TY  - JOUR
PY  - 2014//
TI  - Brief psychological intervention after self-harm: randomised controlled trial from Pakistan
JO  - British journal of psychiatry
A1  - Husain, Nusrat
A1  - Afsar, Salahuddin
A1  - Ara, Jamal
A1  - Fayyaz, Hina
A1  - Rahman, Raza Ur
A1  - Tomenson, Barbara
A1  - Hamirani, Munir
A1  - Chaudhry, Nasim
A1  - Fatima, Batool
A1  - Husain, Meher
A1  - Naeem, Farooq
A1  - Chaudhry, Imran B.
SP  - 462
EP  - 470
VL  - 204
IS  - 6
N2  - BACKGROUND: Self-harm is a major risk factor for completed suicide. AIMS: To determine the efficacy of a brief psychological intervention - culturally adapted manual-assisted problem-solving training (C-MAP) - delivered following an episode of self-harm compared with treatment as usual (TAU). <br><br>METHOD: The study was a randomised controlled assessor-masked clinical trial (trial registration: ClinicalTrials.gov NCT01308151). All patients admitted after an episode of self-harm during the previous 7 days to the participating medical units of three university hospitals in Karachi, Pakistan, were included in the study. A total of 250 patients were screened and 221 were randomly allocated to C-MAP plus treatment as usual (TAU) or to TAU alone. All patients were assessed at baseline, at 3 months (end of intervention) and at 6 months after baseline. The primary outcome measure was reduction in suicidal ideation at 3 months. The secondary outcome measures included hopelessness, depression, coping resources and healthcare utilisation. <br><br>RESULTS: A total of 108 patients were randomised to the C-MAP group and 113 to the TAU group. Patients in the C-MAP group showed statistically significant improvement on the Beck Scale for Suicide Ideation and Beck Hopelessness Inventory, which was sustained at 3 months after the completion of C-MAP. There was also a significant reduction in symptoms of depression compared with patients receiving TAU. <br><br>CONCLUSIONS: The positive outcomes of this brief psychological intervention in patients attempting self-harm are promising and suggest that C-MAP may have a role in suicide prevention.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.113.138370
ID  - ref1
ER  -