Treatment for Non-Suicidal Self-Injury in Young Adults



Status:Completed
Conditions:Hospital
Therapuetic Areas:Other
Healthy:No
Age Range:18 - 29
Updated:2/8/2015
Start Date:September 2008
End Date:July 2013
Contact:Margaret S Andover, Ph.D.
Email:moodbehavior@fordham.edu
Phone:718.817.0188

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Development of an Intervention for Non-Suicidal Self-Injury in Young Adults

The purpose of this study is to investigate an intervention specifically for non-suicidal
self-injury (NSSI) in young adults. The goal of this 9-session outpatient intervention is to
reduce the frequency and severity of NSSI. During Phase I, 12 patients will be treated in an
open pilot trial. During Phase II, 60 patients will be treated in a randomized controlled
pilot study in order to determine the feasibility and acceptability of the intervention and
to investigate change in NSSI frequency and severity over time.

Non-suicidal self-injury (NSSI), deliberate harm to the body without suicidal intent, is
highly prevalent in young adults, with 1 in 10 college students engaging in over 100
episodes in their lifetimes. Consequences of NSSI are severe, including physical injury
ranging in medical severity, distress from shame associated with the behavior, social
isolation, psychological symptoms, and increased risk and lethality of NSSI over time.
Despite the prevalence and significant consequences of NSSI, no empirically supported
treatments specific to NSSI exist. The purpose of this study is to develop, implement, and
evaluate an intervention specifically for NSSI in young adults, the Treatment for
Self-Injurious Behaviors (T-SIB). This time-limited intervention will integrate
theoretically-based strategies whose utility has been identified through empirical research
with the goal of reducing frequency and severity of NSSI. The research plan consists of 2
phases. During Phase 1, 12 patients will be treated in an open pilot trial. During Phase
2, 60 patients will be treated in a randomized controlled pilot study to determine the
feasibility and acceptability of T-SIB, investigate change in NSSI frequency and severity
between T-SIB and treatment as usual (TAU) through a 3-month follow up period, and evaluate
the research design of the randomized controlled pilot study to inform both the utility and
design of a larger randomized clinical trial.

Inclusion Criteria:

- Ages 18-29

- NSSI within the past month OR history of NSSI and urge to self-injure within the past
month

Exclusion Criteria:

- Psychotic symptoms

- Severe suicidal ideation
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