Substance Abuse Clinical Trial
— ENGAGEOfficial title:
ENGAGE - Meeting Mental Health Needs of Complex Comorbid Patients Attending A&E Following a Suicide Attempt. A Pilot Study.
Scotland has higher rates of suicide than other parts of the UK, an average rate of 15.1 per
100,000 in Scotland compared to 11.4 for England and Wales. The Scottish Government is
committed to reducing suicide by 2013. Choose Life has led to staff in services such as
Accident and Emergency (A&E) receiving recent training in suicide prevention through ASIST
and STORM.
Evidence for interventions specific to A&E setting is limited despite the fact that this is
the most likely point of first contact with health services for people at risk of this
behaviour. Brief interventions that reduce repetition of self harm have not been
particularly effective partly because of poor attendance and lack of focus on comorbidity.
We propose to pilot an evaluation of a brief focused intervention, ENGAGE (based on
MAnualised Cognitive Therapy,MACT, developed by the investigator (Kate Davidson) and Prof
Ulrike Schmidt of the Institute of Psychiatry, London) for those who present at A&E with a
suicide attempt and who have a complex presentation - a combination of substance abuse and
or personality disorder, all of which are recognized as high risk factors for suicide.
ENGAGE will specifically encourage patients to seek appropriate services to meet their
mental health needs. This pilot will allow us to assess the feasibility of a full scale
study.
Status | Recruiting |
Enrollment | 30 |
Est. completion date | November 2010 |
Est. primary completion date | September 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - all patients will have had an episode of deliberate self harm - test positive on either Drug Abuse Screening Test (DAST, Skinner 1982) or Alcohol Use Disorders Identification Test (AUDIT, Saunders 1983) Exclusion Criteria: - unable to give written informed consent - unable to understand the purpose and nature of the research |
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United Kingdom | NHS Greater Glasgow and Clyde | Glasgow | Lanarkshire |
Lead Sponsor | Collaborator |
---|---|
University of Glasgow | NHS Greater Glasgow and Clyde |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The number of contacts with mental health services appropriate to the patient's needs. | 3 months | No |
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