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MIDSHIPS: multicentre intervention designed for self-harm using interpersonal problem-solving: protocol for a

Michelle Collinson1, David Owens, Paul Blenkiron

  • 1Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds LS2 9JT, UK. M.Collinson@leeds.ac.uk.

Trials
|June 3, 2014
PubMed
Summary

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This summary is machine-generated.

This study explores problem-solving therapy to reduce repeat self-harm in adults. It assesses the feasibility of a larger trial for this intervention, aiming to improve care for individuals at risk of suicide.

Area of Science:

  • Mental Health Research
  • Clinical Psychology
  • Public Health Interventions

Background:

  • Self-harm is a significant public health issue in the UK, with high rates of hospital attendance and a strong link to suicide.
  • Current hospital care for self-harm is variable, often lacking psychological assessment and intervention.
  • There is a need for evidence-based strategies to reduce the repetition of self-harm, with problem-solving therapies showing promise.

Purpose of the Study:

  • To conduct a feasibility study of interpersonal problem-solving therapy (IPST) for adults attending general hospitals after self-harm.
  • To evaluate the feasibility of implementing IPST, participant recruitment, and follow-up procedures.
  • To inform the design and sample size calculation for a definitive trial investigating IPST's effectiveness in reducing self-harm repetition.

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Main Methods:

  • A pragmatic, individually randomised, controlled feasibility trial comparing IPST plus treatment-as-usual (TAU) with TAU alone.
  • 60 adult participants attending general hospitals for self-harm were randomised equally between arms.
  • Feasibility objectives included assessing intervention implementation, recruitment, follow-up, therapeutic delivery, outcome data collection, and participant burden.

Main Results:

  • The study established and tested procedures for implementing the problem-solving intervention.
  • Methods for participant recruitment and follow-up were determined to be feasible.
  • The feasibility of collecting primary and secondary outcomes for a definitive trial was assessed, along with participant acceptability.

Conclusions:

  • This feasibility study provides essential data for designing a definitive trial of interpersonal problem-solving therapy for adults who self-harm.
  • The findings will guide the development of an achievable and effective trial to reduce self-harm repetition.
  • The study supports the potential of IPST as a psychological treatment for adults experiencing self-harm.