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2015 ; 2015
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BMJ Clin Evid
2015[May]; 2015
(ä): ä PMID26032238
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INTRODUCTION: The lifetime prevalence of deliberate self-harm is about 3% to 5%
of the population in Europe and the US, and has been increasing. Familial,
biological, and psychosocial factors may contribute. Risks are higher in women
and young adults, people who are socially isolated or deprived, and people with
psychiatric or personality disorders. METHODS AND OUTCOMES: We conducted a
systematic review and aimed to answer the following clinical question: What are
the effects of non-pharmacological treatments for deliberate self-harm in
adolescents and adults? We searched: Medline, Embase, The Cochrane Library, and
other important databases up to August 2013 (Clinical Evidence reviews are
updated periodically; please check our website for the most up-to-date version of
this review). We included harms alerts from relevant organisations such as the US
Food and Drug Administration (FDA) and the UK Medicines and Healthcare products
Regulatory Agency (MHRA). RESULTS: Twenty-two studies were included. We performed
a GRADE evaluation of the quality of evidence for interventions. CONCLUSIONS: In
this systematic review we present information relating to the effectiveness and
safety of the following interventions: cognitive therapy; continuity of care;
dialectical behavioural therapy; emergency card; hospital admission; intensive
outpatient follow-up plus outreach; nurse-led case management; problem-solving
therapy; psychodynamic interpersonal therapy; and telephone contact.
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