[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"self-harm-behavior\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:self-harm-behavior":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,50,90],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":29,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100594578","dbt-skill-training-for-autistic-adults-with-difficulties-in-emotion-regulation-100594578",false,"NCT07021274","DBT Skill Training for Autistic Adults With Difficulties in Emotion Regulation.","DBT Skill Training for Autistic Adults With Difficulties in Emotion Regulation: a Feasibility Study.","Inclusion Criteria:\n\n* Fit general inclusion criteria for the out- patient treatment at the clinic.\n* Have diagnosed autism, and pervasive difficulties in emotion regulation.\n* Speak Scandinavian (Norwegian, Danish and\u002For Swedish).\n* Manage to commit to participating in the DBT- skills training.\n* Be willing to sign the written informed consent.\n\nExclusion Criteria:\n\n* Have a clinically significant low linguistic functioning that hinders the patient in understanding and answering the questions on the self-report instruments.\n* Being actively psychotic.\n* Have a Body Mass Index (BMI) under 17.\n* Cognitive disability Intelliganve quotient (IQ) \\\u003C85","ALL","18 Years",{"count":19,"type":20},15,"ESTIMATED","INTERVENTIONAL",[23],"NA","One in 44 has autism, 70% of them have additional mental health challenges. Currently, this patient population does not have access to effective treatment within specialist healthcare services and has struggled to benefit from standard treatments. The goal of this project is to increase access to treatment tailored to their challenges. We will investigate whether a treatment program with an adapted version of Dialectical Behavior Therapy (DBT) is feasible, accepted, and perceived as useful for people with autism. The purpose of the treatment is to improve emotion regulation, function better in relationships, and avoid crises, thereby enhancing their ability to achieve personal goals, reduce suffering, and increase quality of life. Autism is a lifelong neurodevelopmental disorder, presenting with great variation and more widespread than previously thought. Difficulties with emotion regulation are a central challenge for many with autism. These difficulties often manifest as an inability to recognize, understand, and manage emotional responses, leading to destructive strategies, behaviors, and suffering. DBT is developed with a focus on emotion regulation and has shown good effects in other patient populations. The project can increase access to treatment for a patient population that currently stands without.",[26,27,28],"Difficulties of Emotion Regulation","Self-harm Behavior","Autism Spectrum Disorder",[30,31,32,33,34,35,36],"Autisim","emotion regulation","DBT skills training","adults","ASD","Feasibility","Autism spectrum disorder","RECRUITING","2026-06-26",{"date":40,"type":41},"2026-06-29","ACTUAL",{"date":43,"type":41},"2025-08-15",{"date":45,"type":20},"2027-02-28",{"name":47,"class":48},"Helse Møre og Romsdal HF","OTHER_GOV",1,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":56,"eligibilityCriteria":57,"healthyVolunteers":58,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":59,"targetDuration":4,"studyType":61,"phases":4,"briefSummary":62,"conditions":63,"keywords":66,"overallStatus":79,"whyStopped":4,"lastUpdateSubmitDate":80,"lastUpdatePostDateStruct":81,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":4},"100584923","self-harm-and-the-prison-environment-mixed-methods-study-100584923","NCT06895668","Self-harm and the Prison Environment Mixed Methods Study","Self-harm and the Prison Environment (SHAPE): a Mixed Methods Study of the Role of Custody-specific Factors in Self-harm Behaviours Amongst Men and Women in Prison.","SHAPE","Inclusion Criteria:\n\n\\- New entrants to prison\n\nExclusion Criteria:\n\n* Expected release\u002Ftransfer date less than 12 weeks from date of entry\n* Lack capacity to give informed consent\n* Insufficient spoken English skills to participate\n* Assessed persistently as not safe to be seen face to face due to imminent high risk of violence.\n* Risk of psychological harm from participation more than minimal (based on risk assessment with prison's Safer Custody and mental health teams)",true,{"count":60,"type":20},458,"OBSERVATIONAL","Self-harming behaviour is a major problem in UK prisons: the number of self-harm incidents has more than doubled over the past decade. People who self-harm in prison are at greater risk of subsequent death by suicide. Risk assessment processes for the prison population are rudimentary and critically under-informed. Research evidence shows that a person's life history and current mental health make some more vulnerable than others to such behaviour. However, the role of the prison environment in contributing to self-harm risk is poorly understood. A wide range of environmental factors might be important, such as the degree of contact with the outside world, stimulation in the daily regime and conflicts with peers and prison staff. In a pilot study that the investigators carried out in a male prison, prison environment characteristics such as placement in a single-occupancy cell and changing cell or cellmate more frequently were associated with self-harm. These environmental factors now require further study in larger-scale research in men and women's prisons. Understanding which environmental factors are relevant to self-harming behaviour will help prison and healthcare staff to make better informed assessments of self-harming risks and better management plans to reduce such behaviours.\n\nThis study aims to establish the impact of the prison environment on self-harming behaviour amongst both men and women in prison using a mixed methods approach. The investigators now want to establish the precise influence of such factors in both male and female prisoners to help to improve the management of such behaviour. This will be done by interviewing and following up groups of male and female prisoners for a 12 week period (the cohort study). The investigators will then use focus groups to explore prisoner, staff and other stakeholder views on the findings (the focus group study). Finally, female self-harming prisoners will be interviewed to explore the detailed perspectives of women (the interview study). The studies will take place at three prisons: HMP Wandsworth and HMP Pentonville (both medium security men's prisons) and HMP Bronzefield (a high security women's prison).