Trial reportSocial psychiatry and psychiatric epidemiology2016
Te Ira Tangata: a Zelen randomised controlled trial of a culturally informed treatment compared to treatment as usual in Māori who present to hospital after self-harm.
Trial report in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03781297 (Protocol for a Feasibility Study of Narrative Exposure Therapy in Homeless Individuals With Post-Traumatic Stress Disorder), which is not on this map. Cited by 19 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Protocol for a Feasibility Study of Narrative Exposure Therapy in Homeless Individuals With Post-Traumatic Stress Disorder
Who cites it
19 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Interventions to improve Cultural Safety in healthcare in CANZUS countries: a systematic mixed studies review of First Nations Peoples' experiences.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Pooled it
- Acute-Phase Interventions After Self-Harm for Preventing Suicide and Recurrence: A Systematic Review and Meta-Analysis.Acta psychiatrica Scandinavica · 2026Pooled it
- A systematic review of suicide risk management strategies in primary care settings.Frontiers in psychiatry · 2024Pooled it
- Systematic review of Indigenous involvement and content in mental health interventions and their effectiveness for Indigenous populations.The Australian and New Zealand journal of psychiatry · 2022Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2020Pooled it
- Global incidence of suicide among Indigenous peoples: a systematic review.BMC medicine · 2018Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2016Pooled it
- Use of pre-enrollment randomization and delayed consent to maximize participation in a clinical trial of opt-in versus opt-out tobacco treatment.Substance abuse · 2022Trial
- Exploring meaning in culture: Insights from meaning-centered psychotherapy in Aotearoa, New Zealand.Palliative & supportive care · 2026Article
- Interventions to improve equity in emergency departments for Indigenous people: A scoping review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Recent Interventions for Acute Suicidality Delivered in the Emergency Department: A Scoping Review.The western journal of emergency medicine · 2024Article
- Prevalence and correlates of internalizing and externalizing mental health problems among in-school adolescents in eastern Ethiopia: a cross-sectional study.Scientific reports · 2024Article
- Development of guidelines for school staff on supporting students who self-harm: a Delphi study.BMC psychiatry · 2022Article
- Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort.International journal of environmental research and public health · 2022Article
- Feasibility and acceptability of Narrative Exposure Therapy to treat individuals with PTSD who are homeless or vulnerably housed: a pilot randomized controlled trial.Pilot and feasibility studies · 2022Article
- Barriers and Facilitators of Access to Psychological Services for Indigenous Populations: A Scoping Review and Thematic Analysis.Frontiers in psychiatry · 2021Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIndigenous people have high rates of suicide and self-harm compared to other population groups.
aimThe aim of this trial was to see if a package of interventions delivered in a culturally appropriate way improved outcomes at one year in Maori who presented with intentional self-harm to emergency departments.
methodsParticipants were Maori who presented with intentional self-harm to emergency departments in New Zealand. The study design was a double consent Zelen randomised controlled trial. The intervention included regular postcards, problem solving therapy, patient support, risk management, improved access to primary care and cultural assessment in addition to usual care. The control group received usual care. The main outcome measure was the self-rated change in scores on the Beck Hopelessness Scale at one year.
results182 people were randomized to the intervention group 95 of whom consented to take part in the study. 183 people were randomized to the control group 72 of whom consented to take part in the study. For those who consented comparing the intervention group with the control group there was a statistically significant greater change in hopelessness scores at 3 months (difference -1.7 95 % CI -3.4 to -0.01, p = 0.05) but not at one year (difference -1.6 95 % CI -3.4 to 0.3, p = 0.11). Maori who consented and received the intervention were also significantly less likely to present to hospital for non-self-harm reasons in the year after the index episode (44.2 vs. 61.1 %, p = 0.03). Those participants randomised to the intervention were less likely to re-present with self-harm at 3 months (10.4 vs. 18 %, p = 0.04) but not at 12 months compared to the control group.
conclusionsIn Maori who presented to hospital with intentional self-harm a culturally informed intervention had an effect on hopelessness and re-presentation with self-harm in the short term but not at 12 months. There was a significant decrease in hospital presentations for non-self harm over the next year.
trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12609000952246.
Indexed as
Identifiers
26956679What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.