Evidence map›Paper›PMID 30898177›Full record

SynthesisThe British journal of psychiatry : the journal of mental science2019

Self-management interventions for people with severe mental illness: systematic review and meta-analysis.

Melanie Lean, Miriam Fornells-Ambrojo, Alyssa Milton, Brynmor Lloyd-Evans, Bronwyn Harrison-Stewart, Amina Yesufu-Udechuku, Tim Kendall, Sonia Johnson

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of psychiatry : the journal of mental science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06322199 (Differences Between Suicide Attempters and Suicide Ideators. Influence of the Brief Therapy ASSIP on Neuropsychological Correlates and Psychological Process Factors), which is not on this map. Cited by 89 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 8 pooled it
20.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06322199 active not recruitingnot on this mapstarted 2022, after this paper: background citation

Differences Between Suicide Attempters and Suicide Ideators. Influence of the Brief Therapy ASSIP on Neuropsychological Correlates and Psychological Process Factors (NePsyASSIP HT) - Project 3

Typeobservational_patient_registrySponsorUniversity of BernRan2022 to 2026Enrolled119ConditionsSuicide, Attempted, Suicidal Ideation, Feasibility, Cost-effectivenessArmsASSIP (Attempted Suicide Short Intervention Program) flex
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 8 syntheses or guidelines pooled it, 216 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 5 countries.

Melanie LeanTrainee Clinical Psychologist,Division of Psychology and Language Sciences,University College London,UK.ORCID 0000-0002-3654-9914
Miriam Fornells-AmbrojoLecturer in Clinical Psychology,Division of Psychology and Language Sciences,University College London,UK.
Alyssa MiltonPostdoctoral Research Fellow,Brain and Mind Centre,University of Sydney,Australia.
Brynmor Lloyd-EvansSenior Lecturer in Mental Health and Social Care,Division of Psychiatry,University College London,UK.ORCID 0000-0001-9866-788X
Bronwyn Harrison-StewartResearch Assistant,Centre for Outcomes Research and Effectiveness,University College London,UK.
Amina Yesufu-UdechukuResearch Associate,Centre for Outcomes Research and Effectiveness,University College London,UK.
Tim KendallNational Clinical Director,Mental Health NHS England,UK.
Sonia JohnsonProfessor of Social and Community Psychiatry,Division of Psychiatry,University College London,UK.
Language Science (South Korea) · KROutcomes Research Consortium · USLondon Social Science · GBMental Health Research UK · GBNational Institute of Mental Health · JPThe University of Sydney · AU

Funding

Department of Health RP-PG-0109-10078
6 · The paper itself

Abstract

backgroundSelf-management is intended to empower individuals in their recovery by providing the skills and confidence they need to take active steps in recognising and managing their own health problems. Evidence supports such interventions in a range of long-term physical health conditions, but a recent systematic synthesis is not available for people with severe mental health problems.AimsTo evaluate the effectiveness of self-management interventions for adults with severe mental illness (SMI).

methodA systematic review of randomised controlled trials was conducted. A meta-analysis of symptomatic, relapse, recovery, functioning and quality of life outcomes was conducted, using RevMan.

resultsA total of 37 trials were included with 5790 participants. From the meta-analysis, self-management interventions conferred benefits in terms of reducing symptoms and length of admission, and improving functioning and quality of life both at the end of treatment and at follow-up. Overall the effect size was small to medium. The evidence for self-management interventions on readmissions was mixed. However, self-management did have a significant effect compared with control on subjective measures of recovery such as hope and empowerment at follow-up, and self-rated recovery and self-efficacy at both time points.

conclusionThere is evidence that the provision of self-management interventions alongside standard care improves outcomes for people with SMI. Self-management interventions should form part of the standard package of care provided to people with SMI and should be prioritised in guidelines: research on best methods of implementing such interventions in routine practice is needed.Declaration of interestsNone.

Indexed as

Quality of LifeSelf-ManagementHumansMental Disordersbipolar affective disorderscommunity mental health teamspsychosocial interventionspsychotic disordersSchizophrenia

Identifiers

PMID30898177
PMCPMC6499726
OpenAlexW2923541661

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.