\n\nCohort study: Adults entering either prison are eligible to participate. The investigators will recruit a random sample of 458 men and women (based on a power calculation informed by previous pilot work). Participants will complete two 1-hour baseline assessments before being followed up for 12 weeks. The researchers will conduct two further in-person assessments and examine the participant's health and custodial records at the prison and link this with local wing-level prison data. The results will establish which of a range of possible prison environmental factors are related to self-harming behaviour.\n\nThe following prison-related predictors of self-harm behaviour will be examined in the cohort study:\n\n* Placement in a single-occupancy cell\n* Frequency of cell changes\n* Placement in solitary confinement\n* Violence perpetration\n* Other disciplinary infractions\n* Violent\u002Fsexual victimisation\n* Work status in prison\n* Time in purposeful activities\n* Social visit status\n* Legal status\n* Time out of cell (cumulative exposure)\n* Staffing ratio (cumulative exposure)\n* Staff experience (cumulative exposure)\n* Staff responsivity to emergency bells (cumulative exposure)\n\nFocus group study: The researchers will then use focus groups to explore the perspectives of prisoners and staff on our research findings and their implications for day-to-day practice. Adult self-harming prisoners, peer support workers, supervising officers and healthcare staff at the same prisons, alongside other stakeholders working in the field - including carers - will be eligible to participate in audio-recorded focus groups.\n\nInterview study: The investigators will explore in more detail the impact of prison-related factors on self-harm behaviour amongst female prisoners (having already completed such interviews with male prisoners in our pilot work). 10 adult self-harming women at HMP Bronzefield will be recruited to take part in audio-recorded semi-structured interviews.\n\nAnswering these questions will help to inform prison-wide strategies for reducing self-harm in both male and female prisoners.",[64,27,65],"Self-Harm","Self-Harm, Deliberate",[67,68,69,70,71,72,73,74,75,76,77,78],"Self-harm","Self-injury","Prospective cohort study","Qualitative","Focus groups","Semi-structured interviews","Environmental factors","Prison","Custody","Offenders","Prisoners","Incarceration","NOT_YET_RECRUITING","2025-03-25",{"date":82,"type":41},"2025-03-26",{"date":84,"type":20},"2025-07-01",{"date":86,"type":20},"2027-03-31",{"name":88,"class":89},"King's College London","OTHER",{"id":91,"slug":92,"hasResults":11,"nctId":93,"briefTitle":94,"officialTitle":95,"acronym":96,"eligibilityCriteria":97,"healthyVolunteers":11,"sex":16,"minAge":98,"maxAge":99,"enrollmentInfo":100,"targetDuration":4,"studyType":21,"phases":102,"briefSummary":103,"conditions":104,"keywords":108,"overallStatus":79,"whyStopped":4,"lastUpdateSubmitDate":114,"lastUpdatePostDateStruct":115,"startDateStruct":117,"completionDateStruct":119,"leadSponsor":121,"locationsCount":4},"100569085","understanding-and-acting-to-regulate-suicidal-behavior-100569085","NCT06689657","Understanding and Acting to Regulate Suicidal Behavior","Randomized Study of Two Modalities of Cognitive-behavioral Group Therapy in Adolescents with Suicidal Ideation or Suicidal Behavior","CARES","Inclusion Criteria:\n\n* Age from 12 to 16 years 11 months old\n* Active suicidal ideation and\u002For suicidal behavior during the last 6 months\n* The patient is referred by a healthcare professional\n\nExclusion Criteria:\n\n* Intellectual developmental disorder\n* Non-french speaking\n* Planned travel not allowing the complete following of the study\n* The patient, the parents or the legal guardian can not be correctly informed\n* The patient presents symptoms that prevent him from group interaction (behavior disorders, hallucinations, delirium)\n* The family already followed the same kind of program\n* The patient is already enrolled in a clinical trial or is taking a treatment off full market approval during 4 weeks before screening\n* The patient and the family are not affiliated to any healthcare insurance\n* No signed consent from parents or a legual guardian nor one of the parental authority holder\n* The patient did not consent","12 Years","16 Years",{"count":101,"type":20},108,[23],"Data from Santé Publique France show that since the onset of the health crisis (covid-19), there has been an increase in emergency room visits for mood disorders among children under 15 years of age, with a notable rise in the number of visits since early September 2020 compared to previous years. Recent literature considers Dialectical Behavior Therapy (DBT) as the only approach that has demonstrated (albeit weak to moderate) effects on the recurrence of self-harming behaviors. It is within this context, and based on these various findings, that the CARES program was developed (Understanding and Acting to Regulate Emotions and Suicidal Behaviors), aimed at adolescents who have engaged in suicidal behaviors or who have active suicidal ideation.\n\nThe objective of this study is to compare the CARES program for adolescents alone to the CARES program for adolescents combined with a parent group using Non-Violent Resistance (NVR) on the occurrence of self-harming behaviors among adolescents who have engaged in suicidal acts and\u002For have active suicidal ideation, six months after the conclusion of the intervention.\n\nThis is a prospective, randomized, open-label, single-center, controlled study with two parallel arms, with blinded assessment of the outcome measures.",[105,106,27,107],"Suicidal Ideation","Suicidal Behavior","Adolescents",[109,110,111,112,113],"Suicide prevention","Cognitive-behavioral therapy","Dialectical Behavior Therapy","Non pharmacological intervention","Adolescent","2024-11-13",{"date":116,"type":41},"2024-11-14",{"date":118,"type":20},"2025-01-06",{"date":120,"type":20},"2028-07-06",{"name":122,"class":89},"University Hospital, Montpellier"]