Citation

Fife S, Blumenfeld F, Williams C, Wood L. Psychiatry Res. 2019; 282: e112609.

Affiliation

The Department of Health and Social Care, University of Essex, Wivenhoe Park, Colchester, UK CO4 3SQ.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.psychres.2019.112609

PMID

31654974

Abstract

BACKGROUND: Despite being the most common reason for admission to psychiatric inpatient services, no evidence-based treatment currently exists for self-harm in this setting. Dialectical Behavioural Therapy (DBT) trials have found promising results in treating self-harm in outpatient settings; however findings for inpatient settings are still limited.

METHOD: A single-arm feasibility trial was conducted examining a DBT-informed 'Coping with Crisis' (CwC) group protocol, which focused on self-harm and crisis management strategies. Twenty-four participants were recruited from an inpatient ward in a National Health Service (NHS) Trust in the UK. The Inventory of Statements about Self-Injury and Distress Tolerance Scale were administered at baseline and post-therapy. Data was collected on the rates of recruitment, retention, session attendance, outcome measure completion, adverse events and participant feedback, in order to inform the design of a main study.

RESULTS: Findings indicated that it was feasible to run the CWC group and research study on an inpatient ward. However, there were several challenges in recruiting to target (80% achieved) and retaining participants (38% of consented participants completed). A number of implementation issues were identified and recommendations have been made to inform future group and study designs.

Crown Copyright © 2019. Published by Elsevier B.V. All rights reserved.

Language: en

Keywords

Dialectical-behavioural therapy; Feasibility; Self-har