Dennis Ougrin1, Saqib Latif. 1. King's College London, Institute of Psychiatry, Department of Child and Adolescent Psychiatry, London, UK. dennis.ougrin@kcl.ac.uk
Abstract
BACKGROUND: Despite recent advances in the understanding and treatment of self-harm, poor engagement with therapy remains a serious problem. AIMS: To investigate whether offering specific psychological treatment (SPT) leads to better engagement than offering treatment as usual (TAU) in adolescents who have self-harmed. METHODS: Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed for randomized controlled trials comparing SPT versus TAU in adolescents presenting with self-harm. RESULTS: Seven studies met inclusion criteria, and six were entered into the meta-analysis. There was no statistically significant difference between the number of subjects not completing four or more sessions of an SPT (27.7%, 70/253) than TAU (43.3%, 106/245), RR = 0.71 (95% CI: 0.49-1.05). CONCLUSIONS: Engaging adolescents with psychological treatment is necessary although not sufficient to achieve treatment goals. Further research is needed to develop tools for maximizing engagement.
BACKGROUND: Despite recent advances in the understanding and treatment of self-harm, poor engagement with therapy remains a serious problem. AIMS: To investigate whether offering specific psychological treatment (SPT) leads to better engagement than offering treatment as usual (TAU) in adolescents who have self-harmed. METHODS: Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed for randomized controlled trials comparing SPT versus TAU in adolescents presenting with self-harm. RESULTS: Seven studies met inclusion criteria, and six were entered into the meta-analysis. There was no statistically significant difference between the number of subjects not completing four or more sessions of an SPT (27.7%, 70/253) than TAU (43.3%, 106/245), RR = 0.71 (95% CI: 0.49-1.05). CONCLUSIONS: Engaging adolescents with psychological treatment is necessary although not sufficient to achieve treatment goals. Further research is needed to develop tools for maximizing engagement.
Authors: Keith Hawton; Katrina G Witt; Tatiana L Taylor Salisbury; Ella Arensman; David Gunnell; Ellen Townsend; Kees van Heeringen; Philip Hazell Journal: Cochrane Database Syst Rev Date: 2015-12-21
Authors: Keith Hawton; Katrina G Witt; Tatiana L Taylor Salisbury; Ella Arensman; David Gunnell; Philip Hazell; Ellen Townsend; Kees van Heeringen Journal: Cochrane Database Syst Rev Date: 2016-05-12
Authors: Jason J Washburn; Sarah L Richardt; Denise M Styer; Michelle Gebhardt; K R Juzwin; Adrienne Yourek; Delia Aldridge Journal: Child Adolesc Psychiatry Ment Health Date: 2012-03-30 Impact factor: 3.033