dc.contributor.author |
Hetrick, Sarah E |
|
dc.contributor.author |
Robinson, Jo |
|
dc.contributor.author |
Spittal, Matthew J |
|
dc.contributor.author |
Carter, Greg |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2024-01-09T02:25:10Z |
|
dc.date.available |
2024-01-09T02:25:10Z |
|
dc.date.issued |
2016-09 |
|
dc.identifier.citation |
(2016). BMJ Open, 6(9), e011024-. |
|
dc.identifier.issn |
2044-6055 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/67065 |
|
dc.description.abstract |
<h4>Objective</h4>To examine the efficacy of psychological and psychosocial interventions for reductions in repeated self-harm.<h4>Design</h4>We conducted a systematic review, meta-analysis and meta-regression to examine the efficacy of psychological and psychosocial interventions to reduce repeat self-harm in adults. We included a sensitivity analysis of studies with a low risk of bias for the meta-analysis. For the meta-regression, we examined whether the type, intensity (primary analyses) and other components of intervention or methodology (secondary analyses) modified the overall intervention effect.<h4>Data sources</h4>A comprehensive search of MEDLINE, PsycInfo and EMBASE (from 1999 to June 2016) was performed.<h4>Eligibility criteria for selecting studies</h4>Randomised controlled trials of psychological and psychosocial interventions for adult self-harm patients.<h4>Results</h4>Forty-five trials were included with data available from 36 (7354 participants) for the primary analysis. Meta-analysis showed a significant benefit of all psychological and psychosocial interventions combined (risk ratio 0.84; 95% CI 0.74 to 0.96; number needed to treat=33); however, sensitivity analyses showed that this benefit was non-significant when restricted to a limited number of high-quality studies. Meta-regression showed that the type of intervention did not modify the treatment effects.<h4>Conclusions</h4>Consideration of a psychological or psychosocial intervention over and above treatment as usual is worthwhile; with the public health benefits of ensuring that this practice is widely adopted potentially worth the investment. However, the specific type and nature of the intervention that should be delivered is not yet clear. Cognitive-behavioural therapy or interventions with an interpersonal focus and targeted on the precipitants to self-harm may be the best candidates on the current evidence. Further research is required. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
BMJ |
|
dc.relation.ispartofseries |
BMJ open |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
|
dc.subject |
MENTAL HEALTH |
|
dc.subject |
5203 Clinical and Health Psychology |
|
dc.subject |
32 Biomedical and Clinical Sciences |
|
dc.subject |
42 Health Sciences |
|
dc.subject |
52 Psychology |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Prevention |
|
dc.subject |
Mind and Body |
|
dc.subject |
6 Evaluation of treatments and therapeutic interventions |
|
dc.subject |
6.6 Psychological and behavioural |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Medicine, General & Internal |
|
dc.subject |
General & Internal Medicine |
|
dc.subject |
RANDOMIZED CONTROLLED-TRIAL |
|
dc.subject |
COGNITIVE-BEHAVIOR THERAPY |
|
dc.subject |
PROBLEM-SOLVING THERAPY |
|
dc.subject |
FOLLOW-UP |
|
dc.subject |
BRIEF INTERVENTION |
|
dc.subject |
SUICIDE ATTEMPTS |
|
dc.subject |
EMERGENCY-DEPARTMENTS |
|
dc.subject |
CASE-MANAGEMENT |
|
dc.subject |
YOUNG-PEOPLE |
|
dc.subject |
CARE |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1701 Psychology |
|
dc.subject |
Clinical |
|
dc.subject |
Public Health |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1199 Other Medical and Health Sciences |
|
dc.title |
Effective psychological and psychosocial approaches to reduce repetition of self-harm: a systematic review, meta-analysis and meta-regression. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1136/bmjopen-2016-011024 |
|
pubs.issue |
9 |
|
pubs.begin-page |
e011024 |
|
pubs.volume |
6 |
|
dc.date.updated |
2023-12-28T20:59:12Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
27660314 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/27660314 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
systematic-review |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
650312 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Psychological Medicine Dept |
|
dc.identifier.eissn |
2044-6055 |
|
dc.identifier.pii |
bmjopen-2016-011024 |
|
pubs.number |
ARTN e011024 |
|
pubs.record-created-at-source-date |
2023-12-29 |
|
pubs.online-publication-date |
2016-09-22 |
|