Evidence map›Paper›PMID 39819704›Full record

Trial reportBMC psychology2025

Treating self-harm behaviors in prisons: implementation of the STEPPS program.

Rosa Lorente-Català, Irene Jaén, Xavier Buscà-Huertas, Berta Framis, Azucena García-Palacios

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06297460 (Adaptation of the Systems Training for Emotional Predictability & Problem Solving), which is not on this 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.

NCT06297460 naunknown statusnot on this map

Adaptation of the Systems Training for Emotional Predictability & Problem Solving (STEPPS) Program for Addressing Emotional Dysregulation and Self-harming Behaviors in Penitentiary Centers in Catalonia

TypeinterventionalSponsorUniversitat Jaume IRan2022 to 2025Enrolled50ConditionsSelf HarmArmsSystems Training for Emotional Predictability & Problem Solving (STEPPS)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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

5 authors.

Rosa Lorente-CatalàDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.
Irene JaénDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, Spain. ijaen@unizar.es.
Xavier Buscà-HuertasUnit of Specialized Intervention Programs, Directorate General of Penitentiary Affairs, Generalitat de Catalunya, Barcelona, Spain.
Berta FramisCriminal Execution Research Unit of the Center for Legal Studies and Specialized Training, Department of Justice, Rights and Memory, Generalitat de Catalunya, Barcelona, Spain.
Azucena García-PalaciosDepartment of Basic and Clinical Psychology, and Psychobiology, Universitat Jaume I, Castellon, Spain.

Funding

Conselleria de Innovación, Universidades, Ciencia y Sociedad Digital, Generalitat Valenciana ACIF/2020/332Ministerio de Ciencia, Innovación y Universidades (Spain). Instituto de Salud Carlos III. Convocatoria de Ayudas a la acción estratégica de salud. P19/00723
6 · The paper itself

Abstract

backgroundImproving mental health within correctional facilities, specifically to address self-harm behaviors, is a crucial endeavor. However, significant challenges arise when implementing evidence-based programs within this complex setting. Despite these hurdles, the Systems Training for Emotional Predictability and Problem Solving (STEPPS) program has garnered recognition, notably in the United States, for its efficacy in tackling such issues. This study aimed to examine inmate profiles in prisons located in Catalonia, Spain, and to investigate the STEPPS program's effectiveness and implementation process.

methodForty-one inmates participated in the study and completed measures covering self-harm behaviors, emotion regulation, impulsivity, mental health symptoms, and satisfaction with the intervention. Twenty-four professionals who implemented the STEPPS program completed satisfaction, normalization process, burnout, acceptability, appropriateness, and feasibility measures.

resultsThe results suggest that the STEPPS program significantly reduced symptoms of emotional dysregulation, motor impulsivity, and compulsive symptomatology among inmates. The intervention was well-received by professionals, and perceived as appropriate and feasible. The perception of feasibility decreased after implementation, likely due to contextual factors such as inmate and organization characteristics. Additionally, professionals remained committed to the implementation, dedicating time and effort to the process and engaging in thorough evaluations, without increasing their levels of burnout.

conclusionsThese findings deepen the understanding of self-harm behaviors in prisons, highlighting the program STEPPS as promising approach for addressing self-harm. However, improvements in the STEPPS program are still necessary to enhance its implementation in this setting.

trial registrationNCT06297460 (ClinicalTrials.gov, retrospectively registered, 2022/01/01).

Indexed as

PrisonersPrisonsProblem SolvingSelf-Injurious BehaviorAdultEmotional RegulationFemaleHumansImpulsive BehaviorMaleMiddle AgedSpainCorrectional facilitiesImplementation researchPenitentiary interventionSelf-harm behaviorsSTEPPS

Identifiers

PMID39819704
PMCPMC11740610

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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.