Citation

Ougrin D, Boege I, Stahl D, Banarsee R, Taylor E. Arch. Dis. Child. 2013; 98(10): 772-776.

Affiliation

Department of Child , and Adolescent Psychiatry, King's College London, Institute of Psychiatry, , London, UK.

Copyright

(Copyright © 2013, BMJ Publishing Group)

DOI

10.1136/archdischild-2012-303200

PMID

23709314

Abstract

BACKGROUND: An earlier randomised controlled trial demonstrated improved treatment engagement in adolescents who received Therapeutic Assessment (TA) versus Assessment As Usual (AAU), following an emergency presentation with self-harm. OBJECTIVES: To determine 2-year outcomes for the same adolescents focusing on frequency of Accident and Emergency (A&E) self-harm presentations and treatment engagement. METHOD: Patients in the TA groups (n=35) and the AAU group (n=34) were followed up 2 years after the initial assessment. Their primary and secondary care electronic records were analysed. RESULTS: There was no significant difference in the frequency of self-harm resulting in A&E presentations between the two groups (OR 0.69, 95% CI 0.23 to 2.13, p=0.53). Treatment engagement remained higher in the TA group than the AAU group. CONCLUSIONS: TA is not associated with a lower frequency of A&E self-harm presentations. The effect of TA on engagement is maintained 2 years after the initial assessment. Interventions to reduce self-harm in adolescents are needed. TRIAL REGISTRATION: ISRCTN 81605131, http://www.controlled-trials.com/ISRCTN81605131/

Language: en