Decisional support for young people who self-harm: protocol for a feasibility trial.
BACKGROUND
Self-harm is common in adolescents, and it is the strongest predictor of suicide. Young people who self-harm are often unsure of how and where to get help. Decision aids (DAs) have been shown to help with decisional conflict where there is uncertainty around different options. We have developed an online DA to support young people in help-seeking for self-harm. A feasibility trial will examine the acceptability of the online intervention and the ability to recruit and follow-up participants within a school setting.


METHODS
In this parallel arm, single-blind feasibility trial, 60 participants aged 12-18 years who have self-harmed in the past 12 months, will be randomised to either (1) a group receiving the online DA or (2) a control group receiving general information about feelings and emotions. Both groups will complete measures assessing decision-making and help-seeking behaviour. The school counsellor will be notified of any participants who have been randomised to ensure safeguarding for the young person. Participants in both groups will be followed up at 4 weeks, and the measures will be repeated. Qualitative interviews will be conducted with a subset of participants to explore their views and experiences of the DA and of participation in the study.


BACKGROUND
Ethical approval was granted by King's College London (KCL) College Research Ethics Committee. Results of this study will help to clarify if we can recruit and administer an online decisional support intervention within a school setting for young people who self-harm. The study will inform the design and implementation of a larger randomised controlled trial to test the effectiveness of the DA. Dissemination of the study findings will target publication in peer-reviewed journals of general and special interest. The funder will be sent a report outlining the major findings of the study.


BACKGROUND
ISRCTN11230559.
Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Sarah L
SL
Rowe
Department of Social and Environmental Health Research, Faculty of Public Health & Policy, London School of Hygiene and Tropical Medicine, London, UK.
Rebecca S
RS
French
Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Claire
C
Henderson
Child and Adolescent Psychiatry Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Dennis
D
Ougrin
School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Mike
M
Slade
Centre for Academic Mental Health, School of Social & Community Medicine, University of Bristol, Bristol, UK.
Paul
P
Moran
BMJ. 2004 Jan 31;328(7434):265
14742346
Child Adolesc Psychiatry Ment Health. 2012 Mar 30;6:10
22462815
Arch Suicide Res. 2011;15(1):56-67
21294000
Br J Psychiatry. 2009 Jan;194(1):68-72
19118330
Early Interv Psychiatry. 2008 May;2(2):108-13
21352141
Health Technol Assess. 1999;3(1):1-156
10350446
Br J Psychiatry. 2004 Oct;185:342-9
15458995
Psychol Bull. 1954 Jul;51(4):380-417
13177802
J Med Internet Res. 2011 Jul 13;13(3):e48
21749967
Med Decis Making. 1995 Jan-Mar;15(1):25-30
7898294
J Adolesc Health. 2013 Apr;52(4):486-92
23298982
Crisis. 2008;29(3):118-22
18714907
J Child Psychol Psychiatry. 2008 Jun;49(6):667-77
18341543
J Fam Plann Reprod Health Care. 2014 Apr;40(2):96-101
24265469
Med J Aust. 2004 Aug 2;181(3):140-4
15287831
Eval Rev. 2008 Aug;32(4):335-62
18441216
BMC Psychiatry. 2013 Nov 07;13:297
24199691
Cochrane Database Syst Rev. 2014 Jan 28;(1):CD001431
24470076
Psychol Assess. 2014 Sep;26(3):752-62
24749755
Patient. 2010;3(4):229-248
21394218
BMC Public Health. 2008 Oct 24;8:369
18947435
BMJ. 2013 Jul 23;347:f4147
23881944
Psychol Med. 2006 Jan;36(1):3-6
16356291
Psychiatry Res. 2013 Jun 30;208(1):33-40
23582210
Aust N Z J Psychiatry. 2014 Dec;48(12):1083-95
25335872