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)
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
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


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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