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Cited by 132Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyPsychotherapy Techniques and Applications

Group Therapy for Repeated Deliberate Self-Harm in Adolescents: Failure of Replication of a Randomized Trial

Hazell, Philip L., Martin, Graham, Mcgill, Katherine, Kay, Tracey, Wood, Alison, Trainor, Gemma, Harrington, Richard·2009·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/chi.0b013e3181aoacec
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Abstract

Objective To replicate a study, which found group therapy superior to routine care in preventing the recurrence of self-harming behavior in adolescents who had deliberately harmed themselves on at least two occasions. Method Single blind study with parallel randomized groups undertaken in three sites in Australia. The primary outcome measure was repetition of self-harm, assessed on average after 6 and 12 months. Secondary outcome measures included suicidal ideation, psychiatric disorder, and service use. Results Seventy-two adolescents aged 12 to 16 years (91% female subjects) were randomized to group therapy or routine care. Primary outcome data were available for 68 of the 72 randomized participants. More adolescents randomized to group therapy than those randomized to routine care had self-harmed by 6 months (30/34 versus 23/34, chi = 4.19, p =.04), and there was a statistically nonsignificant trend for this pattern to be repeated in the interval of 6 to 12 months (30/34 versus 24/34, chi = 3.24, p =.07). There were few differences between the treatment groups on secondary outcome measures, other than a trend for greater improvement over time on global symptom ratings among the experimental group compared with the control group. Conclusions Our findings contradict those of the original study. Some differences in participant characteristics between the studies, along with less experience at the Australian sites in delivering the intervention, may have accounted for the diff…

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Crossref · 10.1097/chi.0b013e3181aoacec

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  • Group psychotherapies reduced suicidal ideation in 5 of 10 studies and suicide in one study, but none reported reducing nonfatal suicide attempts.

    “Group psychotherapies reduced suicidal ideation in 5/10 studies(100–109) and suicide in one,(100) but none reported reducing nonfatal suicide attempts (Table S3c).”

    From Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review (2021) · cites this paper as [105]

  • Wood et al.'s results were not replicated in 2 subsequent studies from the same group.

    “Wood et al. 10 developed a manual-based cognitive-behavioral therapy-oriented group therapy for adolescents that was shown to be more effective than treatment as usual (TAU) in reducing self-harm behaviors; however, these results were not replicated in 2 subsequent studies from the same group.11,12”

    From Dialectical Behavior Therapy for Adolescents With Repeated Suicidal and Self-harming Behavior: A Randomized Trial (2014) · cites this paper as [11]

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Authors
Hazell, P. L., Martin, G., Mcgill, K., Kay, T., Wood, A., Trainor, G., & Harrington, R.
Affiliations
The University of Sydney (AU)
Corresponding author
Hazell, Philip L.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2009-06
Volume
48
Issue
6
Pages
662-670
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/chi.0b013e3181aoacec
OpenAlex
W1977152678
Cited by
132
References
6
Citations by year
2026: 1 · 2025: 3 · 2023: 3 · 2021: 12 · 2020: 7 · 2019: 6 · 2018: 8 · 2017: 5 · 2016: 6 · 2015: 13 · 2014: 23 · 2013: 14 · 2012: 10
FWCI
10.49
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
group therapy, self-harm, adolescents, replication failure, suicidal ideation, mental illness, usual care
MeSH terms
Adolescent, Australia, Child, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Male, Problem Solving, Psychotherapy, Group, Recurrence, Social Support, Suicide, Attempted, Reproducibility of Results, Single-Blind Method, Self-Injurious Behavior

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