ENGAGE - Meeting Mental Health Needs of Complex Comorbid Patients

NCT00980824 | Unknown Phase 1

• 1 other identifier: 62060
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Comorbidity; Substance Abuse; Personality Disorder

Keywords

cognitive behaviour therapy; self harm; personality disorder; complex comorbidity; mental health

Outcome Measures

Primary Outcomes (1)

• The number of contacts with mental health services appropriate to the patient's needs.

  3 months

Study Arms (2)

therapy

EXPERIMENTAL

Cognitive behavioural therapy. Six sessions of structured focused therapy.

Behavioral: Cognitive behavioural therapy

Standard treatment

ACTIVE COMPARATOR

referral to specialised or generic mental health service

Other: Standard treatment

Interventions

Cognitive behavioural therapy BEHAVIORAL

Six sessions brief CBT.

therapy

Standard treatment OTHER

Referral to NHS services appropriate to patient's needs

Standard treatment

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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)

You may not qualify if:

• unable to give written informed consent
• unable to understand the purpose and nature of the research

Sponsors & Collaborators

• University of Glasgow: lead
• NHS Greater Glasgow and Clyde: collaborator

Study Sites (1)

NHS Greater Glasgow and Clyde

Glasgow, Lanarkshire, G12 0XH, United Kingdom

RECRUITING

Related Publications (1)

• Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.

  PMID: 33884617 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders; Personality Disorders; Self-Injurious Behavior; Psychological Well-Being

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Personal Satisfaction

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Kate M Davidson, PhD

  University of Glasgow/NHS Greater Glasgow & Clyde

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Kate M Davidson, PhD

CONTACT

+441412113900; k.davidson@clinmed.gla.ac.uk

Tom Brown, MPhil

CONTACT

+441412112131; tom.brown@ggc.scot.nhs.uk

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 18, 2009
• First Posted: September 21, 2009
• Study Start: November 1, 2009
• Primary Completion: September 1, 2010
• Study Completion: November 1, 2010
• Last Updated: June 28, 2010

Record last verified: 2010-06

Locations

GB (1)