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

Peter Tyrer, Vanessa Jones, Simon Thompson, Jose Catalan, Ulrike Schmidt, Kate Davidson, Martin Knapp and Obioha C. Ukoumunne
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Peter Tyrer: Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Paterson Centre, London, W2 1PD, UK; Department of Psychological Medicine, Paterson Centre, 20 South Wharf Road, London, W2 1PD. p.tyrer@ic.ac.uk
Vanessa Jones: Imperial College of Science, Technology and Medicine, London.
Simon Thompson: MRC Biostatatistics Unit, Cambridge, UK.
Jose Catalan: Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Paterson Centre, London, W2 1PD, UK.
Ulrike Schmidt: Institute of Psychiary, London, SE5, UK.
Kate Davidson: Glasgow Institute of Psychosocial Interventions, Academic Centre, Gartnavel Royal Hospital, Glasgow, UK.
Martin Knapp: Centre for the Economics of Mental Health, Institute of Psychiatry, London, SE5, UK.
Obioha C. Ukoumunne: Department of Public Health Sciences, King's College, London, SE1, UK.

International Journal of Social Psychiatry, 2003, vol. 49, issue 1, 58-69

Abstract: 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.

Date: 2003
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:49:y:2003:i:1:p:58-69

DOI: 10.1177/0020764003049001148

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