Brief Admission for Adolescents Who Self-harm

NCT04962373 | Completed

• 1 other identifier: 2020-01840
• Study Type: observational
• Target: 59
• Locations: 1 country
• Sites: 1

Brief Summary

There is still no consensus on how to manage suicidal behavior in youth with recurrent self-harm at times when the risk for suicide is imminent (1). Brief Admission (BA) has evolved as a promising crisis intervention for adults with self-harm (2). The characteristics of BA is different from other types of admission, being focused on prevention through increased autonomy and self-care, based on structured and voluntary brief self-referrals to hospital (3). As a result of a randomized controlled trial, BA is since January 2019, continuously offered to adults with self-harm at risk for suicide in Skåne (4). Parallel to this clinical trial, the method has been adapted to work in a psychiatric setting for adolescents. At present 24 adolescents have access to the method in Skåne. Clinical experiences from staff are promising, however, the lived experiences have not been collected in a standardized way. The aim of the present study is to gather information on how BA in its present, standardized form works for adolescents, their loved ones and staff working at the ward providing BA. This will be done through semi-structured interviews with:

1. 1.Adolescents using BA and their loved ones
2. 2.Staff working at the ward providing BA. Data will be analyzed with qualitative analysis (5, 6). The ultimate aim is to use these results to optimize the current standardized version of BA for adolescents in order to test in a randomized clinical trial.

Conditions

Self-Harm, Deliberate; Suicide, Attempted; Suicidal; Non-Suicidal Self Injury

Outcome Measures

Primary Outcomes (3)

• Perceived effective components of Brief Admission for adolescents

  Qualitative data from interviews

  60mins

• Potential adaptations of the method to better fit adolescents

  Qualitative data from interviews

  60mins

• Areas where Brief Admission have the most prominent perceived effects in adolescents

  Qualitative data from interviews

  60mins

Study Arms (3)

Adolescents

Adolescents with a contract for Brief admission by self-referral

Other: Semi-structured interviews

Parents

Parents to adolescents with a contract for Brief admission by self-referral

Other: Semi-structured interviews

Staff

Health care providers who work with adolescents with a contract for Brief admission by self-referral

Other: Semi-structured interviews

Interventions

Semi-structured interviews OTHER

Each participant will attend a 30-60 minute semi-structured interview conducted by the CI

Adolescents; Parents; Staff

Eligibility Criteria

• Age: 13 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adolescents with an active BA contract, their loved ones who have given informed consent to participate and psychiatric staff working with the adolescents.

You may qualify if:

• Adolescents with an active BA contract
• At least 13 years of age.
• Able to consent to study participation through written and oral information.
• Consent from caregivers
• Given consent to participate

You may not qualify if:

• Below the age of 13.
• Sample 2:
• Parents to adolescents with an active BA contract
• At least 18 years of age.
• Able to consent to study participation through written and oral information.
• Given consent to participate
• None
• Sample 3:
• Staff working with adolescents with an active BA contract
• At least 18 years of age.
• Able to consent to study participation through written and oral information.
• Given consent to participate
• None

Sponsors & Collaborators

• Region Skane: lead
• Lund University: collaborator

Study Sites (1)

Psykiatri och habilitering, Region Skåne

Lund, Skåne County, 22185, Sweden

Location

Related Publications (7)

• Strand M, von Hausswolff-Juhlin Y. Patient-controlled hospital admission in psychiatry: A systematic review. Nord J Psychiatry. 2015;69(8):574-86. doi: 10.3109/08039488.2015.1025835. Epub 2015 Apr 2.

  PMID: 25832757 BACKGROUND

• Westling S, Daukantaite D, Liljedahl SI, Oh Y, Westrin A, Flyckt L, Helleman M. Effect of Brief Admission to Hospital by Self-referral for Individuals Who Self-harm and Are at Risk of Suicide: A Randomized Clinical Trial. JAMA Netw Open. 2019 Jun 5;2(6):e195463. doi: 10.1001/jamanetworkopen.2019.5463.

  PMID: 31173128 BACKGROUND

• Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004 Jun;18(2):145-53. doi: 10.1111/j.1471-6712.2004.00258.x.

  PMID: 15147477 BACKGROUND

• Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004 Feb;24(2):105-12. doi: 10.1016/j.nedt.2003.10.001.

  PMID: 14769454 BACKGROUND

• Helleman M, Lundh LG, Liljedahl SI, Daukantaite D, Westling S. Individuals' experiences with brief admission during the implementation of the brief admission skane RCT, a qualitative study. Nord J Psychiatry. 2018 Jul;72(5):380-386. doi: 10.1080/08039488.2018.1467966. Epub 2018 Apr 27.

  PMID: 29703119 BACKGROUND

• Lindkvist RM, Landgren K, Liljedahl SI, Daukantaite D, Helleman M, Westling S. Predictable, Collaborative and Safe: Healthcare Provider Experiences of Introducing Brief Admissions by Self-referral for Self-harming and Suicidal Persons with a History of Extensive Psychiatric Inpatient Care. Issues Ment Health Nurs. 2019 Jul;40(7):548-556. doi: 10.1080/01612840.2019.1585497. Epub 2019 May 17.

  PMID: 31099707 BACKGROUND

• Lindkvist RM, Westling S, Liljedahl SI, Landgren K. A Brief Breathing Space: Experiences of Brief Admission by Self-Referral for Self-Harming and Suicidal Individuals with a History of Extensive Psychiatric Inpatient Care. Issues Ment Health Nurs. 2021 Feb;42(2):172-182. doi: 10.1080/01612840.2020.1789787. Epub 2020 Aug 7.

  PMID: 32762578 BACKGROUND

MeSH Terms

Conditions

Self-Injurious Behavior; Suicide, Attempted

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Suicide

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 4, 2021
• First Posted: July 15, 2021
• Study Start: September 1, 2020
• Primary Completion: June 30, 2025
• Study Completion: June 30, 2025
• Last Updated: August 6, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)