Cargando…

Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)

INTRODUCTION: Self-harm is a strong predictor for suicide. Risks for repeat behaviour are heightened in the aftermath of an index episode. There is no consensus on the most effective type of intervention to reduce repetition. Treatment options for patients who do not require secondary mental health...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahmed, Nilufar, John, Ann, Islam, Saiful, Jones, Richard, Anderson, Pippa, Davies, Charlotte, Khanom, Ashra, Harris, Shaun, Huxley, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030583/
https://www.ncbi.nlm.nih.gov/pubmed/27630071
http://dx.doi.org/10.1136/bmjopen-2016-012043
_version_ 1782454704186327040
author Ahmed, Nilufar
John, Ann
Islam, Saiful
Jones, Richard
Anderson, Pippa
Davies, Charlotte
Khanom, Ashra
Harris, Shaun
Huxley, Peter
author_facet Ahmed, Nilufar
John, Ann
Islam, Saiful
Jones, Richard
Anderson, Pippa
Davies, Charlotte
Khanom, Ashra
Harris, Shaun
Huxley, Peter
author_sort Ahmed, Nilufar
collection PubMed
description INTRODUCTION: Self-harm is a strong predictor for suicide. Risks for repeat behaviour are heightened in the aftermath of an index episode. There is no consensus on the most effective type of intervention to reduce repetition. Treatment options for patients who do not require secondary mental health services include no support, discharge to general practitioner or referral to primary care mental health support services. The aim of this study is to assess whether it is feasible to deliver a brief intervention after an episode and whether this can reduce depressive symptoms and increase the sense of well-being for patients who self-harm. METHODS: This is a non-blinded parallel group randomised clinical trial. 120 patients presenting with self-harm and/or suicidal ideation to mental health services over a 12-month period who are not referred to secondary services will be randomised to either intervention plus treatment as usual (TAU), or control (TAU only). Patients are assessed at baseline, 4 and 12 weeks with standardised measures to collect data on depression, well-being and service use. Primary outcome is depression scores and secondary outcomes are well-being scores and use of services. The findings will indicate whether a rapid response brief intervention is feasible and can reduce depression and increase well-being among patients who self-harm and do not require secondary services. ETHICS AND DISSEMINATION: Ethical approval was granted by the UK National Health Service (NHS) Ethics Committee process (REC 6: 14/WA/0074). The findings of the trial will be disseminated through presentations to the participating Health Board and partners, peer-reviewed journals and national and international conferences. TRIAL REGISTRATION NUMBER: ISRCTN76914248; Pre-results.
format Online
Article
Text
id pubmed-5030583
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-50305832016-10-04 Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH) Ahmed, Nilufar John, Ann Islam, Saiful Jones, Richard Anderson, Pippa Davies, Charlotte Khanom, Ashra Harris, Shaun Huxley, Peter BMJ Open Mental Health INTRODUCTION: Self-harm is a strong predictor for suicide. Risks for repeat behaviour are heightened in the aftermath of an index episode. There is no consensus on the most effective type of intervention to reduce repetition. Treatment options for patients who do not require secondary mental health services include no support, discharge to general practitioner or referral to primary care mental health support services. The aim of this study is to assess whether it is feasible to deliver a brief intervention after an episode and whether this can reduce depressive symptoms and increase the sense of well-being for patients who self-harm. METHODS: This is a non-blinded parallel group randomised clinical trial. 120 patients presenting with self-harm and/or suicidal ideation to mental health services over a 12-month period who are not referred to secondary services will be randomised to either intervention plus treatment as usual (TAU), or control (TAU only). Patients are assessed at baseline, 4 and 12 weeks with standardised measures to collect data on depression, well-being and service use. Primary outcome is depression scores and secondary outcomes are well-being scores and use of services. The findings will indicate whether a rapid response brief intervention is feasible and can reduce depression and increase well-being among patients who self-harm and do not require secondary services. ETHICS AND DISSEMINATION: Ethical approval was granted by the UK National Health Service (NHS) Ethics Committee process (REC 6: 14/WA/0074). The findings of the trial will be disseminated through presentations to the participating Health Board and partners, peer-reviewed journals and national and international conferences. TRIAL REGISTRATION NUMBER: ISRCTN76914248; Pre-results. BMJ Publishing Group 2016-09-14 /pmc/articles/PMC5030583/ /pubmed/27630071 http://dx.doi.org/10.1136/bmjopen-2016-012043 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Mental Health
Ahmed, Nilufar
John, Ann
Islam, Saiful
Jones, Richard
Anderson, Pippa
Davies, Charlotte
Khanom, Ashra
Harris, Shaun
Huxley, Peter
Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)
title Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)
title_full Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)
title_fullStr Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)
title_full_unstemmed Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)
title_short Investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a Social support and Wellbeing Intervention following Self Harm (SWISH)
title_sort investigating the feasibility of an enhanced contact intervention in self-harm and suicidal behaviour: a protocol for a randomised controlled trial delivering a social support and wellbeing intervention following self harm (swish)
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030583/
https://www.ncbi.nlm.nih.gov/pubmed/27630071
http://dx.doi.org/10.1136/bmjopen-2016-012043
work_keys_str_mv AT ahmednilufar investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT johnann investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT islamsaiful investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT jonesrichard investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT andersonpippa investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT daviescharlotte investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT khanomashra investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT harrisshaun investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish
AT huxleypeter investigatingthefeasibilityofanenhancedcontactinterventioninselfharmandsuicidalbehaviouraprotocolforarandomisedcontrolledtrialdeliveringasocialsupportandwellbeinginterventionfollowingselfharmswish