Table 46Summary study characteristics of single trials comparing psychosocial interventions versus other comparator

IPSST versus brief problem-orientated therapyInpatient behaviour therapy versus insight-oriented therapyLong-term versus short-term therapy
Total number of trials (N)1 RCT (39)1 RCT (24)1 RCT (80)
Study IDMCLEAVEY1994LIBERMAN1981TORHORST1988
Diagnosis23% had diagnosis of dysthymia, 15% dependent personality disorder and 13% alcohol abuseAll had diagnosis of depressive neurosis. Most met criteria for personality disorder.Unclear
Recruitment settingPatients admitted to an A&E department following self-poisoningPatients were referred by the psychiatric emergency service or the A&E department following self-harmPatients who had deliberately self-poisoned referred to liaison service of toxicological ward
Treatment length5 weeks, follow-up over 12 months10 days, follow-up over 24 monthsLong-term therapy: once a month for 12 months; short-term therapy: once a week for 3 months
CountryIrelandUSGermany
InterventionFive sessions lasting 60 minutes. Manualised training consisting of instruction, active discussion, reflective listening, modelling, coping strategy, role playing, sentence completion and prompting.Inpatient treatment with behaviour therapy for self-poisoning plus aftercare at community mental health centre/private therapyFollowing hospitalisation for self-poisoning (duration: approximately 3 days) long-term therapy: one therapy session per month over 12 months
ControlBrief problem-solving therapy: therapy focused on patient's current problems and prevention by helping patient gain insight into problems; no specific skills trainingInpatient treatment with insight orientated therapy plus aftercare at community mental health centre/private therapyFollowing hospitalisation for self-poisoning (duration: approximately 3 days) short-term therapy: 12 weekly therapy sessions over a period of 3 months

From: 7, PSYCHOLOGICAL AND PSYCHOSOCIAL INTERVENTIONS

Cover of Self-Harm: Longer-Term Management
Self-Harm: Longer-Term Management.
NICE Clinical Guidelines, No. 133.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2012.
Copyright © 2012, The British Psychological Society & The Royal College of Psychiatrists.

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