Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): a feasibility trial protocol

Pooja Saini, Anna Hunt, Peter Taylor, Catherine Mills, Caroline Clements, Helen Mulholland, Cecil Kullu, Mark Hann, Rui Duarte, Felicity Mattocks, Else Guthrie, Mark Gabbay, Pooja Saini, Anna Hunt, Peter Taylor, Catherine Mills, Caroline Clements, Helen Mulholland, Cecil Kullu, Mark Hann, Rui Duarte, Felicity Mattocks, Else Guthrie, Mark Gabbay

Abstract

Background: People who self-harm are at high risk for future suicide and often suffer considerable emotional distress. Depression is common among people who self-harm and may be an underlying driver of self-harm behaviour. Self-harm is often repeated, and risk of repetition is highest immediately after an act of self-harm. Readily accessible brief talking therapies show promise in helping people who self-harm, but further evaluation of these approaches is needed. A brief talking therapy intervention for depression and self-harm has been designed for use in a community setting. This mixed methods feasibility study with repeated measures will examine the feasibility and acceptability of the Community Outpatient Psychological Engagement Service for Self-Harm (COPESS) for people with self-harm and depression in the community, compared to routine care.

Methods: Sixty participants with a history of self-harm within the last six months, who are also currently depressed, will be recruited to take part in a feasibility single-blind randomised controlled trial (RCT). Participants will be randomised 1:1 to receive COPESS plus treatment as usual (TAU) or TAU alone. Recruitment will be via General Practitioners (GP) and self-referral. Assessment of feasibility and acceptability will be assessed via quantitative and qualitative methods including measures of recruitment and retention to the feasibility trial, participants' experience of therapy, completion/completeness of outcome measures at relevant time-points and completion of a service use questionnaire.

Discussion: The results will indicate whether it is feasible to conduct a definitive full trial to determine whether COPESS is a clinically and cost effective intervention for people who self-harm in the community. Qualitative and quantitative data will in addition help identify potential strengths and/or challenges of implementing brief community-based interventions for people who self-harm.

Trial registration: NCT04191122 registered 9th December 2019.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2021. The Author(s).

Figures

Fig. 1
Fig. 1
Recruitment flow chart
Fig. 2
Fig. 2
Randomization flow chart
Fig. 3
Fig. 3
Summary of the sequence of study-related assessments, procedures and activities

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