FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2415050857> ?p ?o ?g. }

• W2415050857 abstract "Self-harm (SH; intentional self-poisoning or self-injury) is common, often repeated, and associated with suicide. This is an update of a broader Cochrane review first published in 1998, previously updated in 1999, and now split into three separate reviews. This review focuses on psychosocial interventions in adults who engage in self-harm.To assess the effects of specific psychosocial treatments versus treatment as usual, enhanced usual care or other forms of psychological therapy, in adults following SH.The Cochrane Depression, Anxiety and Neurosis Group (CCDAN) trials coordinator searched the CCDAN Clinical Trials Register (to 29 April 2015). This register includes relevant randomised controlled trials (RCTs) from: the Cochrane Library (all years), MEDLINE (1950 to date), EMBASE (1974 to date), and PsycINFO (1967 to date).We included RCTs comparing psychosocial treatments with treatment as usual (TAU), enhanced usual care (EUC) or alternative treatments in adults with a recent (within six months) episode of SH resulting in presentation to clinical services.We used Cochrane's standard methodological procedures.We included 55 trials, with a total of 17,699 participants. Eighteen trials investigated cognitive-behavioural-based psychotherapy (CBT-based psychotherapy; comprising cognitive-behavioural, problem-solving therapy or both). Nine investigated interventions for multiple repetition of SH/probable personality disorder, comprising emotion-regulation group-based psychotherapy, mentalisation, and dialectical behaviour therapy (DBT). Four investigated case management, and 11 examined remote contact interventions (postcards, emergency cards, telephone contact). Most other interventions were evaluated in only single small trials of moderate to very low quality.There was a significant treatment effect for CBT-based psychotherapy compared to TAU at final follow-up in terms of fewer participants repeating SH (odds ratio (OR) 0.70, 95% confidence interval (CI) 0.55 to 0.88; number of studies k = 17; N = 2665; GRADE: low quality evidence), but with no reduction in frequency of SH (mean difference (MD) -0.21, 95% CI -0.68 to 0.26; k = 6; N = 594; GRADE: low quality).For interventions typically delivered to individuals with a history of multiple episodes of SH/probable personality disorder, group-based emotion-regulation psychotherapy and mentalisation were associated with significantly reduced repetition when compared to TAU: group-based emotion-regulation psychotherapy (OR 0.34, 95% CI 0.13 to 0.88; k = 2; N = 83; GRADE: low quality), mentalisation (OR 0.35, 95% CI 0.17 to 0.73; k = 1; N = 134; GRADE: moderate quality). Compared with TAU, dialectical behaviour therapy (DBT) showed a significant reduction in frequency of SH at final follow-up (MD -18.82, 95% CI -36.68 to -0.95; k = 3; N = 292; GRADE: low quality) but not in the proportion of individuals repeating SH (OR 0.57, 95% CI 0.21 to 1.59, k = 3; N = 247; GRADE: low quality). Compared with an alternative form of psychological therapy, DBT-oriented therapy was also associated with a significant treatment effect for repetition of SH at final follow-up (OR 0.05, 95% CI 0.00 to 0.49; k = 1; N = 24; GRADE: low quality). However, neither DBT vs 'treatment by expert' (OR 1.18, 95% CI 0.35 to 3.95; k = 1; N = 97; GRADE: very low quality) nor prolonged exposure DBT vs standard exposure DBT (OR 0.67, 95% CI 0.08 to 5.68; k = 1; N =18; GRADE: low quality) were associated with a significant reduction in repetition of SH.Case management was not associated with a significant reduction in repetition of SH at post intervention compared to either TAU or enhanced usual care (OR 0.78, 95% CI 0.47 to 1.30; k = 4; N = 1608; GRADE: moderate quality). Continuity of care by the same therapist vs a different therapist was also not associated with a significant treatment effect for repetition (OR 0.28, 95% CI 0.07 to 1.10; k = 1; N = 136; GRADE: very low quality). None of the following remote contact interventions were associated with fewer participants repeating SH compared with TAU: adherence enhancement (OR 0.57, 95% CI 0.32 to 1.02; k = 1; N = 391; GRADE: low quality), mixed multimodal interventions (comprising psychological therapy and remote contact-based interventions) (OR 0.98, 95% CI 0.68 to 1.43; k = 1 study; N = 684; GRADE: low quality), including a culturally adapted form of this intervention (OR 0.83, 95% CI 0.44 to 1.55; k = 1; N = 167; GRADE: low quality), postcards (OR 0.87, 95% CI 0.62 to 1.23; k = 4; N = 3277; GRADE: very low quality), emergency cards (OR 0.82, 95% CI 0.31 to 2.14; k = 2; N = 1039; GRADE: low quality), general practitioner's letter (OR 1.15, 95% CI 0.93 to 1.44; k = 1; N = 1932; GRADE: moderate quality), telephone contact (OR 0.74, 95% CI 0.42 to 1.32; k = 3; N = 840; GRADE: very low quality), and mobile telephone-based psychological therapy (OR not estimable due to zero cell counts; GRADE: low quality).None of the following mixed interventions were associated with reduced repetition of SH compared to either alternative forms of psychological therapy: interpersonal problem-solving skills training, behaviour therapy, home-based problem-solving therapy, long-term psychotherapy; or to TAU: provision of information and support, treatment for alcohol misuse, intensive inpatient and community treatment, general hospital admission, or intensive outpatient treatment.We had only limited evidence on whether the intervention had different effects in men and women. Data on adverse effects, other than planned outcomes relating to suicidal behaviour, were not reported.CBT-based psychological therapy can result in fewer individuals repeating SH; however, the quality of this evidence, assessed using GRADE criteria, ranged between moderate and low. Dialectical behaviour therapy for people with multiple episodes of SH/probable personality disorder may lead to a reduction in frequency of SH, but this finding is based on low quality evidence. Case management and remote contact interventions did not appear to have any benefits in terms of reducing repetition of SH. Other therapeutic approaches were mostly evaluated in single trials of moderate to very low quality such that the evidence relating to these interventions is inconclusive." @default.
