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Text Message Intervention to Reduce Repeat Self-harm in Patients Presenting to the Emergency Department-A Study Protocol

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TLDR
Assessment of the feasibility of using supportive interactive text messages to reduce repeat self-harm and to reduce the frequency and intensity of suicidal ideation and suicidal behaviour in patients discharged from an Emergency Department after an episode of self- Harm.
Abstract
Aims: To assess the feasibility of using supportive interactive text messages to reduce repeat self-harm, and to reduce the frequency and intensity of suicidal ideation and suicidal behaviour in patients discharged from an Emergency Department (ED) after an episode of self-harm. Study Design: Prospective rater blinded randomised trial. Place and Duration of Study: Sample: ED of Beaumont Hospital, Dublin, Ireland. Methodology: 100 patients presenting with self-harm to the ED will be randomised to receive treatment as usual plus supportive and interactive text messages for three months or to receive treatment as usual. Patients in both groups will be followed up at 1, 3 and 6 months to ascertain frequency and intensity of thoughts of self-harm and selfharming behaviour. Data will be analysed on an intention-to-treat basis using SPSS version 20 for Windows with descriptive statistics, student’s t-test, ANOVA analysis and chi-square tests. Results: We hypothesize that supportive, informative and interactive text messages

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Psychosocial interventions for self‐harm in adults

TL;DR: There was a significant treatment effect for CBT-based psychotherapy compared to TAU at final follow-up in terms of fewer participants repeating SH, but for interventions typically delivered to individuals with a history of multiple episodes of SH/probable personality disorder, group-based emotion-regulation psychotherapy and mentalisation were associated with significantly reduced repetition.
References
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Statistical Power Analysis for the Behavioral Sciences

TL;DR: The concepts of power analysis are discussed in this paper, where Chi-square Tests for Goodness of Fit and Contingency Tables, t-Test for Means, and Sign Test are used.
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Assessment of suicidal intention: The Scale for Suicide Ideation.

TL;DR: The SSI scale was found to have high internal consistency and moderately high correlations with clinical ratings of suicidal risk and self-administered measures of self-harm, and it was sensitive to changes in levels of depression and hopelessness over time.
Journal ArticleDOI

Cognitive-Behavioral Treatment of Chronically Parasuicidal Borderline Patients

TL;DR: Subjects who received dialectical behavior therapy had fewer incidences of parasuicide and less medically severe parasuicides, were more likely to stay in individual therapy, and had fewer inpatient psychiatric days.
Journal ArticleDOI

Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial.

TL;DR: Results suggest that partial hospitalization may offer an alternative to inpatient treatment for patients with borderline personality disorder and that replication is needed with larger groups.
Journal ArticleDOI

Behavior Change Interventions Delivered by Mobile Telephone Short-Message Service

TL;DR: It is suggested that SMS-delivered interventions have positive short-term behavioral outcomes and the quality of studies in this emerging field of research needs to improve to allow the full potential of this medium to be explored.
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