@article{ref1,
title="Development of a brief intervention for emergency department attendees presenting with self-harm and co-occurring substance use problems",
journal="Crisis",
year="2023",
author="Padmanathan, Prianka and Cohen, Rachel and Gunnell, David and Biddle, Lucy and Griffith, Emma and Breheny, Katie and Hickman, Matt and Munien, Nik and Patel, Anish and Crocker, Elaine and Moran, Paul",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: People who present to the emergency department with self-harm and co-occurring substance use problems often have difficulty accessing effective care. Aims: To develop a brief psychosocial intervention for this population, which would be suitable for testing in a future randomized controlled trial. <br><br>METHODS: A modified Delphi method was used. A 34-item, 3-round, online Delphi survey was informed by a literature review and stakeholder telephone discussions (n = 17). Two panels consisting of people with lived experience (PWLE: n = 15) and people with occupational experience (PWOE: n = 21) participated in the survey. The threshold for consensus was a pooled agreement rate across the two panels of 80% or more. <br><br>RESULTS: Expert consensus was achieved for 22 items. The new intervention consists of weekly follow-up phone calls for up to 1 month, delivered by Liaison Psychiatry practitioners, in which both self-harm and substance use problems are explored and addressed, and patients are supported in accessing community services. Limitations: Some stakeholder ideas regarding intervention components could not be included as survey options due to anticipated difficulties with implementation. <br><br>CONCLUSIONS: The key elements of a brief psychosocial intervention for self-harm and co-occurring substance use problems have been agreed. Feasibility testing is currently underway.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000933",
url="http://dx.doi.org/10.1027/0227-5910/a000933"
}