© 2002 Evidence-Based Mental Health
Therapeutics
Brief psychodynamic interpersonal therapy after deliberate self poisoning reduced suicidal ideation and deliberate self harm
Guthrie E, Kapur N, Mackway-Jones K, et al. Randomised controlled trial of brief psychological intervention after deliberate self poisoning. BMJ 2001 Jul 21;323:135–8
QUESTION: In patients with deliberate self poisoning, does brief psychodynamic interpersonal therapy (PIT) reduce suicidal ideation, severity of depression, and further episodes of self harm and increase patient satisfaction?
Randomised {allocation unconcealed*}
;, blinded (outcome assessor)*, controlled trial with 6 months of follow up.
A university hospital emergency department in Manchester, UK.
119 adults who were 18–65 years of age (mean age 31 y, 55% women), presented with an episode of deliberate self poisoning, lived in the catchment area, were registered with a general practitioner, and did not need inpatient psychiatric treatment. 80% of patients completed 6 month assessments.
After stratification by history of self harm, patients were allocated to 4 fifty minute sessions of PIT (n=58) or to usual care (n=61). PIT consisted of identifying and helping to resolve interpersonal difficulties that caused or exacerbated psychological distress. The therapy was described in a standardised manual.
Suicidal ideation (Beck Scale for Suicidal Ideation). Secondary outcomes were depression symptoms (Beck Depression Inventory), patient satisfaction (10 point scale, with higher scores indicating higher satisfaction), and further episodes of deliberate
University of Leeds Leeds, UK
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