Cost-effectiveness of psychological and psychosocial interventions for adults, children and young people who have self-harmed.

Background: Self-harm is a major health issue resulting in high societal costs. Few psychological and psychosocial interventions have shown effectiveness in reducing repeat self-harm.

Objective: To assess the cost-effectiveness of psychological and psychosocial interventions that have shown evidence of effectiveness in adults and CYP (children and young people) who have self-harmed.

A real-world study of the effectiveness of DBT in the UK National Health Service.

Objectives: Dialectical behavioral therapy (DBT) has gained widespread popularity as a treatment for borderline personality disorder (BPD), and its efficacy has been demonstrated in several trials. The aim of this study was to evaluate the effectiveness of DBT delivered by staff with a level of training readily achievable in National Health Service care settings for individuals with a Cluster B personality disorder.

Design: Randomized control trial methodology was used to compare DBT to treatment as usual (TAU).

Treating personality fragmentation and dissociation in borderline personality disorder: A pilot study of the impact of cognitive analytic therapy.

Recent findings suggest that personality fragmentation may be a core component of borderline personality disorder (BPD) and that successful treatment of BPD may depend on the extent to which this is addressed. Cognitive analytic therapy (CAT) can increase integration by strengthening awareness, and hence control, of the dissociative processes maintaining fragmentation. This pilot study aimed to conduct a systematic evaluation of the impact of CAT on BPD severity and personality integration.

Treating personality fragmentation and dissociation in borderline personality disorder: a pilot study of the impact of cognitive analytic therapy.

Recent findings suggest that personality fragmentation may be a core component of borderline personality disorder (BPD) and that successful treatment of BPD may depend on the extent to which this is addressed. Cognitive analytic therapy (CAT) can increase integration by strengthening awareness, and hence control, of the dissociative processes maintaining fragmentation. This pilot study aimed to conduct a systematic evaluation of the impact of CAT on BPD severity and personality integration.

The effect of system design on bacterial contamination of enteral tube feeds.

The effect of recent changes in system design on the levels and incidence of bacterial contamination in enteral tube feeds was examined by comparing two different systems. Adult patients who had been identified as requiring enteral tube feeding were allocated to receive sterile, whole protein enteral feed from either 2 x 1000 mL triple foil laminated pouches (Nutrison Standard, Nutrison Pack, Nutricia Ltd, UK) attached to a Flocare 800 pack giving set or from 2 x 1000 mL rigid plastic bottles (Osmolite, Ross Ready-to-Hang, Abbott Laboratories, UK) connected to a Patrol Pump set. Samples of feed from the nutrient containers were sent for microbiological analysis each time the container was changed (12 and 24 h) and samples from the distal ends of giving sets after 24 h.