Service variation in baseline variables and prediction of risk in a randomised controlled trial of psychological treatment in repeated parasuicide: the POPMACT Study.
The treatment protocol and baseline characteristics of 480 subjects with a history of repeated parasuicide recruited in five centres to a randomised therapeutic trial of manual assisted cognitive-behaviour therapy (MACT) and treatment as usual (TAU) are described. Most patients had significant anxiety and depressive disturbance with 42% having a personality disorder. Variation in service policies influenced recruitment, with earlier assessment centres seeing people with more frequent episodes of self-harm and greater parasuicide risk than later ones. Parasuicide risk was also significantly greater in those with their first parasuicide episode at an earlier age and in those with a more recent latest episode.
Tyrer
Peter
P
Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Paterson Centre, London, UK. p.tyrer@ic.ac.uk
Jones
Vanessa
V
Thompson
Simon
S
Catalan
Jose
J
Schmidt
Ulrike
U
Davidson
Kate
K
Knapp
Martin
M
Ukoumunne
Obioha C
OC
D000328:Adult; D015928:Cognitive Behavioral Therapy; D015897:Comorbidity; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D018570:Risk Assessment; D012606:Scotland; D016728:Self-Injurious Behavior / Q000150:complications / Q000628:therapy*; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000523:psychology