Trial reportSuicide & life-threatening behavior2020
Imaginator: A Proof-of-Concept Feasibility Trial of a Brief Imagery-Based Psychological Intervention for Young People Who Self-Harm.
Trial report in Suicide & life-threatening behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 4 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.
IMAGINATOR 2.0: Co-design and Early Evaluation of a Novel Blended Digital Intervention Targeting Self-harm in Young People
Investigating the Effects of a Psychedelic-augmented Mental Imagery-based Intervention for Young People With Self-harm Behaviour: an Experimental Medicine Study
Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review.BMC psychiatry · 2024Pooled it
- Mental imagery of suicide and non-suicidal self-injury: A meta-analysis and systematic review.Clinical psychology review · 2023Pooled it
- Determination of Markers of Successful Implementation of Mental Health Apps for Young People: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Early Evaluation of IMAGINATOR 2.0 Intervention Targeting Self-Harm in Young People: Single-Arm Feasibility Trial.JMIR formative research · 2026Trial
- Acceptability, use and safety of the BlueIce self-harm prevention app: qualitative findings from the Beating Adolescent Self-Harm (BASH) randomised controlled trial.BMJ mental health · 2024Trial
- Brief Online Negative Affect Focused Functional Imagery Training Improves 2-Week Drinking Outcomes in Hazardous Student Drinkers: a Pilot Randomised Controlled Trial.International journal of behavioral medicine · 2022Trial
- Examining a stepped-care telehealth program for parents of young children with autism: a proof-of-concept trial.Molecular autism · 2021Trial
- First-Hand Accounts of Suicidal Mental Imagery: A Taxonomy of Imagery Types.Behavioral sciences (Basel, Switzerland) · 2026Article
- The effectiveness of psychosocial interventions for self-harm in males compared to females: a systematic review and meta-analysis.The Lancet regional health. Europe · 2026Article
- Psychological risk profiles are associated with severity and motivational-volitional mechanisms of non-suicidal self-injury in adolescents and young adults.Frontiers in child and adolescent psychiatry · 2026Article
- The Experience of Goals and Rewards in Young People Who Self-Harm: A Qualitative Exploration.Healthcare (Basel, Switzerland) · 2025Article
- Self-harm-related mental imagery: A content analysis study of imagery reported by young people referred to mental health services.JCPP advances · 2025Article
- Addressing Youth Mental Health Through Schools and Primary Care Clinics Using the Connected for Wellness Mobile App: Protocol for a Stepped-Wedge Trial.JMIR research protocols · 2025Article
- Article
- Delivering real-time support for self-injury: A systematic review on ecological momentary interventions.Internet interventions · 2025Review
- Digital Mental Health Interventions for Young People Aged 16-25 Years: Scoping Review.Journal of medical Internet research · 2025Article
- Practitioner Review: Treatments for young people who self-harm - challenges and recommendations for research and clinical practice.Journal of child psychology and psychiatry, and allied disciplines · 2025Review
- 'Flashforward' mental imagery in adolescents: exploring developmental differences and associations with mental health.Behavioural and cognitive psychotherapy · 2024Article
- Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa.Addictive behaviors reports · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesThe Imaginator study tested the feasibility of a short mental imagery-based psychological intervention for young people who self-harm and used a stepped-wedge design to investigate effects on self-harm frequency reduction at 3 and 6 months.
methodA total of 38 participants aged 16-25 were recruited via community self-referral and mental health services. Participants were randomized to immediate delivery of Functional Imagery Training (FIT) or usual care followed by delayed delivery after 3 months. FIT comprised two face-to-face sessions, five phone sessions, and use of a smartphone app. Outcomes' assessment was blind to allocation.
resultsThree quarters of those who began treatment completed face-to-face sessions, and 57% completed five or more sessions in total. Self-harm frequency data were obtained on 76% of the sample at 3 months (primary outcome) and 63% at 6 months. FIT produced moderate reductions in self-harm frequency at 3 months after immediate (d = 0.65) and delayed delivery (d = 0.75). The Immediate FIT group maintained improvements from 3 to 6 months (d = 0.05). Participants receiving usual care also reduced self-harm (d = 0.47).
conclusionsA brief mental imagery-based psychological intervention targeting self-harm in young people is feasible and may comprise a novel transdiagnostic treatment for self-harm.
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What 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.