Intractable Self-harm-What Support is Effective?

NCT ID: NCT06099561

Last Updated: 2024-12-10

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

RECRUITING

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-01

Study Completion Date

2026-12-31

Brief Summary

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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

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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.

Conditions

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Self-harm

Keywords

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Deliberate self-harm Suicide

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

OTHER

Study Groups

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Study group

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.

National specialized medical care unit for severe self-harm behaviour-Consultation model

Intervention Type BEHAVIORAL

Extensive assessments. Consultation and training for existing treatment providers and caregivers. Network-meetings for providers and caregivers.

Interventions

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National specialized medical care unit for severe self-harm behaviour-Consultation model

Extensive assessments. Consultation and training for existing treatment providers and caregivers. Network-meetings for providers and caregivers.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* Need for translation services to complete measures or interviews
* Not able to complete measures or interviews
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Psychology. Lund University.

UNKNOWN

Sponsor Role collaborator

Department of Clinical Sciences, Malmö. Faculty of Medicine, Lund University.

UNKNOWN

Sponsor Role collaborator

Region Skane

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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National Highly Specialized Unit for Self-Harm Behaviours, Skåne

Lund, Skåne County, Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Magnus Nilsson, PhD

Role: CONTACT

Phone: 046-174925

Email: [email protected]

Sofie Westling, MD/PhD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Magnus Nilsson, PhD

Role: primary

Sofie Westling, MD/PhD

Role: backup

Other Identifiers

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Dnr 2023-01650-01

Identifier Type: -

Identifier Source: org_study_id