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Brief psychodynamic interpersonal treatment after deliberate self poisoning reduced suicidal ideation and deliberate self harm

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 QUESTION: In patients who have deliberately poisoned themselves, does brief psychodynamic interpersonal treatment (PIT) reduce suicidal ideation, severity of depression, and further episodes of self harm, and increase patient satisfaction?


Randomised {allocation unconcealed*}, blinded (outcome assessor),* controlled trial with 6 months of follow up.


A university hospital emergency department in Manchester, UK.


119 adults who were 18 to 65 years of age (mean age 31 y, 55% women), presented with an episode of deliberate self poisoning, were registered with a general practitioner and did not need inpatient psychiatric treatment. Follow up was 80%.


After stratification by history of self harm, patients were allocated to four 50 minute sessions of PIT (n=58) or to usual care (n=61). PIT consisted …

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  • Sources of funding: North West Regional Health Authority and NHS Research and Development Levy.

  • For correspondence: Dr E Guthrie, School of Psychiatry and Behavioural Sciences, University of Manchester, Rawnsley Building, Manchester Royal Infirmary, Manchester M13 9WL, UK. Fax +44 161 273 2135.

  • Abstract and commentary also appear in Evidence-Based Mental Health.

  • * See glossary.

  • Information provided by author.