TY  - JOUR
PY  - 2023//
TI  - Development of a brief intervention for emergency department attendees presenting with self-harm and co-occurring substance use problems
JO  - Crisis
A1  - Padmanathan, Prianka
A1  - Cohen, Rachel
A1  - Gunnell, David
A1  - Biddle, Lucy
A1  - Griffith, Emma
A1  - Breheny, Katie
A1  - Hickman, Matt
A1  - Munien, Nik
A1  - Patel, Anish
A1  - Crocker, Elaine
A1  - Moran, Paul
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0227-5910
UR  - http://dx.doi.org/10.1027/0227-5910/a000933
ID  - ref1
ER  -