Evidence map›Paper›PMID 41611448›Full record

Trial reportBMJ mental health2026

Parents' coping with their adolescent's negative emotions following internet-delivered emotion regulation therapy for adolescents with non-suicidal self-injury disorder: a secondary analysis of a randomised clinical trial.

Olivia Ojala, Katja Sjöblom, Hugo Hesser, Erik Hedman-Lagerlöf, Clara Hellner, Johan Bjureberg

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03353961 (Internet Delivered Emotion Regulation Individual Therapy for Adolescents With Nonsuicidal Self-Injury), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03353961 nacompletednot on this map

Internet Delivered Emotion Regulation Individual Therapy for Adolescents With Nonsuicidal Self-Injury: A Randomized Controlled Study

TypeinterventionalSponsorKarolinska InstitutetRan2017 to 2021Enrolled166ConditionsNonsuicidal Self-injuryArmsEmotion regulation individual therapy, Treatment as usual
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Olivia Ojala *Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Region Stockholm, Stockholm, Sweden olivia.ojala@ki.se.ORCID http://orcid.org/0000-0001-8581-3083
Katja Sjöblom *Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Region Stockholm, Stockholm, Sweden.
Hugo HesserSchool of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden.
Erik Hedman-LagerlöfDepartment of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Clara HellnerCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Region Stockholm, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-8375-9447
Johan BjurebergCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Region Stockholm, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-2747-9990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-suicidal self-injury (NSSI) among adolescents is linked to adverse outcomes for youth and their families. While parental involvement is considered essential in treating adolescent NSSI, the effects on parents remain unclear.

objectiveTo evaluate if Internet-delivered Emotion Regulation Individual Therapy for Adolescents (IERITA) adjunctive to treatment as usual (TAU) is superior to TAU alone in improving parental coping with adolescents' negative emotions, the durability of potential effects and whether reductions in parents' minimising of their adolescent's emotions mediate adolescent outcomes.

methods166 adolescents with NSSI disorder (93% female; mean (SD) age=15.0 (1.2) years) and their parents (83% female; mean (SD) age=46.5 (5.1) years) were randomised to IERITA plus TAU (n=84) or TAU-only (n=82). IERITA is a 12-week, therapist-guided emotion regulation behavioural therapy, including both adolescents and parents. In parallel to the adolescent, parents participate in a separate internet-delivered course designed to provide skills for understanding and supporting their adolescent. The outcomes were parental coping measured by the Coping with Children's Negative Emotions Scale-Adolescent version, including minimisation (primary outcome), distress, punitive and expressive encouragement responses at baseline, post-treatment (primary endpoint) and 3 months post-treatment. Parental minimisation was tested as a mediator of adolescent NSSI absence and emotion regulation difficulties.

findingsThere were statistically significant treatment effects on parental minimisation and distress responses at post-treatment and 3 months post-treatment, and punitive responses at 3 months post-treatment, favouring IERITA. Parental minimisation did not mediate adolescent NSSI absence or emotion regulation difficulties.

conclusionIERITA shows promise for supporting parents of youth with NSSI. Further studies are needed to understand how parental improvement may impact youth with NSSI. CLINICAL IMPLICATIONS: Online family treatment for NSSI can improve how parents handle their adolescents' emotions. TRIAL REGISTRATION NUMBER: NCT03353961.

Indexed as

Adaptation, PsychologicalAdolescent BehaviorBehavior TherapyEmotional RegulationInternet-Based InterventionParentsSelf-Injurious BehaviorAdolescentAdultFemaleHumansInternetMaleMiddle AgedParent-Child RelationsBehavior TherapyEmotion-Focused TherapyMental Health TeletherapyPsychotherapy

Identifiers

PMID41611448
PMCPMC12863314

What OpenQuestion holds

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LicenceCC BY
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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.