Evidence map›Paper›PMID 31300065›Full record

ArticleTrials2019

Self-injury: Treatment, Assessment, Recovery (STAR): online intervention for adolescent non-suicidal self-injury - study protocol for a randomized controlled trial.

Michael Kaess, Julian Koenig, Stephanie Bauer, Markus Moessner, Gloria Fischer-Waldschmidt, Margarete Mattern, Sabine C Herpertz, Franz Resch, Rebecca Brown, Tina In-Albon and 5 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Non-Suicidal Self-Injury in Adolescents: A Systematic Review on Prevention and Intervention Programmes.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2025
    Pooled it
  2. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. The Association between Nonsuicidal Self-Injury and Perfectionism in Adolescence: The Role of Mental Disorders.European journal of investigation in health, psychology and education · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Tailoring treatments for adolescents with nonsuicidal self-injury.European child & adolescent psychiatry · 2020
    Article
  17. Article
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

15 authors at 5 institutions in 3 countries.

Michael KaessUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. michael.kaess@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-0031-7764
Julian KoenigUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Stephanie BauerCentre for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany.
Markus MoessnerCentre for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany.
Gloria Fischer-WaldschmidtClinic for Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Margarete MatternDepartment of General Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Sabine C HerpertzDepartment of General Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Franz ReschClinic for Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Rebecca BrownDepartment of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Tina In-AlbonDepartment of Clinical Child and Adolescent Psychology and Psychotherapy, Faculty of Psychology, University of Koblenz-Landau, Landau, Germany.
Michael KoelchDepartment for Child and Adolescent Psychiatry and Psychotherapy, Medical School Brandenburg, Neuruppin, Germany.
Paul L PlenerDepartment of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Christian SchmahlDepartment of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Alexandra EdingerSection for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
STAR Consortium
Heidelberg University · DEUniversity Hospital Ulm · DEUniversity of Bern · CHMedizinische Hochschule Brandenburg Theodor Fontane · DEUniversity of Koblenz and Landau · DE

Funding

Bundesministerium für Bildung und Forschung 01GL1747B
6 · The paper itself

Abstract

backgroundNon-suicidal self-injury (NSSI) is a clinically significant behavior affecting approximately 18% of adolescents and young adults worldwide. The importance of NSSI is supported by its association with a broad spectrum of mental disorders. Despite its high relevance, evidence-based, specific, time-, and cost-effective treatment approaches are scarce. Cognitive behavioral therapy (CBT) seems effective in reducing the frequency of NSSI in adolescents and young adults. However, young people are often reluctant to seek professional help and effective interventions adressing NSSI are not sufficiently available across all regions of Germany. Research indicates that the majority of youth with risk behavior (including NSSI) prefer technology-based interventions. To date, effective interventions for adolescents and young adults with NSSI that are deliverd online are not available.

methodsThe present project aims to develop and evaluate an online intervention for adolescents and young adults with NSSI based on the content of a recently evaluated face-to-face short-term program that includes elements of CBT and dialectical behavior therapy (DBT): "The Cutting Down Programme" (CDP). The efficacy of the new online CDP intervention will be tested in a randomized controlled trial (RCT) in which n = 700 youths engaging in repetitive NSSI will participate in either an online psychoeducation (n = 350) or online CDP (n = 350). Within a postline assessment four months after baseline (end of treatment; T1), and follow-up evaluations 12 and 18 months after baseline (follow-ups; T2 and T3), NSSI and comorbid symptoms as well as quality of life will be assessed. It is hypothesized that participants receiving online CDP report a greater reduction in the frequency of NSSI within the last three months at T2 (primary endpoint) compared to those receiving online psychoeducation. Exploratory analyses will focus on predictors of treatment outcome. DISCUSSION: We report on the development and evaluation of an online intervention for adolescents and young adults engaging in NSSI based on the CDP. If supported by empirical evidence, an online-based intervention for NSSI might help to overcome the limited availability of adequate interventions for youth.

trial registrationGerman Clinical Trials Register, DRKS00014623 . Registered on 22 May 2018.

Indexed as

Adolescent BehaviorInternet-Based InterventionTherapy, Computer-AssistedAdolescentAge FactorsCognitive Behavioral TherapyDialectical Behavior TherapyFemaleGermanyHealth Knowledge, Attitudes, PracticeHumansMaleMulticenter Studies as TopicPatient Education as TopicRandomized Controlled Trials as TopicSelf-Injurious BehaviorAdolescentsInternetNon-suicidal self-injuryOnline interventionRandomized controlled trial

Identifiers

PMID31300065
PMCPMC6626324
OpenAlexW2959328941

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.