Intractable Self-harm-What Support is Effective?
- Conditions
- Self-harm
- Interventions
- Behavioral: National specialized medical care unit for severe self-harm behaviour-Consultation model
- Registration Number
- NCT06099561
- Lead Sponsor
- Region Skane
- Brief Summary
The aim of this project is to evaluate a novel treatment program for individuals with intractable and lethal self-harm.
The main questions are:
1: Is there, in individuals with intractable self-harm, a relevant improvement in daily functioning and is this improvement related to the provided interventions?
The secondary research questions are:
2. Is there, in individuals with intractable self-harm, a relevant improvement in frequency and severity of self-harm?
3. Is there, in individuals with intractable self-harm, a relevant improvement in voluntary hospital admissions?
4. Is there, in individuals with intractable self-harm, a relevant improvement in compulsary hospital admissions?
5. Is there, in individuals with intractable self-harm, a relevant improvement in the use of medication pro re nata?
6. Is there, in individuals with intractable self-harm, a relevant improvement in cost-effectiveness related to the provided interventions?
- Detailed Description
Individuals with intractable, imminent and lethal self-harm often have multifaceted psychiatric symptoms, pervasive suffering, high mortality and a reduced level of daily functioning. Severe self-harm can lead to long periods of psychiatric inpatient care which can lead to reduced autonomy and aggravated self-harm. Effects of this care remain uncertain. The Swedish National Board of Welfare has provided National specialized medical care units for severe self-harm behaviour to three Swedish hospitals.
In one of this hospitals, Region Skåne, the intervention will be consultation-based. Individuals with intractable self-harm will be offered an assessment and review of all medical records which will result in a individualized intervention plan. Interventions include further assessments and supporting the existing treatment providers, families or caregivers. Recurring network-meetings will occur every three months as well as at he end of the intervention.
Data collection will include self-report measures as well as information from charts and national och regional registries.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 30
- Having tried or made serious attempt to try at least two different interventions with evidence to reduce self-harm, without sufficient reduction in suffering or self-harm
- Need for translation services to complete measures or interviews
- Not able to complete measures or interviews
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Study group National specialized medical care unit for severe self-harm behaviour-Consultation model Individuals with current severe, imminent and lethal self-harm with a history of at least two interventions without sufficient reduction of self-harm or suffering.
- Primary Outcome Measures
Name Time Method The World Health Organization Disability Assessment Schedule II (WHODAS 2.0) Monthly from baseline to endpointat 24 months and at follow-up at 36 months. Level of daily functioning and disability in the domains of cognition, mobility, self-care, getting along with other people and life activities.
- Secondary Outcome Measures
Name Time Method Cost effectiveness Monthly from baseline to endpointat 24 months and at follow-up at 36 months. Quantities and costs related to healthcare, municipal, social and rescue services.
Five Self-harm behaviour groupings measure (5S-HM) Weekly from baseline to endpointat 24 months and at follow-up at 36 months. Indirect and direct self-harming behaviour
The 5-level EQ-5D Monthly from baseline to endpointat 24 months and at follow-up at 36 months. Quality of life scale
Trial Locations
- Locations (1)
National Highly Specialized Unit for Self-Harm Behaviours, Skåne
🇸🇪Lund, Skåne, Sweden