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Randomized Controlled Trial
. 2017 Jun;85(6):620-631.
doi: 10.1037/ccp0000206. Epub 2017 Apr 17.

An intervention for nonsuicidal self-injury in young adults: A pilot randomized controlled trial

Margaret S Andover  1 , Heather T Schatten  2 , Blair W Morris  3 , Caroline S Holman  1 , Ivan W Miller  2
Affiliations
Randomized Controlled Trial

An intervention for nonsuicidal self-injury in young adults: A pilot randomized controlled trial

Margaret S Andover et al. J Consult Clin Psychol. 2017 Jun.

Abstract

Objective: Nonsuicidal self-injury (NSSI) is prevalent among young adults and associated with negative medical and psychological consequences, necessitating its treatment. However, few treatments have been developed to treat NSSI specifically, or to treat the behavior among individuals without borderline personality disorder. The purpose of this study was to investigate the Treatment for Self-Injurious Behaviors (T-SIB), a brief, behavioral intervention specifically developed to treat NSSI among young adults, in a pilot randomized controlled trial (RCT).

Method: Young adults (N = 33; age: M = 22.36 years, SD = 3.40) meeting inclusion and exclusion criteria were randomly assigned to the treatment (T-SIB; n = 15) or treatment as usual (n = 18) condition. The sample was 93.9% female, 42.4% Caucasian, and 30.3% Hispanic/Latino.

Results: Feasibility and acceptability of the study and intervention were supported, and medium effects were found for decreased NSSI frequency in the T-SIB group using intent-to-treat analyses.

Conclusion: Results of this study support the further evaluation of T-SIB in a larger RCT. (PsycINFO Database Record

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Figures

Figure 1
Figure 1
Flowchart of patient enrollment and disposition.
Figure 2
Figure 2
Frequency of NSSI behaviors over baseline (Week 0), treatment (Weeks 1–9), and follow up period (Weeks 10–21).
Figure 3
Figure 3
NSSI days over baseline (Week 0), treatment (Weeks 1–9), and follow up period (Weeks 10–21).
See this image and copyright information in PMC

References

    1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th. Author; Arlington, VA: 2013.
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    1. Andover MS, Pepper CM, Ryabchenko KA, Orrico EG, Gibb BE. Self-mutilation and symptoms of depression, anxiety, and borderline personality disorder. Suicide & Life-Threatening Behavior. 2005;35:581–591. doi: 10.1521/suli.2005.35.5.581. - DOI - PubMed
    1. Andover MS, Schatten HT, Morris BW, Miller IW. Development of an intervention for nonsuicidal self-injury in young adults: An open pilot trial. Cognitive and Behavioral Practice. 2015;22:491–503. doi: 10.1016/j.cbpra.2014.05.003. - DOI - PMC - PubMed

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