Year: 2003 Source: Psychological Medicine, v.33, (2003), p.969-976 SIEC No: 20052083

480 patients presenting with recurrent deliberate self-harm were randomized to either manual-assisted cognitive behaviour therapy (MACT) or treatment as usual (TAU) & followed up over 1 year. Ratings of parasuicide risk, anxiety, depression, social & global functioning, & quality of life were measured at baseline after 6 & 12 months. It was concluded that brief cognitive behaviour therapy has limited efficacy in reducing self-harm repetition, but the findings taken in conjunction with the economic evaluation indicate superiority of MACT over TAU in terms of cost & effectiveness. (LC) (30 refs)