Furlong, Y.; Pedro, Z.; Derrick, C.; Thompson, A.; Myers-Franchi, B.; Preece, D.; Chen, W. Evaluating Risk Factors of Self-Harm and Effectiveness of Brief Psychological Intervention During Acute Presentation: Methodology of EXPAAND Project. Preprints2024, 2024041834. https://doi.org/10.20944/preprints202404.1834.v1
APA Style
Furlong, Y., Pedro, Z., Derrick, C., Thompson, A., Myers-Franchi, B., Preece, D., & Chen, W. (2024). Evaluating Risk Factors of Self-Harm and Effectiveness of Brief Psychological Intervention During Acute Presentation: Methodology of EXPAAND Project. Preprints. https://doi.org/10.20944/preprints202404.1834.v1
Chicago/Turabian Style
Furlong, Y., David Preece and Wai Chen. 2024 "Evaluating Risk Factors of Self-Harm and Effectiveness of Brief Psychological Intervention During Acute Presentation: Methodology of EXPAAND Project" Preprints. https://doi.org/10.20944/preprints202404.1834.v1
Abstract
Background: Self-harm (SH) refers to self-injury or intentional self-poisoning with varying degrees of suicidal intent and is a major public health issue for children and adolescents (C&A) worldwide. Given significant gaps exist in our understanding of the associated psychopathology in C&A, this paper outlines the protocol for a prospective clinical study examining risk factors of SH and additional candidate parameters (not routinely assessed) during an acute SH episode. Methods: The EXPAAND (EXploring Psychiatric and Attentional risk-factors in Adolescents Needing intervention for Deliberate self-harm) is a randomised control trial to assess additional novel candidate risk factors for SH in C&A and to evaluate the effectiveness of SH-targeted brief psychological intervention (Therapeutic Assessment (TA)), within a real-world acute clinical setting, as we include neurodiversity and gender diversity in this study. EXPAAND is conducted in 4 phases: (i) recruitment & randomisation; (ii) extended assessment; (iii) randomised intervention; and (iv) follow-up observational period to ascertain clinical outcomes for comparison. Expected Results: We envisage that by diagnosing and treating attentional disorders when detected will mitigate potential confounding effects of these conditions. We also expect that SH-focused TA will be effective in reducing subsequent SH and in improving engagement in follow-up and subsequent treatments.
Keywords
self-harm; children and adolescents; neurodiversity; ADHD; gender diversity; psychotherapy
Subject
Medicine and Pharmacology, Psychiatry and Mental Health
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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