TY - JOUR T1 - Randomised controlled trial of therapeutic assessment versus usual assessment in adolescents with self-harm: 2-year follow-up JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 772 LP - 776 DO - 10.1136/archdischild-2012-303200 VL - 98 IS - 10 AU - Dennis Ougrin AU - Isabel Boege AU - Daniel Stahl AU - Reetoodwaj Banarsee AU - Eric Taylor Y1 - 2013/10/01 UR - http://adc.bmj.com/content/98/10/772.abstract N2 - Background An earlier randomised controlled trial demonstrated improved treatment engagement in adolescents who received Therapeutic Assessment (TA) versus Assessment As Usual (AAU), following an emergency presentation with self-harm. Objectives To determine 2-year outcomes for the same adolescents focusing on frequency of Accident and Emergency (A&E) self-harm presentations and treatment engagement. Method Patients in the TA groups (n=35) and the AAU group (n=34) were followed up 2 years after the initial assessment. Their primary and secondary care electronic records were analysed. Results There was no significant difference in the frequency of self-harm resulting in A&E presentations between the two groups (OR 0.69, 95% CI 0.23 to 2.13, p=0.53). Treatment engagement remained higher in the TA group than the AAU group. Conclusions TA is not associated with a lower frequency of A&E self-harm presentations. The effect of TA on engagement is maintained 2 years after the initial assessment. Interventions to reduce self-harm in adolescents are needed. Trial registration ISRCTN 81605131, http://www.controlled-trials.com/ISRCTN81605131/ ER -