• W2415050857 created "2016-06-24" @default.
• W2415050857 creator A5003173349 @default.
• W2415050857 creator A5021170166 @default.
• W2415050857 creator A5026339825 @default.
• W2415050857 creator A5027462458 @default.
• W2415050857 creator A5040988215 @default.
• W2415050857 creator A5043312872 @default.
• W2415050857 creator A5062183573 @default.
• W2415050857 creator A5082477585 @default.
• W2415050857 date "2016-05-12" @default.
• W2415050857 modified "2023-10-11" @default.
• W2415050857 title "Psychosocial interventions for self-harm in adults" @default.
• W2415050857 cites W11343509 @default.
• W2415050857 cites W1495411384 @default.
• W2415050857 cites W1512725483 @default.
• W2415050857 cites W1543979784 @default.
• W2415050857 cites W1550535253 @default.
• W2415050857 cites W1566499405 @default.
• W2415050857 cites W1598602811 @default.
• W2415050857 cites W1617388519 @default.
• W2415050857 cites W1639848721 @default.
• W2415050857 cites W1674407412 @default.
• W2415050857 cites W1736779587 @default.
• W2415050857 cites W1777508116 @default.
• W2415050857 cites W1824960715 @default.
• W2415050857 cites W1845447069 @default.
• W2415050857 cites W1898056456 @default.
• W2415050857 cites W189859697 @default.
• W2415050857 cites W192405794 @default.
• W2415050857 cites W1951892630 @default.
• W2415050857 cites W1954722435 @default.
• W2415050857 cites W1962204351 @default.
• W2415050857 cites W1962597644 @default.
• W2415050857 cites W1963506938 @default.
• W2415050857 cites W1963790016 @default.
• W2415050857 cites W1963948364 @default.
• W2415050857 cites W1964152794 @default.
• W2415050857 cites W1964200869 @default.
• W2415050857 cites W1966274466 @default.
• W2415050857 cites W1969383864 @default.
• W2415050857 cites W1969871914 @default.
• W2415050857 cites W1970599989 @default.
• W2415050857 cites W1971916547 @default.
• W2415050857 cites W1972279079 @default.
• W2415050857 cites W1973740875 @default.
• W2415050857 cites W1975263523 @default.
• W2415050857 cites W1975794468 @default.
• W2415050857 cites W1976356896 @default.
• W2415050857 cites W1977759528 @default.
• W2415050857 cites W1980418979 @default.
• W2415050857 cites W1982466664 @default.
• W2415050857 cites W1982626660 @default.
• W2415050857 cites W1984205726 @default.
• W2415050857 cites W1984656501 @default.
• W2415050857 cites W1986236810 @default.
• W2415050857 cites W1986474264 @default.
• W2415050857 cites W1986974900 @default.
• W2415050857 cites W1988918702 @default.
• W2415050857 cites W1989662246 @default.
• W2415050857 cites W1990168219 @default.
• W2415050857 cites W1990615104 @default.
• W2415050857 cites W1990985874 @default.
• W2415050857 cites W1992972813 @default.
• W2415050857 cites W1993505125 @default.
• W2415050857 cites W1993689825 @default.
• W2415050857 cites W1995108373 @default.
• W2415050857 cites W1995480497 @default.
• W2415050857 cites W1995953028 @default.
• W2415050857 cites W1996512900 @default.
• W2415050857 cites W1998270235 @default.
• W2415050857 cites W1998763227 @default.
• W2415050857 cites W1998789286 @default.
• W2415050857 cites W2000437637 @default.
• W2415050857 cites W2003090143 @default.
• W2415050857 cites W2006713270 @default.
• W2415050857 cites W2008522423 @default.
• W2415050857 cites W2008554994 @default.
• W2415050857 cites W2008677315 @default.
• W2415050857 cites W2009146845 @default.
• W2415050857 cites W2009396716 @default.
• W2415050857 cites W2009672015 @default.
• W2415050857 cites W2009838604 @default.
• W2415050857 cites W2011606225 @default.
• W2415050857 cites W2012533840 @default.
• W2415050857 cites W2012798338 @default.
• W2415050857 cites W2013067422 @default.
• W2415050857 cites W2013722874 @default.
• W2415050857 cites W2013954986 @default.
• W2415050857 cites W2014258195 @default.
• W2415050857 cites W2015050244 @default.
• W2415050857 cites W2017039362 @default.
• W2415050857 cites W2017728437 @default.
• W2415050857 cites W2018329493 @default.
• W2415050857 cites W2018953649 @default.
• W2415050857 cites W2019461176 @default.
• W2415050857 cites W2020894389 @default.
• W2415050857 cites W2021604300 @default.
• W2415050857 cites W2022212933 @default.
• W2415050857 cites W2023839473 @default.

• next