scholarly journals Impact Evaluation of a 'Brief Intervention Program' for Clients who Deliberately Self-Harm

2021 ◽  
Author(s):  
◽  
Edward Herman Aquin
Keyword(s):  
Program Evaluation ◽  
Data Analysis ◽  
Brief Intervention ◽  
Impact Evaluation ◽  
Qualitative Data ◽  
Intervention Program ◽  
Program Sustainability ◽  
Deliberate Self Harm ◽  
Informed Decisions ◽  
Self Harm

<p>Deliberate self harm (DSH) and suicide rates are recognised internationally, nationally and locally as an increasing trend. The financial and emotional cost to society highlights the need for providing services that aim to reduce the likelihood of further deliberate self harm. The emergency department (ED) is often the entry point for service provision to clients who deliberate self harm. A reduction in re-presentations for acts of DSH to the ED would greatly reduce the strain on this essential part of the public healthcare system. It is vital that the services developed to address DSH are evaluated to facilitate informed decisions regarding program sustainability or improvement. Study aim: This study aims to evaluate a 'brief intervention program' (BIP) designed to address the needs of clients who presented with or were at risk of engaging in act(s) of deliberate self harm. The intention of the program was to reduce repetitive acts of DSH and to assist the clients in developing better coping strategies. Study design: This study uses a pluralistic evaluation research design to conduct a program evaluation. The 'line of enquiry' is guided by the Impact Evaluation framework by Owen (2006).The seven steps of the framework were used to organise, categorise, analyse and discuss the program's outcomes in this study. The pluralistic or mixed design used pre-existing quantitative client file data and qualitative data collected from a staff questionnaire. A total number of 40 client files were examined for the data analysis. Six out of the ten staff members agreed to participate in a survey that sought information about the program's implementation. Findings: Results from the quantitative data analysis found that 82.1% of clients did not re-present to the ED with a repeated act of DSH for a period of six months following initial referral and treatment. The mean average of days to follow up was 5.54. Outcome measurements via pre and post PANSI scores found an improvement in the client's resiliency. Results from the repeated measures t-test: p< .05. Qualitative data analysis found that by expanding the referral base that stakeholders perceived it was more difficult for clients to be followed up within five days from their referral date. Other suggestions pertained to increasing the resources of the program for sustainability. Contribution: The use of program evaluation strategies compliments current trends in healthcare to employ pluralistic or mixed method designs. Broader lines of enquiry lead to more informed decisions regarding program sustainability or improvement.</p>

scholarly journals Impact Evaluation of a 'Brief Intervention Program' for Clients who Deliberately Self-Harm

2021 ◽  
Author(s):  
◽  
Edward Herman Aquin
Keyword(s):  
Program Evaluation ◽  
Data Analysis ◽  
Brief Intervention ◽  
Impact Evaluation ◽  
Qualitative Data ◽  
Intervention Program ◽  
Program Sustainability ◽  
Deliberate Self Harm ◽  
Informed Decisions ◽  
Self Harm

<p>Deliberate self harm (DSH) and suicide rates are recognised internationally, nationally and locally as an increasing trend. The financial and emotional cost to society highlights the need for providing services that aim to reduce the likelihood of further deliberate self harm. The emergency department (ED) is often the entry point for service provision to clients who deliberate self harm. A reduction in re-presentations for acts of DSH to the ED would greatly reduce the strain on this essential part of the public healthcare system. It is vital that the services developed to address DSH are evaluated to facilitate informed decisions regarding program sustainability or improvement. Study aim: This study aims to evaluate a 'brief intervention program' (BIP) designed to address the needs of clients who presented with or were at risk of engaging in act(s) of deliberate self harm. The intention of the program was to reduce repetitive acts of DSH and to assist the clients in developing better coping strategies. Study design: This study uses a pluralistic evaluation research design to conduct a program evaluation. The 'line of enquiry' is guided by the Impact Evaluation framework by Owen (2006).The seven steps of the framework were used to organise, categorise, analyse and discuss the program's outcomes in this study. The pluralistic or mixed design used pre-existing quantitative client file data and qualitative data collected from a staff questionnaire. A total number of 40 client files were examined for the data analysis. Six out of the ten staff members agreed to participate in a survey that sought information about the program's implementation. Findings: Results from the quantitative data analysis found that 82.1% of clients did not re-present to the ED with a repeated act of DSH for a period of six months following initial referral and treatment. The mean average of days to follow up was 5.54. Outcome measurements via pre and post PANSI scores found an improvement in the client's resiliency. Results from the repeated measures t-test: p< .05. Qualitative data analysis found that by expanding the referral base that stakeholders perceived it was more difficult for clients to be followed up within five days from their referral date. Other suggestions pertained to increasing the resources of the program for sustainability. Contribution: The use of program evaluation strategies compliments current trends in healthcare to employ pluralistic or mixed method designs. Broader lines of enquiry lead to more informed decisions regarding program sustainability or improvement.</p>

The effect of referral for brief intervention for alcohol misuse on repetition of deliberate self-harm: an exploratory randomized controlled trial

2010 ◽  
Vol 40 (11) ◽  
pp. 1821-1828 ◽  
Author(s):  
M. J. Crawford ◽  
E. Csipke ◽  
A. Brown ◽  
S. Reid ◽  
K. Nilsen ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Health Information ◽  
Brief Intervention ◽  
Primary Outcome ◽  
Alcohol Misuse ◽  
Controlled Trial ◽  
Information Leaflet ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Secondary Outcomes

