Should inpatient behaviour therapy versus insight-oriented therapy be used for people who self-harm?

Quality assessmentNo. of patientsEffectQualityImportance
No. of studiesDesignLimitationsInconsistencyIndirectnessImprecisionOther considerationsInpatient behaviour therapyInsight-oriented therapyRelative risk (95% CI)Absolute
Repetition – during 24 months' follow-up
1Randomised trialsNo serious limitations--Serious1,2None2/12 (16.7%)3/12 (25%)RR 0.67 (0.13 to 3.3)82 fewer per 1000 (from 218 fewer to 575 more)--
-25%82 fewer per 1000 (from 218 fewer to 575 more)
Depression – at 24 weeks (better indicated by lower values)
1Randomised trialsNo serious limitations--Serious2None1212-SMD 0.98 lower (1.84 to 0.12 lower)--
1

Not statistically significant.

2

Total sample size is below 300.

From: Appendix 17, GRADE evidence profiles

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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