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Table 1 Outcome measures

From: The ACCESS study a Zelen randomised controlled trial of a treatment package including problem solving therapy compared to treatment as usual in people who present to hospital after self-harm: study protocol for a randomised controlled trial

Outcome measure

Description

Explanation

Administered

Primary

   

Hospital repetition of self-harm

 

Data on hospital contacts from participating DHB's and the New Zealand Health Information Service National Minimum Dataset

Three and twelve months

Secondary

   

Hopelessness

Beck Hopelessness Scale (BHS)[22]

Best predictor of subsequent self-harm. Scores on a range of 0 to 20 with higher scores indicating greater hopelessness.

Baseline, three and twelve months

Depression and anxiety

Hospital Anxiety and Depression Scale (HADS)[23]

Self report scale. Scores of 10 and above on the anxiety and depression sub scales indicate clinically significant symptoms.

Baseline, three and twelve months.

Health status

EQ-5D [24]

A generic health-related quality of life index that can be related to costs.

Baseline, three months and twelve months

Self report repetition of self-harm

 

Self report assessed by telephone interviewer blind to allocation

Three and twelve months

Social functioning

SF-36 [25]

A generic measure of functional health and well being

Baseline, three and twelve months

Sense of belonging

Sense of belonging instrument (SOBI) [26]

Self report scale on sense of belonging to a community and ethnicity

Baseline, three and twelve months

Seriousness of suicide attempt

Self rated objective part of the Beck Suicide Intent Scale (BSIS)[27]

Self report scale indicating the degree of suicidal intent of the self-harm episode

Baseline

Costs following index attempt

Health service use, costs of attending care, cost of medication and time off work

Self report assessed by telephone interviewer blind to allocation

Three and twelve months