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Service Variation in Baseline Variables and Prediction of Risk in a Randomised Controlled Trial of Psychological Treatment in Repeated Parasuicide: The Popmact Study

2003; SAGE Publishing; Volume: 49; Issue: 1 Linguagem: Inglês

10.1177/0020764003049001148

1741-2854

Peter Tyrer, Vanessa Jones, Simon Thompson, José Catalán, Ulrike Schmidt, Kate Davidson, Martín Knapp, Obioha C. Ukoumunne,

Mental Health Treatment and Access

The treatment protocol and baseline characteristics of 480 subjects with a history of repeated parasuicide recruited in five centres to a randomised therapeutic trial of manual assisted cognitive-behaviour therapy (MACT) and treatment as usual (TAU) are described. Most patients had significant anxiety and depressive disturbance with 42% having a personality disorder. Variation in service policies influenced recruitment, with earlier assessment centres seeing people with more frequent episodes of self-harm and greater parasuicide risk than later ones. Parasuicide risk was also significantly greater in those with their first parasuicide episode at an earlier age and in those with a more recent latest episode.