BackgroundReferral for brief intervention among people who misuse alcohol is reported to be effective but its impact among those who present to services following deliberate self-harm (DSH) has not been examined.MethodConsecutive patients who presented to an Emergency Department (ED) following an episode of DSH were screened for alcohol misuse. Those found to be misusing alcohol were randomly assigned to brief intervention plus a health information leaflet or to a health information leaflet alone. The primary outcome was whether the patient reattended an ED following a further episode of DSH during the subsequent 6 months. Secondary outcomes were alcohol consumption, mental health and satisfaction with care measured 3 and 6 months after randomization.ResultsOne hundred and three people took part in the study. Follow-up data on our primary outcome were obtained for all subjects and on 63% for secondary outcomes. Half those referred for brief intervention received it. Repetition of DSH was strongly associated with baseline alcohol consumption, but not influenced by treatment allocation. There was a non-significant trend towards the number of units of alcohol consumed per drinking day being lower among those randomized to brief intervention.ConclusionsReferral for brief intervention for alcohol misuse following an episode of DSH may not influence the likelihood of repetition of self-harm. Longer-term interventions may be needed to help people who deliberately harm themselves and have evidence of concurrent alcohol misuse.

scholarly journals Prevalence, Causes and Most Common Method of Deliberate Self-Harm Used by Adolescent of Pakistan

2017 ◽  
Vol 5 (1) ◽  
pp. 14
Author(s):  
Hira Khan ◽  
Bisma Laeeque ◽  
Nuzhat Firdous
Keyword(s):  
Data Analysis ◽  
Affect Regulation ◽  
Common Method ◽  
Common Reason ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Active Participant ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
And Gender

This study was conducted in Lahore, Pakistan to explore the overall and gender-wise prevalence of Deliberate Self-Harm in adolescents. Identification of most common reason and method practiced for DSH by adolescents were also the objective of study. The sample size for the study was calculated with G-power factor formula and as per the results generated from the software, a sample of (N=200) hundred males and hundred females was analyzed. ISAS inventory was used as research tool in this study. Cross-sectional survey was conducted and it was found that 62% adolescents indulged into the practice of DSH. Furthermore biting was the most common method and affect regulation was identified as most common reason due to which adolescents practiced DSH. It was also exhibited by data analysis that females were twice more active participant of DSH as compared to males.

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

Negative Life Events Associated With Deliberate Self-Harm in an African Population in Uganda

Crisis ◽  
2005 ◽  
Vol 26 (1) ◽  
pp. 4-11 ◽  
Author(s):  
E. Kinyanda ◽  
H. Hjelmeland ◽  
S. Musisi
Keyword(s):  
Life Events ◽  
Negative Life Events ◽  
Life Time ◽  
Later Life ◽  
Dose Effect ◽  
Deliberate Self Harm ◽  
Time Period ◽  
Significant Difference ◽  
Self Harm ◽  
Suicide Interventions

Abstract. Negative life events associated with deliberate self-harm (DSH) were investigated in an African context in Uganda. Patients admitted at three general hospitals in Kampala, Uganda were interviewed using a Luganda version (predominant language in the study area) of the European Parasuicide Study Interview Schedule I. The results of the life events and histories module are reported in this paper. The categories of negative life events in childhood that were significantly associated with DSH included those related to parents, significant others, personal events, and the total negative life events load in childhood. For the later-life time period, the negative life events load in the partner category and the total negative life events in this time period were associated with DSH. In the last-year time period, the negative life events load related to personal events and the total number of negative life events in this time period were associated with DSH. A statistically significant difference between the cases and controls for the total number of negative life events reported over the entire lifetime of the respondents was also observed, which suggests a dose effect of negative life events on DSH. Gender differences were also observed among the cases. In conclusion, life events appear to be an important factor in DSH in this cultural environment. The implication of these results for treatment and the future development of suicide interventions in this country are discussed.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

Coming Together Through Falling Apart

2019 ◽  
Vol 40 (2) ◽  
pp. 151-168
Author(s):  
Heather Churchill ◽  
Jeremy M. Ridenour
Keyword(s):  
Data Analysis ◽  
Qualitative Data ◽  
Structural Changes ◽  
Systematic Approach ◽  
Qualitative Approach ◽  
Psychological Assessments ◽  
Transference And Countertransference ◽  
Testing Data ◽  
Psychoanalytically Oriented Psychotherapy

Abstract. Assessing change during long-term psychotherapy can be a challenging and uncertain task. Psychological assessments can be a valuable tool and can offer a perspective from outside the therapy dyad, independent of the powerful and distorting influences of transference and countertransference. Subtle structural changes that may not yet have manifested behaviorally can also be assessed. However, it can be difficult to find a balance between a rigorous, systematic approach to data, while also allowing for the richness of the patient’s internal world to emerge. In this article, the authors discuss a primarily qualitative approach to the data and demonstrate the ways in which this kind of approach can deepen the understanding of the more subtle or complex changes a particular patient is undergoing while in treatment, as well as provide more detail about the nature of an individual’s internal world. The authors also outline several developmental frameworks that focus on the ways a patient constructs their reality and can guide the interpretation of qualitative data. The authors then analyze testing data from a patient in long-term psychoanalytically oriented psychotherapy in order to demonstrate an approach to data analysis and to show an example of how change can unfold over long-term treatments.

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