An On Medicine blog post discusses the Supporting Adolescents with Self-Harm (SASH) study that aims at offering a rapid-response brief psychological intervention to improve outcomes for young people in crisis.
Psychologist talking with teenage girl© Valerii Honcharuk / stock.adobe.comBackground Adolescents visiting A&E departments with self-harm are more likely to repeat self-harm and attempt suicide than matched controls. Many of these adolescents do not receive effective follow-up care, despite this being a critical time of increased risk for suicide.
We have recruited 33 mental health practitioners from CAMHS Urgent Care Teams to take part in the study. Half of the recruited practitioners have been trained in the new SASH Intervention, whilst the other half are continuing to deliver TAU. The practitioners deliver the intervention or TAU to patients during recruitment who meet the eligibility criteria and consent to take part in the trial.
In a non-randomized study, Therapeutic Assessment and rapid clinical follow-up designed for adolescents presenting with self-harm have shown promising results in reducing self-harm. Therapeutic Assessment dramatically increases engagement with follow-up care which is a key mechanism for reducing future self-harm: 83% attended the first follow-up session.
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