A Case-Series Examination of a Brief CAT-Informed Intervention (CATCH-Y) for Young People That Have Self-Injured

NCT04708262 | Completed

• 1 other identifier: 287611
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

Non-suicidal self-injury (NSSI), the term used for when somebody purposefully hurts themselves without intending to end their life. Often, it suggests that there are other difficulties going on in someone's life. Talking therapies can be offered to help however currently there is little evidence to show which therapies help most. CATCH-Y (Cognitive Analytic Therapy for Containing Self-Harm in Young People) is a brief talking therapy which has been created to support young people who self-injure. It aims to help young people and those around them build to a shared understanding of their difficulties. Previously a group of adults, who have a history of self-harm, have engaged in a trial version of CATCH-Y for adults, in which it was found to be positive, safe and feasible. The study will aim to recruit nine young people who have self-injured in the past. Participants must be aged between 13 - 17 years old and have self-injured within the last six months. They will be recruited from local Child and Adolescent Mental Health Services (CAMHS) and associated 3rd sector organisations. The therapy is five sessions long, with two assessment sessions before the therapy begins and one assessment session post-therapy. Online assessments will be completed throughout. CATCH-Y involves working with the therapist to understand a young person's past and current experiences, linked to their self-injurious behaviours. This individualised approach could benefit these young people. As a novel treatment, and in accordance with the medical research council (MRC) framework, the feasibility and acceptability of CATCH-Y should be considered before progressing to a larger trial. This trial will examine the feasibility and acceptability of the CATCH-Y intervention through attendance and retention rates, data completion and intervention acceptability. As a secondary measure, the trial will investigate whether CATCH-Y shows preliminary evidence for positive change.

Conditions

Non-Suicidal Self Injury

Outcome Measures

Primary Outcomes (4)

• Retention rate

  Attendance at each session will be recorded to determine whether over 70 percent of participants will be retained from baseline to the end of the study.

  seven weeks

• Referral rates

  Referrals will be recorded to test the hypothesis that over 50 percent of those who are referred to the study and are eligible to participate, consent to take part.

  Completion of study, approximately 18 months

• Missing data

  Completion of measurements will be analysed to test whether the level of missing data exceeds 20 percent per assessment.

  Completion of study, approximately 18 months

• Acceptability

  An exploration of factors that influence engagement (including what was helpful/unhelpful) will be determined in the adapted version of the client satisfaction questionnaire. Response frequencies, and qualitative comments, will be presented item by item.

  up to 12 weeks

Secondary Outcomes (5)

• Repertory Grid

  up to 12 weeks

• Motivation for Youth Treatment Scale

  up to 12 weeks

• Recovery Questionnaire

  up to 12 weeks

• Alexian Brothers Urges to Self-injure scale (ABUSI)

  up to 12 weeks

• Patient Health Questionnaire for Adolescents (PHQ-9A)

  up to 12 weeks

Study Arms (1)

Cognitive Analytic Therapy for Containing Self-Harm in Young People

EXPERIMENTAL

Brief one-to-one psychological therapy using Cognitive Analytic Therapy principles, designed for young people who self-harm

Other: Cognitive Analytic Therapy for Containing Self-Harm in Young People

Interventions

Cognitive Analytic Therapy for Containing Self-Harm in Young People OTHER

The intervention will run over five sessions, each lasting around 30 - 40 minutes. Researchers will follow the CATCH-Y manualised treatment guide. CATCH-Y is a brief, five session psychological intervention based upon CAT principles and designed to help young people who have self-injured.

Cognitive Analytic Therapy for Containing Self-Harm in Young People

Eligibility Criteria

• Age: 13 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Participants will be between the ages of 13 - 17 years.
• Participants will have self-injured at least once in the past six months and have a lifetime history of two or more episodes of NSSI.
• Participants will have a clinician allocated to them within CAMHS or a 3rd sector service.
• Participants will have access to the Internet.

You may not qualify if:

• Participants will be excluded if they are currently receiving alternative psychological therapies from a mental health professional. Participants may be receiving other forms of ongoing contact and support that do not constitute a formal psychological therapy.
• Participants will be excluded if they have a severe intellectual disability, which would impair their ability to participate without considerable adaptations being made to the intervention.
• Participants will be excluded if they have inadequate English-language speaking skills due to limitations in their ability to engage with talking therapies in the English language.
• Participants will be excluded if they are judged at high risk of harm to themselves, operationalised as having current suicidal thoughts with a high intent or active plan to end their life.

Sponsors & Collaborators

• University of Manchester: lead

Study Sites (1)

University of Manchester

Manchester, United Kingdom

Location

MeSH Terms

Conditions

Self-Injurious Behavior

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr

Model Details: Single group case series design

Study Record Dates

• First Submitted: January 6, 2021
• First Posted: January 13, 2021
• Study Start: April 2, 2021
• Primary Completion: December 13, 2021
• Study Completion: April 1, 2022
• Last Updated: May 18, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)