Evidence map›Paper›PMID 38925663›Full record

Trial reportBMJ mental health2024

Acceptability, use and safety of the BlueIce self-harm prevention app: qualitative findings from the Beating Adolescent Self-Harm (BASH) randomised controlled trial.

Paul Stallard, Kathryn Whittle, Emma Moore, Antonieta Medina-Lara, Nia Morrish, Shelley Rhodes, Gordon Taylor, Bethany Cliffe

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
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.

Paul StallardDepartment for Health, University of Bath, Bath, UK p.stallard@bath.ac.uk.ORCID http://orcid.org/0000-0001-8046-0784
Kathryn WhittleOxford Health NHS Foundation Trust, Oxford, UK.
Emma MooreOxford Health NHS Foundation Trust, Oxford, UK.
Antonieta Medina-LaraDepartment of Public Health and Sport Sciences, University of Exeter, Exeter, UK.
Nia MorrishDepartment of Public Health and Sport Sciences, University of Exeter, Exeter, UK.
Shelley RhodesUniversity of Exeter Medical School, Exeter, UK.
Gordon TaylorUniversity of Exeter Medical School, Exeter, UK.
Bethany CliffeDepartment for Health, University of Bath, Bath, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the social validity of self-harm prevention apps for young adolescents with severe mental health problems who repeatedly self-harm.

objectiveWe assessed the acceptability, use and safety of BlueIce, a self-harm prevention app for young adolescents who self-harm.

methodsMixed methods study involving a content analysis of postuse interviews. Participants were a clinical group of 60 UK adolescents aged 12-17 with repeated self-harm, randomised to receive BlueIce.

findingsBlueIce was used by 57/60 (95%) respondents with 47/57 (82%) using BlueIce when thinking about self-harm. 17/47 (36%) who were thinking about self-harm used it on more than six occasions with 36/47 (77%) reporting that BlueIce prevented at least one episode of self-harm. 33/47 (70%) reported occasions when they used the app but still went on to self-harm. Reasons why the app was not used or not helpful included feeling too distressed, a negative mindset, prior decision to self-harm or forgetting. BlueIce was rated 4.09 (SD=0.75) out of 5 stars, with high mean ratings out of 10 for ease of use (8.70, SD=1.37) and good for acceptability (7.68, SD=2.05) and helpfulness (6.77, SD=1.72). No respondent identified BlueIce as triggering any episode of self-harm.

conclusionThese findings are consistent with previous evaluations and highlight the acceptability, use and safety of BlueIce. Self-reports indicate that BlueIce prevented some episodes of self-harm. CLINICAL IMPLICATIONS: Our results highlight the acceptability of the BlueIce self-harm app for young adolescents who repeatedly self-harm.

Indexed as

Mobile ApplicationsSelf-Injurious BehaviorAdolescentAdolescent BehaviorChildFemaleHumansMalePatient Acceptance of Health CareQualitative ResearchUnited KingdomChild & adolescent psychiatrySuicide & self-harm

Identifiers

PMID38925663
PMCPMC11202734

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Registered trials

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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.