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1 results

  • Cognitive-behavioural intervention for self-harm: randomised controlled trial

  • Nadja Slee, Nadia Garnefski, Rien van der Leeden, Ella Arensman, Philip Spinhoven
  • Journal:
    The British Journal of Psychiatry / Volume 192 / Issue 3 / March 2008
    Published online by Cambridge University Press:
    02 January 2018, pp. 202-211
    Print publication:
    March 2008
    • Article
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  • Background

    Self-harm by young people is occurring with increasing frequency. Conventional in-patient and out-patient treatment has yet to be proved efficacious.

    Aims

    To investigate the efficacy of a short cognitive-behavioural therapy intervention with 90 adolescents and adults who had recently engaged in self-harm.

    Method

    Participants (aged 15–35 years) were randomly assigned to treatment as usual plus the intervention, or treatment as usual only. Assessments were completed at baseline and at 3 months, 6 months and 9 months follow-up.

    Results

    Patients who received cognitive-behavioural therapy in addition to treatment as usual were found to have significantly greater reductions in self-harm, suicidal cognitions and symptoms of depression and anxiety, and significantly greater improvements in self-esteem and problem-solving ability, compared with the control group.

    Conclusions

    These findings extend the evidence that a time-limited cognitive-behavioural intervention is effective for patients with recurrent and chronic self-harm.