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

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

https://doi.org/10.1136/ebm.7.1.22

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    Guthrie E, Kapur N, Mackway-Jones K, et al. Randomised controlled trial of brief psychological intervention after deliberate self poisoning.BMJ2001 Jul 21;323:135–8.
    OpenUrlAbstract/FREE Full Text

    
 
 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?

    Design

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

    Setting

    A university hospital emergency department in Manchester, UK.

    Patients

    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%.

    Intervention

    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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    Footnotes

    • 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.