The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study.

Mughal, Faraz; Chew-Graham, Carolyn A; Saunders, Benjamin; Lawton, Sarah A; Lewis, Sarah; Smith, Jo; Lancaster, Gillian; Townsend, Ellen; Armitage, Christopher J; Bower, Peter; Kapur, Nav; Kessler, David; Realpe, Alba X; Wiles, Nicola; Ougrin, Dennis; Lewis, Martyn

Abstract

BackgroundSelf-harm in young people is a growing concern and reducing rates a global priority. Rates of self-harm documented in general practice have been increasing for young people in the UK in the last two decades, especially in 13-16-year-olds. General practitioners (GPs) can intervene early after self-harm but there are no effective treatments presently available. We developed the GP-led COPING intervention, in partnership with young people with lived experience and GPs, to be delivered to young people 16-25 years across two consultations. This study aims to examine the feasibility and acceptability of conducting a fully powered effectiveness trial of the COPING intervention in NHS general practice.MethodsThis will be a mixed-methods external non-randomised before-after single arm feasibility study in NHS general practices in the West Midlands, England. Patients aged 16-25 years who have self-harmed in the last 12 months will be eligible to receive COPING. Feasibility outcomes will be recruitment rates, intervention delivery, retention rates, and completion of follow-up outcome measures. All participants will receive COPING with a target sample of 31 with final follow-up data collection at six months from baseline. Clinical data such as self-harm repetition will be collected. A nested qualitative study and national survey of GPs will explore COPING acceptability, deliverability, implementation, and likelihood of contamination.DiscussionBrief GP-led interventions for young people after self-harm are needed to address national guideline and policy recommendations. This study of the COPING intervention will assess whether a main trial is feasible.RegistrationISRCTN (ISRCTN16572400; 28.11.2023).

Citation

Mughal, F., Chew-Graham, C. A., Saunders, B., Lawton, S. A., Lewis, S., Smith, J., …Lewis, M. (2024). The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study. NIHR Open Research, 4, https://doi.org/10.3310/nihropenres.13576.2

• Journal Article Type: Article
• Acceptance Date: May 8, 2024
• Online Publication Date: Oct 15, 2024
• Publication Date: Jan 1, 2024
• Deposit Date: Nov 11, 2024
• Publicly Available Date: Nov 11, 2024
• Journal: NIHR open research
• Print ISSN: 2633-4402
• Electronic ISSN: 2633-4402
• Publisher: Taylor and Francis
• Peer Reviewed: Peer Reviewed
• Volume: 4
• DOI: https://doi.org/10.3310/nihropenres.13576.2
• Keywords: Feasibility, Protocol, General Practice, Young People, Self-harm, General Practitioner, Mixed Methods
• Public URL: https://keele-repository.worktribe.com/output/974757
• Publisher URL: https://openresearch.nihr.ac.uk/articles/4-27/v2
• PMID: 39463843