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Related Experiment Video

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

Carmel McAuliffe1, Breda C McLeavey, Tony Fitzgerald

  • 1Carmel McAuliffe, BA, HDip, MPhil, MA, PhD, Health Service Executive South/National Suicide Research Foundation, Cork, and Department of Epidemiology & Public Health, University College Cork, Ireland; Breda C. McLeavey, BSc, MA, PhD, Health Service Executive South, Department of Psychiatry, Cork University Hospital, Ireland; Tony Fitzgerald, BSc, MSc, MS, ScD, Department of Epidemiology and Public Health, University College Cork, Ireland; Paul Corcoran, BSc, MSc, PhD, National Suicide Research Foundation, Cork, Ireland; Bernie Carroll, BSc, Louise Ryan, BSc, Health Service Executive West, St Joseph's Hospital, Limerick, Ireland; Brian O'Keeffe, BA, DipClinPsychol, Health Service Executive West, Tevere Day Hospital, Limerick, Ireland; Eva Fitzgerald, BA, HDipPsychol, Portia Hickey, BSc, Mary O'Regan, BA, MPhil, National Suicide Research Foundation, Cork, Ireland; Jillian Mulqueen, BA, Health Service Executive West, St Joseph's Hospital, Limerick, Ireland; Ella Arensman, MSc, PhD, National Suicide Research Foundation, and Department of Epidemiology & Public Health, University College Cork, Ireland.

The British Journal of Psychiatry : the Journal of Mental Science
|January 18, 2014
PubMed
Summary
This summary is machine-generated.

Problem-solving skills training (PST) did not reduce repeated self-harm compared to treatment as usual (TAU). Both groups improved in functioning, but PST showed no significant advantage in preventing self-harm repetition.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Public Health

Background:

  • Self-harm rates are increasing, posing challenges to mental health services.
  • Repetitive self-harm is a significant concern requiring effective interventions.

Purpose of the Study:

  • To evaluate the effectiveness of group problem-solving skills training (PST) as an adjunct to treatment as usual (TAU) for individuals who self-harm.
  • To determine if PST reduces the rate of repeated self-harm.

Main Methods:

  • A randomized controlled trial involving 433 participants (aged 18-64).
  • Participants were assigned to either TAU plus PST or TAU alone.
  • Outcomes, including repeated hospital-treated self-harm, were assessed at 6 weeks, 6 months, and 12 months.

Main Results:

  • No significant difference in repeated self-harm rates between the TAU + PST and TAU alone groups at any follow-up point.
  • Both groups demonstrated improvements in psychological and social functioning.
  • A positive treatment effect for PST was observed only in 'needing and receiving practical help' at 6 weeks and 6 months.

Conclusions:

  • The brief problem-solving skills training intervention was not more effective than treatment as usual for reducing repeated self-harm.
  • Further research is needed to explore more intensive or earlier interventions for self-harm.