Self-Injurious Behavior Clinical Trial
Official title:
Text Message Intervention to Reduce Repeat Self-harm in Patients Presenting to the Emergency Department
Between 6% and 30% of people who harm themselves repeat this self-harm within the following
12 months. The investigators know that people who harm themselves are much more likely to
commit suicide, but the investigators have no clear evidence about the best way to reduce
the likelihood of someone harming themselves again.
Text messaging is now a common form of communication. Previous research has shown us that
the investigators can use text messages for different types of health care interventions.
Examples of this include reminding patients of medical appointments, delivering test
results, to check patient side effects following treatment and to reduce depressive symptoms
in patients with depression and alcohol problems. The Samaritans have introduced interactive
text messages (where you can have a conversation by text with their service) and have noted
an increasing use of this contact with their service.
This research study is taking place to find out if using supportive and interactive text
messages can reduce further episodes of self-harm in patients who present to the Emergency
Department (ED) with self-harm.
The investigators hypothesize that supportive, informative and interactive text messages
delivered to patients discharged from an ED after an episode of self-harm will significantly
reduce the frequency and intensity of thoughts of self-harm and self-harming behaviour in
patients compared with those receiving only follow-up treatment as usual. A secondary
hypothesis is that patients receiving the text messages will report a favourable experience
and an overall satisfaction with the system.
Status | Terminated |
Enrollment | 10 |
Est. completion date | December 2015 |
Est. primary completion date | December 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - All patients 18 years and over, presenting to the ED with self-harm. - All patients should have a mobile phone, be familiar with text messaging technology and be willing to take part in the study. Exclusion Criteria: - Patients who do not consent to take part in the study. - Patients who do not have a mobile phone or are unable to use the mobile text message technology. - Patients who are admitted as a psychiatric inpatient following the assessment in the ED or those who require admission to a medical ward for longer than 48 hours. - Patients who would be unavailable for follow-up during the study period. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
Ireland | Beaumont Hospital | Dublin | Co Dublin |
Lead Sponsor | Collaborator |
---|---|
University of Dublin, Trinity College | Beaumont Hospital, Royal College of Surgeons, Ireland |
Ireland,
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* Note: There are 27 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Utilisation of the services provided by the Samaritans Ireland | The range and frequency of utilisation of the services provided by the Samaritans Ireland | Three months | Yes |
Other | Patient satisfaction with treatment | Patient satisfaction (for both groups) with their overall follow-up treatment at three months following discharge from the ED would be measured using a self-designed likert scale. | Three months | Yes |
Other | Feedback about patients' experiences, expectations and satisfaction with the communication system | Feedback about patients' experiences, expectations and satisfaction with the communication system and its perceived impact on their mood, suicidal thoughts and potential to repeat self-harm. These aspects would be measured using semi-structured questionnaires which include likert scales at 3 months | Three months | Yes |
Primary | Repetition of self-harm | Proportion of patients repeating self-harm | Three months | Yes |
Primary | Change scores on the Suicide Behaviors Questionnaire from baseline | The change scores on the Suicide Behaviors Questionnaire from baseline | Baseline and three months | Yes |
Secondary | Repeat episodes of self-harm per person | Number of repeat episodes of self-harm per person | Three months | Yes |
Secondary | Change scores in the Modified Scale for Suicide Ideation from baseline | The change scores on the Modified Scale for Suicide Ideation from baseline | Baseline anf three months | Yes |
Secondary | Change scores on the Positive and Negative Suicide Ideation Inventory from baseline | The change scores on the Positive and Negative Suicide Ideation Inventory from baseline | Baseline and three months | Yes |
Secondary | Change scores on the Beck Hopelessness Scale from baseline | The change scores on the Beck Hopelessness Scale from baseline | Baseline and three months | Yes |
Secondary | Change scores on the Global Assessment of Functioning Scale from baseline | The change scores on the Global Assessment of Functioning Scale from baseline | Baseline and three months | Yes |
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