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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

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{at}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.

on behalf of the POPMACT group

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.

International Journal of Social Psychiatry, Vol. 49, No. 1, 58-69 (2003)
DOI: 10.1177/0020764003049001148


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