Home Biology World Suicide Prevention Day 2023: the Supporting Adolescents with Self-Hurt (SASH) examine

World Suicide Prevention Day 2023: the Supporting Adolescents with Self-Hurt (SASH) examine

World Suicide Prevention Day 2023: the Supporting Adolescents with Self-Hurt (SASH) examine


In a weblog for World Suicide Prevention Day 2023, Katherine Tallent discusses the Supporting Adolescents with Self-Hurt (SASH) examine registered on the ISRCTN registry.


Adolescents visiting A&E departments with self-harm are extra more likely to repeat self-harm and try suicide than matched controls. Many of those adolescents don’t obtain efficient follow-up care, regardless of this being a essential time of elevated threat for suicide. The Supporting Adolescents with Self-Hurt (SASH) examine responds to this hole by providing a rapid-response transient psychological intervention aiming to enhance outcomes for younger folks in disaster.

How are we doing it?

Young patient talking to nurse in A&E

Younger affected person speaking to nurse in A&E

© Monkey Enterprise / inventory.adobe.com

We’re conducting a realistic randomized managed trial evaluating the clinical- and cost-effectiveness of the intervention in lowering repeat self-harm in comparison with therapy as traditional (TAU). The trial is recruiting 144 adolescents who current to A&Es with self-harm or suicidal ideation with latest self-harm (inside 1 month).

Now we have recruited 33 psychological well being practitioners from CAMHS Pressing Care Groups to participate within the examine. Half of the recruited practitioners have been educated within the new SASH Intervention, while the opposite half are persevering with to ship TAU. The practitioners ship the intervention or TAU to sufferers throughout recruitment who meet the eligibility standards and consent to participate within the trial.

The SASH Intervention

The SASH Intervention is three to 6 follow-up classes involving Therapeutic Evaluation, Enhanced Security Planning, and Answer Targeted strategies:

  • Dennis Ougrin’s Therapeutic Evaluation (2009) is a collaborative and person-centered method that engages younger folks within the analysis of their psychological well being and self-harm difficulties. It prioritizes establishing a supportive alliance, exploring their narrative, and formulating a shared understanding of their self-harm.
  • Enhanced Security Planning includes an in depth dialogue across the younger individual’s strengths and sources, their most popular coping methods, potential boundaries to utilizing these coping methods, and collaboratively planning tips on how to overcome these boundaries ought to they come up.
  • The Answer Targeted method includes exploring the younger individual’s hopes for the long run, imagining that desired state of affairs intimately, after which figuring out the doable sources and strengths already current in reaching or working in the direction of these hopes. Specializing in the younger individual’s strengths and options fairly than issues could assist refocus them on the positives fairly than negatives in life and thus could also be much less more likely to contemplate the trail of suicide.

In a non-randomized examine, Therapeutic Evaluation and speedy scientific follow-up designed for adolescents presenting with self-harm have proven promising leads to lowering self-harm. Therapeutic Evaluation dramatically will increase engagement with follow-up care which is a key mechanism for lowering future self-harm: 83% attended the primary follow-up session. That is in line with a latest systematic evaluation in adults, whereby interventions which included therapeutic evaluation, security planning and speedy follow-ups have been efficient in lowering self-harm conduct in adults presenting with self-harm to the ED.


Conversation between psychologist and teenager in office

Dialog between psychologist and teenager in workplace

© Valerii Honcharuk / inventory.adobe.com

The first final result will probably be variety of self-harm episodes within the final month, measured 6 months after beginning the intervention, based mostly on the younger individual’s self-report. We’re additionally measuring socio-demographics; despair, anxiousness and well-being scores; faculty attendance; experiences of care in A&E; and the therapeutic relationship as rated by the younger individual.

Undertaking timeline

We educated the Intervention Practitioners in January 2023. Participant recruitment opened in Could 2023, presently we now have 16 individuals recruited.

For extra data, please contact:

Analysis Fellow Maria Lengthy (maria.lengthy@metropolis.ac.uk), or go to the SASH Examine web site. The examine can be on Twitter.


The SASH examine is funded by the Kavli Belief.

Undertaking group

The mission will probably be led by Metropolis College of London.

  • Principal Investigator: Professor Rose McCabe
  • Co-Investigators: Dr Sally O’Keeffe, Dr Dennis Ougrin, Professor Stefan Priebe, Dr Peter Martin, Dr Yan Feng
  • Analysis Fellow: Maria Lengthy
  • Analysis Assistants: Josh Lee & Katherine Tallent



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