Evidence map›Paper›PMID 34452642›Full record

ArticlePilot and feasibility studies2021

Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): a feasibility trial protocol.

Pooja Saini, Anna Hunt, Peter Taylor, Catherine Mills, Caroline Clements, Helen Mulholland, Cecil Kullu, Mark Hann, Rui Duarte, Felicity Mattocks and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04191122 (Community Outpatient Psychotherapy Engagement Service for Self-harm), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT04191122 naunknown statusnot on this map

Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): A Feasibility Study

TypeinterventionalSponsorLiverpool John Moores UniversityRan2020 to 2022Enrolled60ConditionsSelf-Harm, DepressionArmsCOPESS
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Selection and reporting of usual care comparators when designing primary care trials of complex health interventions: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
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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

12 authors.

Pooja SainiSchool of Psychology, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK.
Anna HuntSchool of Psychology, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK.
Peter TaylorDivision of Psychology & Mental Health, Academic Health Sciences Centre, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Catherine MillsMersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, L34 1PJ, UK.
Caroline ClementsDivision of Psychology & Mental Health, Academic Health Sciences Centre, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Helen MulhollandDepartment of Primary Care and Mental Health, The University of Liverpool, Waterhouse Building Block B, Liverpool, L69 3GF, UK.
Cecil KulluMersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, L34 1PJ, UK.
Mark HannBiostatistics, Division of Population Health, Health Services Research & Primary Care, Manchester, UK.
Rui DuarteDepartment of Primary Care and Mental Health, The University of Liverpool, Waterhouse Building Block B, Liverpool, L69 3GF, UK.
Felicity MattocksPenny Lane Surgery, 7 Smithdown Place, Liverpool, L15 9EH, UK.
Else GuthrieSchool of Medicine, The University of Leeds, Woodhouse, Leeds, LS2 9JT, UK.
Mark GabbayDepartment of Primary Care and Mental Health, The University of Liverpool, Waterhouse Building Block B, Liverpool, L69 3GF, UK. M.B.Gabbay@liverpool.ac.uk.ORCID http://orcid.org/0000-0002-0126-8485

Funding

Research for Patient Benefit Programme NIHR200543
6 · The paper itself

Abstract

backgroundPeople who self-harm are at high risk for future suicide and often suffer considerable emotional distress. Depression is common among people who self-harm and may be an underlying driver of self-harm behaviour. Self-harm is often repeated, and risk of repetition is highest immediately after an act of self-harm. Readily accessible brief talking therapies show promise in helping people who self-harm, but further evaluation of these approaches is needed. A brief talking therapy intervention for depression and self-harm has been designed for use in a community setting. This mixed methods feasibility study with repeated measures will examine the feasibility and acceptability of the Community Outpatient Psychological Engagement Service for Self-Harm (COPESS) for people with self-harm and depression in the community, compared to routine care.

methodsSixty participants with a history of self-harm within the last six months, who are also currently depressed, will be recruited to take part in a feasibility single-blind randomised controlled trial (RCT). Participants will be randomised 1:1 to receive COPESS plus treatment as usual (TAU) or TAU alone. Recruitment will be via General Practitioners (GP) and self-referral. Assessment of feasibility and acceptability will be assessed via quantitative and qualitative methods including measures of recruitment and retention to the feasibility trial, participants' experience of therapy, completion/completeness of outcome measures at relevant time-points and completion of a service use questionnaire. DISCUSSION: The results will indicate whether it is feasible to conduct a definitive full trial to determine whether COPESS is a clinically and cost effective intervention for people who self-harm in the community. Qualitative and quantitative data will in addition help identify potential strengths and/or challenges of implementing brief community-based interventions for people who self-harm.

trial registrationNCT04191122 registered 9th December 2019.

Identifiers

PMID34452642
PMCPMC8390538

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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.