Brief Admission for Adolescents Who Self-harm

NCT ID: NCT04962373

Last Updated: 2025-08-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

59 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-01

Study Completion Date

2025-06-30

Brief Summary

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There is still no consensus on how to manage suicidal behavior in youth with recurrent self-harm at times when the risk for suicide is imminent (1). Brief Admission (BA) has evolved as a promising crisis intervention for adults with self-harm (2). The characteristics of BA is different from other types of admission, being focused on prevention through increased autonomy and self-care, based on structured and voluntary brief self-referrals to hospital (3). As a result of a randomized controlled trial, BA is since January 2019, continuously offered to adults with self-harm at risk for suicide in Skåne (4). Parallel to this clinical trial, the method has been adapted to work in a psychiatric setting for adolescents. At present 24 adolescents have access to the method in Skåne. Clinical experiences from staff are promising, however, the lived experiences have not been collected in a standardized way.

The aim of the present study is to gather information on how BA in its present, standardized form works for adolescents, their loved ones and staff working at the ward providing BA. This will be done through semi-structured interviews with:

1. Adolescents using BA and their loved ones
2. Staff working at the ward providing BA. Data will be analyzed with qualitative analysis (5, 6). The ultimate aim is to use these results to optimize the current standardized version of BA for adolescents in order to test in a randomized clinical trial.

Detailed Description

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Conditions

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Self-Harm, Deliberate Suicide, Attempted Suicidal Non-Suicidal Self Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Adolescents

Adolescents with a contract for Brief admission by self-referral

Semi-structured interviews

Intervention Type OTHER

Each participant will attend a 30-60 minute semi-structured interview conducted by the CI

Parents

Parents to adolescents with a contract for Brief admission by self-referral

Semi-structured interviews

Intervention Type OTHER

Each participant will attend a 30-60 minute semi-structured interview conducted by the CI

Staff

Health care providers who work with adolescents with a contract for Brief admission by self-referral

Semi-structured interviews

Intervention Type OTHER

Each participant will attend a 30-60 minute semi-structured interview conducted by the CI

Interventions

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Semi-structured interviews

Each participant will attend a 30-60 minute semi-structured interview conducted by the CI

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adolescents with an active BA contract
* At least 13 years of age.
* Able to consent to study participation through written and oral information.
* Consent from caregivers
* Given consent to participate


* Parents to adolescents with an active BA contract
* At least 18 years of age.
* Able to consent to study participation through written and oral information.
* Given consent to participate


* Staff working with adolescents with an active BA contract
* At least 18 years of age.
* Able to consent to study participation through written and oral information.
* Given consent to participate

Exclusion Criteria

* Below the age of 13.

Sample 2:


* None

Sample 3:


* None
Minimum Eligible Age

13 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lund University

OTHER

Sponsor Role collaborator

Region Skane

OTHER

Sponsor Role lead

Responsible Party

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Sofie Westling

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Psykiatri och habilitering, Region Skåne

Lund, Skåne County, Sweden

Site Status

Countries

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Sweden

References

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Strand M, von Hausswolff-Juhlin Y. Patient-controlled hospital admission in psychiatry: A systematic review. Nord J Psychiatry. 2015;69(8):574-86. doi: 10.3109/08039488.2015.1025835. Epub 2015 Apr 2.

Reference Type BACKGROUND
PMID: 25832757 (View on PubMed)

Westling S, Daukantaite D, Liljedahl SI, Oh Y, Westrin A, Flyckt L, Helleman M. Effect of Brief Admission to Hospital by Self-referral for Individuals Who Self-harm and Are at Risk of Suicide: A Randomized Clinical Trial. JAMA Netw Open. 2019 Jun 5;2(6):e195463. doi: 10.1001/jamanetworkopen.2019.5463.

Reference Type BACKGROUND
PMID: 31173128 (View on PubMed)

Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004 Jun;18(2):145-53. doi: 10.1111/j.1471-6712.2004.00258.x.

Reference Type BACKGROUND
PMID: 15147477 (View on PubMed)

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004 Feb;24(2):105-12. doi: 10.1016/j.nedt.2003.10.001.

Reference Type BACKGROUND
PMID: 14769454 (View on PubMed)

Helleman M, Lundh LG, Liljedahl SI, Daukantaite D, Westling S. Individuals' experiences with brief admission during the implementation of the brief admission skane RCT, a qualitative study. Nord J Psychiatry. 2018 Jul;72(5):380-386. doi: 10.1080/08039488.2018.1467966. Epub 2018 Apr 27.

Reference Type BACKGROUND
PMID: 29703119 (View on PubMed)

Lindkvist RM, Landgren K, Liljedahl SI, Daukantaite D, Helleman M, Westling S. Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care. Issues Ment Health Nurs. 2019 Jul;40(7):548-556. doi: 10.1080/01612840.2019.1585497. Epub 2019 May 17.

Reference Type BACKGROUND
PMID: 31099707 (View on PubMed)

Lindkvist RM, Westling S, Liljedahl SI, Landgren K. A Brief Breathing Space: Experiences of Brief Admission by Self-Referral for Self-Harming and Suicidal Individuals with a History of Extensive Psychiatric Inpatient Care. Issues Ment Health Nurs. 2021 Feb;42(2):172-182. doi: 10.1080/01612840.2020.1789787. Epub 2020 Aug 7.

Reference Type BACKGROUND
PMID: 32762578 (View on PubMed)

Other Identifiers

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2020-01840

Identifier Type: -

Identifier Source: org_study_id

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