Evidence map›Paper›PMID 27660314›Full record

ArticleBMJ open2016

Effective psychological and psychosocial approaches to reduce repetition of self-harm: a systematic review, meta-analysis and meta-regression.

Sarah E Hetrick, Jo Robinson, Matthew J Spittal, Greg Carter

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
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  4. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
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  12. A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide.International journal of environmental research and public health · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarah E HetrickOrygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-2532-0142
Jo RobinsonOrygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Matthew J SpittalMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Greg CarterCentre for Translational Neuroscience and Mental Health, The University of Newcastle, Newcastle, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the efficacy of psychological and psychosocial interventions for reductions in repeated self-harm.

designWe conducted a systematic review, meta-analysis and meta-regression to examine the efficacy of psychological and psychosocial interventions to reduce repeat self-harm in adults. We included a sensitivity analysis of studies with a low risk of bias for the meta-analysis. For the meta-regression, we examined whether the type, intensity (primary analyses) and other components of intervention or methodology (secondary analyses) modified the overall intervention effect. DATA SOURCES: A comprehensive search of MEDLINE, PsycInfo and EMBASE (from 1999 to June 2016) was performed. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised controlled trials of psychological and psychosocial interventions for adult self-harm patients.

resultsForty-five trials were included with data available from 36 (7354 participants) for the primary analysis. Meta-analysis showed a significant benefit of all psychological and psychosocial interventions combined (risk ratio 0.84; 95% CI 0.74 to 0.96; number needed to treat=33); however, sensitivity analyses showed that this benefit was non-significant when restricted to a limited number of high-quality studies. Meta-regression showed that the type of intervention did not modify the treatment effects.

conclusionsConsideration of a psychological or psychosocial intervention over and above treatment as usual is worthwhile; with the public health benefits of ensuring that this practice is widely adopted potentially worth the investment. However, the specific type and nature of the intervention that should be delivered is not yet clear. Cognitive-behavioural therapy or interventions with an interpersonal focus and targeted on the precipitants to self-harm may be the best candidates on the current evidence. Further research is required.

Indexed as

MENTAL HEALTH

Identifiers

PMID27660314
PMCPMC5051331

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.