Intractable Self-harm-What Support is Effective?

ConditionSelf-harm
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRegion Skane

About this trial

The aim of this project is to evaluate a novel treatment program for individuals with intractable and lethal self-harm.

The main questions are:

1: Is there, in individuals with intractable self-harm, a relevant improvement in daily functioning and is this improvement related to the provided interventions?

The secondary research questions are:

2\. Is there, in individuals with intractable self-harm, a relevant improvement in frequency and severity of self-harm?

3\. Is there, in individuals with intractable self-harm, a relevant improvement in voluntary hospital admissions?

4\. Is there, in individuals with intractable self-harm, a relevant improvement in compulsary hospital admissions?

5\. Is there, in individuals with intractable self-harm, a relevant improvement in the use of medication pro re nata?

6\. Is there, in individuals with intractable self-harm, a relevant improvement in cost-effectiveness related to the provided interventions?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Having tried or made serious attempt to try at least two different interventions with evidence to reduce self-harm, without sufficient reduction in suffering or self-harm

Disqualifiers

Need for translation services to complete measures or interviews

Not able to complete measures or interviews

Trial population

A group of individuals with severe self-harm, commonly with comorbid psychiatric diagnoses and cognitive challanges.

Trial design

Design model

Case-only

Time perspective

Other

Treatments tested in this trial

  • National specialized medical care unit for severe self-harm behaviour-Consultation model

    Behavioral

    Extensive assessments. Consultation and training for existing treatment providers and caregivers. Network-meetings for providers and caregivers.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Study group1 intervention

Trial outcomes

Primary outcomes

1

The World Health Organization Disability Assessment Schedule II (WHODAS 2.0)

Level of daily functioning and disability in the domains of cognition, mobility, self-care, getting along with other people and life activities.

Time frame
Monthly from baseline to endpointat 24 months and at follow-up at 36 months.

Secondary outcomes

1

Five Self-harm behaviour groupings measure (5S-HM)

Indirect and direct self-harming behaviour

Time frame
Weekly from baseline to endpointat 24 months and at follow-up at 36 months.
2

The 5-level EQ-5D

Quality of life scale

Time frame
Monthly from baseline to endpointat 24 months and at follow-up at 36 months.
3

Cost effectiveness

Quantities and costs related to healthcare, municipal, social and rescue services.

Time frame
Monthly from baseline to endpointat 24 months and at follow-up at 36 months.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Region Skane

Lead sponsor

Department of Psychology. Lund University.

Collaborator

Department of Clinical Sciences, Malmö. Faculty of Medicine, Lund University.

Collaborator