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Service Variation in Baseline Variables and Prediction of Risk in a Randomised Controlled Trial of Psychological Treatment in Repeated Parasuicide: The Popmact Study

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  • Peter Tyrer

    (Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Paterson Centre, London, W2 1PD, UK; Department of Psychological Medicine, Paterson Centre, 20 South Wharf Road, London, W2 1PD. p.tyrer@ic.ac.uk)

  • Vanessa Jones

    (Imperial College of Science, Technology and Medicine, London.)

  • Simon Thompson

    (MRC Biostatatistics Unit, Cambridge, UK.)

  • Jose Catalan

    (Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Paterson Centre, London, W2 1PD, UK.)

  • Ulrike Schmidt

    (Institute of Psychiary, London, SE5, UK.)

  • Kate Davidson

    (Glasgow Institute of Psychosocial Interventions, Academic Centre, Gartnavel Royal Hospital, Glasgow, UK.)

  • Martin Knapp

    (Centre for the Economics of Mental Health, Institute of Psychiatry, London, SE5, UK.)

  • Obioha C. Ukoumunne

    (Department of Public Health Sciences, King's College, London, SE1, UK.)

Abstract

The treatment protocol and baseline characteristics of 480 subjects with a history of repeated parasuicide recruited in five centres to a randomised therapeutic trial of manual assisted cognitive-behaviour therapy (MACT) and treatment as usual (TAU) are described. Most patients had significant anxiety and depressive disturbance with 42% having a personality disorder. Variation in service policies influenced recruitment, with earlier assessment centres seeing people with more frequent episodes of self-harm and greater parasuicide risk than later ones. Parasuicide risk was also significantly greater in those with their first parasuicide episode at an earlier age and in those with a more recent latest episode.

Suggested Citation

  • Peter Tyrer & Vanessa Jones & Simon Thompson & Jose Catalan & Ulrike Schmidt & Kate Davidson & Martin Knapp & Obioha C. Ukoumunne, 2003. "Service Variation in Baseline Variables and Prediction of Risk in a Randomised Controlled Trial of Psychological Treatment in Repeated Parasuicide: The Popmact Study," International Journal of Social Psychiatry, , vol. 49(1), pages 58-69, March.
    • Handle: RePEc:sae:socpsy:v:49:y:2003:i:1:p:58-69
    DOI: 10.1177/0020764003049001148
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    Cited by:

    1. Peter Tyrer & Ula Nur & Mike Crawford & Saffron Karlsen & Claire MacLean & Bharti Rao & Tony Johnson, 2005. "The Social Functioning Questionnaire: A Rapid and Robust Measure of Perceived Functioning," International Journal of Social Psychiatry, , vol. 51(3), pages 265-275, September.
    2. Peter Tyrer & Geetha Suryanarayan & Bharti Rao & Domenic Cicchetti & Naomi Fulop & Fiona Roberts & Jeremy Slaughter, 2006. "The Bed Requirement Inventory: A Simple Measure To Estimate The Need For A Psychiatric Bed," International Journal of Social Psychiatry, , vol. 52(3), pages 267-277, May.

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