Psychosocial interventions for self-harm in adults

Hawton, Keith; Witt, Katrina G; Taylor Salisbury, Tatiana L; Arensman, Ella; Gunnell, David; Hazell, Philip; Townsend, Ellen; van Heeringen, Kees

Abstract

Background: Self-harm (SH; intentional self-poisoning or self-injury) is common, often repeated, and associated with suicide. This is an update of a broader Cochrane review first published in 1998, previously updated in 1999, and now split into three separate reviews. This review focuses on psychosocial interventions in adults who engage in self-harm.

Objectives: To assess the effects of specific psychosocial treatments versus treatment as usual, enhanced usual care or other forms of psychological therapy, in adults following SH.

Search methods: The Cochrane Depression, Anxiety and Neurosis Group (CCDAN) trials coordinator searched the CCDAN Clinical Trials Register (to 29 April 2015). This register includes relevant randomised controlled trials (RCTs) from: the Cochrane Library (all years), MEDLINE (1950 to date), EMBASE (1974 to date), and PsycINFO (1967 to date).

Selection criteria: We included RCTs comparing psychosocial treatments with treatment as usual (TAU), enhanced usual care (EUC) or alternative treatments in adults with a recent (within six months) episode of SH resulting in presentation to clinical services.

Data collection and analysis: We used Cochrane's standard methodological procedures.

Citation

Hawton, K., Witt, K. G., Taylor Salisbury, T. L., Arensman, E., Gunnell, D., Hazell, P., …van Heeringen, K. (in press). Psychosocial interventions for self-harm in adults. Cochrane Database of Systematic Reviews, https://doi.org/10.1002/14651858.CD012189

• Journal Article Type: Article
• Acceptance Date: Apr 29, 2015
• Online Publication Date: May 12, 2016
• Deposit Date: Jun 6, 2016
• Publicly Available Date: Jun 6, 2016
• Journal: Cochrane Database of Systematic Reviews
• Electronic ISSN: 1469-493X
• Publisher: Cochrane Collaboration
• Peer Reviewed: Peer Reviewed
• Book Title: Cochrane Database of Systematic Reviews
• DOI: https://doi.org/10.1002/14651858.CD012189
• Public URL: https://nottingham-repository.worktribe.com/output/790282
• Publisher URL: http://dx.doi.org/10.1002/14651858.CD012189
• Additional Information: This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 2016. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review
• Contract Date: Jun 6, 2016