Randomised controlled trial of therapeutic assessment versus usual assessment in adolescents with self-harm: 2-year follow-up
Abstract
BACKGROUND: An earlier randomised controlled trial demonstrated improved treatment engagement in adolescents who received Therapeutic Assessment (TA) versus Assessment As Usual (AAU), following an emergency presentation with self-harm. OBJECTIVES: To determine 2-year outcomes for the same adolescents focusing on frequency of Accident and Emergency (A&E) self-harm presentations and treatment engagement. METHOD: Patients in the TA groups (n=35) and the AAU group (n=34) were followed up 2 years after the initial assessment. Their primary and secondary care electronic records were analysed. RESULTS: There was no significant difference in the frequency of self-harm resulting in A&E presentations between the two groups (OR 0.69, 95% CI 0.23 to 2.13, p=0.53). Treatment engagement remained higher in the TA group than the AAU group. CONCLUSIONS: TA is not associated with a lower frequency of A&E self-harm presentations. The effect of TA on engagement is maintained 2 years after the initial assessment. Interventions to reduce self-harm in adolescents are needed. TRIAL REGISTRATION: ISRCTN 81605131, http://www.controlled-trials.com/ISRCTN81605131/
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A further report provided two-year follow-up data for Ougrin 2011a.
“A further report (Ougrin 2013) provided two-year follow-up data for one of the previously-included trials (Ougrin 2011a).”
From Interventions for self-harm in children and adolescents (2021) · cites this paper as Ougrin 2013
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Reid, M., Fernandez, F., Gerner, J. L., Tucker, R. P., Morris, C. R., Constantino, J. N., & Jobes, D. A. (2026) · Pediatric Emergency Care · doi:10.1097/pec.0000000000003719
O’Keeffe, S., Long, M., Saour, T., & McCabe, R. (2026) · Frontiers in Child and Adolescent Psychiatry · doi:10.3389/frcha.2026.1959051
- Authors
- Ougrin, D., Boege, I., Stahl, D., Banarsee, R., & Taylor, E.
- Affiliations
- King's College London (GB)
- Zentrum für Psychiatrie Südwürttemberg (DE)
- Imperial College London (GB)
- Corresponding author
- Ougrin, D.
- Venue
- Archives of Disease in Childhood
- Publisher
- BMJ
- Published
- 2013-05-25
- Volume
- 98
- Issue
- 10
- Pages
- 772-776
- ISSN
- 0003-9888 (ISSN-L)
- 1468-2044
- OpenAlex
- W2168540768
- Cited by
- 84
- References
- 21
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 8 · 2020: 6 · 2019: 9 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 1
- FWCI
- 7.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Disease in Childhood (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- self-harm, adolescents, therapeutic assessment, emergency department presentation, treatment engagement, long-term follow-up, self-harm prevention
- MeSH terms
- Adolescent, Child, Female, Follow-Up Studies, Humans, Male, Prognosis, Psychotherapy, Group, Self-Injurious Behavior, Treatment Outcome
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