Haga, E., Diep, L. M., Stanley, B. H., Miller, A. L., Sund, A. M., Groholt, B.
Objective: We conducted a 1-year prospective
follow-up study of posttreatment clinical outcomes in adolescents with recent and repetitive self-harm who had been randomly allocated to receive 19
weeks of either dialectical behavior therapy adapted for adolescents (DBT-A) or enhanced usual care (EUC) at community child and adolescent
psychiatric outpatient clinics. Method: Assessments of self-harm, suicidal ideation, depression, hopelessness, borderline symptoms, and global level
of functioning were made at the end of the 19-week treatment period and at follow-up 1 year later. Altogether 75 of the 77 (97%) adolescents
participated at both time points. Frequencies of hospitalizations, emergency department visits and other use of mental health care during the 1-year
follow-up period were recorded. Change analyses were performed using mixed effects linear spline regression and mixed effect Poisson regression with
robust variance. Results: Over the 52-week follow-up period, DBT-A remained superior to EUC in reducing the frequency of self-harm. For other
outcomes such as suicidal ideation, hopelessness, and depressive or borderline symptoms and for the global level of functioning, inter-group
differences apparent at the 19-week assessment were no longer observed, mainly due to participants in the EUC group having significantly improved on
these dimensions over the follow-up year, whereas DBT-A participants remained unchanged. Conclusion: A stronger long-term reduction in self-harm and
a more rapid recovery in suicidal ideation, depression, and borderline symptoms suggest that DBT-A may be a favorable treatment alternative for
adolescents with repetitive self-harming behavior. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
Journal of the
American Academy of Child & Adolescent Psychiatry, 55(4) : 295-300
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Dialectical behavioural therapy
(DBT)
Fekkes, M., van-de-Sande, M., Gravesteijn, J., Pannebakker, F., Buijs, G., Diekstra, R., Kocken, P.
Purpose - The purpose of this paper is to evaluate the
effects of the Dutch \"Skills for Life\" programme on students' health behaviours, bullying behaviour and suicidal ideation.
Design/methodology/approach - The effectiveness of the \"Skills for Life\" programme on health behaviour outcomes was evaluated at three points in
time in using a cluster randomized controlled study design with a follow-up of 20 months. In total, 27 schools and 1,394 students were included.
Findings - The programme was judged to be well implemented in just under half of cases. The outcome results for the experimental group (EG) compared
with controls present a complex picture at the three different time points used for evaluation. There was a clearly positive effect on levels of
alcohol consumption and a clearly negative effect on smoking across time. There was a mixed picture over time for suicide ideation and for bullying
including sexual bullying (although the prevalence rates for bullying were low and thus results should be treated with caution). There were generally
more positive impacts on students with lower educational levels including less suicidal ideation and less bullying. Research limitations/implications
- Limitations were the dropping out of several schools during the study and the low level of fidelity of the curriculum. Social emotional learning
(SEL) programs can be part of a health promoting school framework but should be more tailored to disadvantaged school populations. Originality/value
- The findings indicate that students with a less optimal starting position, when it comes to health related behaviours, benefit most from a SEL
programme. This indicates that schools with disadvantaged school populations could benefit most from a Health Promoting School approach. (PsycINFO
Database Record (c) 2017 APA, all rights reserved)
Health Education, 116(1) : 2-15
- Year: 2016
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Franklin, J. C., Fox, K. R., Franklin, C. R., Kleiman, E. M., Ribeiro, J.
D., Jaroszewski, A. C., Hooley, J. M., Nock, M. K.
Objective: Self-injurious thoughts and behaviors (SITBs) are a major public health problem that traditional
interventions have been unable to address on a large scale. The goal of this series of studies was to take initial steps toward developing an
effective SITB treatment that can be easily delivered on a very large scale. Method: We created a brief (1-2 min), game-like app called Therapeutic
Evaluative Conditioning (TEC), designed to increase aversion to SITBs and decrease aversion to the self. In 3 separate studies, we recruited
participants with recent and severe histories of SITBs from web forums focused on self-injury and psychopathology (Ns = 114, 131, and 163) and
randomly assigned them to receive access to the mobile treatment TEC app or a control app for 1 month. We tested the effect of TEC on the frequency
of self-cutting, nonsuicidal self-injury more generally, suicide ideation, suicide plans, and suicidal behaviors. Results: Analyses showed that,
compared with the control app, TEC produced moderate reductions for all SITBs except suicide ideation. Across studies, the largest and most
consistent reductions were for self-cutting episodes (32%-40%), suicide plans (21%-59%), and suicidal behaviors (33%-77%). Two of the 3 studies
showed that TEC impacted its intended treatment targets and that greater change in these targets was associated with greater SITB reductions. TEC
effects were not maintained at the 1-month posttreatment follow-up. Conclusions: Future versions of brief, mobile interventions like that tested here
may have the potential to reduce SITBs and related behaviors on a large scale. (PsycINFO Database Record (c) 2016 APA, all rights reserved) Impact
Statement What is the public health significance of this article?-Across 3 studies, we found that a brief mobile app generated moderate reductions in
nonsuicidal and suicidal self-injury. These findings suggest that mobile interventions may have the potential to impact SITBs on a large scale.
(PsycINFO Database Record (c) 2016 APA, all rights reserved)
Journal of Consulting and Clinical Psychology, 84(6) : 544-
557
- Year: 2016
- Problem: Non-suicidal self-harm behaviours, Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)