Evidence map›Paper›PMID 32057131›Full record

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.

Martina Di Simplicio, Elizabeth Appiah-Kusi, Paul Wilkinson, Peter Watson, Caroline Meiser-Stedman, David J Kavanagh, Emily A Holmes

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT06311084 nacompletednot on this mapstarted 2022, after this paper: background citation

IMAGINATOR 2.0: Co-design and Early Evaluation of a Novel Blended Digital Intervention Targeting Self-harm in Young People

TypeinterventionalSponsorImperial College LondonRan2022 to 2024Enrolled29ConditionsSelf Injurious Behavior, Adolescent Behavior Problem, Child Behavior Problem, Mental Health DisorderArmsImaginator 2.0
NCT06798636 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Investigating the Effects of a Psychedelic-augmented Mental Imagery-based Intervention for Young People With Self-harm Behaviour: an Experimental Medicine Study

TypeinterventionalSponsorImperial College LondonRan2025 to 2026Enrolled30ConditionsSelf HarmArmsPsilocybin 5 mg with cognitive behavioural therapy intervention, Placebo with cognitive behavioural therapy intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  4. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
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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

7 authors.

Martina Di SimplicioDivision of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0001-5701-9659
Elizabeth Appiah-KusiDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, UK.
Paul WilkinsonDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Peter WatsonMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Caroline Meiser-StedmanCambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
David J KavanaghCentre for Children's Health Research, School of Psychology & Counselling, Institute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia.
Emily A HolmesDepartment of Psychology, Uppsala University, Uppsala, Sweden.

Funding

Medical Research Council MC_U105579212Medical Research Council MC_UP_0901/1Medical Research Council MC_UU_00005/14Medical Research Council MC_UU_00005/15
6 · The paper itself

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.

Indexed as

Psychosocial InterventionSelf-Injurious BehaviorAdolescentAdultFeasibility StudiesHumansOutcome Assessment, Health CareYoung Adult

Identifiers

PMID32057131
PMCPMC7613067

What OpenQuestion holds

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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.