Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): a feasibility trial protocol.



Saini, Pooja ORCID: 0000-0002-4981-7914, Hunt, Anna, Taylor, Peter, Mills, Catherine, Clements, Caroline, Mulholland, Helen ORCID: 0000-0002-6679-7257, Kullu, Cecil, Hann, Mark, Duarte, Rui, Mattocks, Felicity
et al (show 2 more authors) (2021) Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): a feasibility trial protocol. Pilot and feasibility studies, 7 (1). p. 165.

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Abstract

<h4>Background</h4>People who self-harm are at high risk for future suicide and often suffer considerable emotional distress. Depression is common among people who self-harm and may be an underlying driver of self-harm behaviour. Self-harm is often repeated, and risk of repetition is highest immediately after an act of self-harm. Readily accessible brief talking therapies show promise in helping people who self-harm, but further evaluation of these approaches is needed. A brief talking therapy intervention for depression and self-harm has been designed for use in a community setting. This mixed methods feasibility study with repeated measures will examine the feasibility and acceptability of the Community Outpatient Psychological Engagement Service for Self-Harm (COPESS) for people with self-harm and depression in the community, compared to routine care.<h4>Methods</h4>Sixty participants with a history of self-harm within the last six months, who are also currently depressed, will be recruited to take part in a feasibility single-blind randomised controlled trial (RCT). Participants will be randomised 1:1 to receive COPESS plus treatment as usual (TAU) or TAU alone. Recruitment will be via General Practitioners (GP) and self-referral. Assessment of feasibility and acceptability will be assessed via quantitative and qualitative methods including measures of recruitment and retention to the feasibility trial, participants' experience of therapy, completion/completeness of outcome measures at relevant time-points and completion of a service use questionnaire.<h4>Discussion</h4>The results will indicate whether it is feasible to conduct a definitive full trial to determine whether COPESS is a clinically and cost effective intervention for people who self-harm in the community. Qualitative and quantitative data will in addition help identify potential strengths and/or challenges of implementing brief community-based interventions for people who self-harm.<h4>Trial registration</h4>NCT04191122 registered 9th December 2019.

Item Type: Article
Uncontrolled Keywords: Clinical Trials and Supportive Activities, Depression, Mental Health, Brain Disorders, Behavioral and Social Science, Clinical Research, 3 Prevention of disease and conditions, and promotion of well-being, 6.6 Psychological and behavioural, 7 Management of diseases and conditions, 7.1 Individual care needs, 6 Evaluation of treatments and therapeutic interventions, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Mental health, 3 Good Health and Well Being
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 06 Dec 2021 08:12
Last Modified: 11 Apr 2024 21:14
DOI: 10.1186/s40814-021-00902-3
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3144524