Relational Approach to Working with Young People who Self-Harm
Research type
Research Study
Full title
Relational Approach to Working with Young People who Self-Harm (RELATE-YP): A Feasibility Study of Cognitive Analytic Therapy for Self-Harm in Young people
IRAS ID
344320
Contact name
Peter J Taylor
Contact email
Sponsor organisation
Pennine Care NHS Foundation Trust
Duration of Study in the UK
1 years, 11 months, 30 days
Research summary
Self-harm refers to when a person intentionally harms themselves, for example by cutting themselves or taking an overdose. Self-harm can occur both with and without suicidal intent. Self-harm is prevalent amongst young people and rates have increased in recent years. Self-harm in young people is a major health concern because it is associated with a greater risk of suicide and emotional distress. Evidence of which therapies are most helpful for young people who self-harm is limited. Some therapies that are currently used are also very intensive, can be difficult to access, and do not suit everybody. Cognitive Analytic Therapy (CAT) is a talking therapy that has the potential to help young people who self-harm. We have previously developed and evaluated an 8-session form of CAT that focuses on self-harm in adults. We have now adapted this therapy to work with young people.
Before a large-scale clinical trial of CAT for self-harm in young people can be undertaken, it is helpful to conduct a smaller-scale feasibility trial. The aim of the current study is therefore to undertake a feasibility randomised controlled trial (RCT) of CAT for young people (aged 13-17 years) who self-harm. Data will be collected to help answer important feasibility uncertainties (e.g. can we recruit an adequate sample). The trial will aim to recruit 60 young people with experiences of self-harm from NHS child and adolescent mental health services (CAMHS). Participants would be randomly allocated to either receive their usual treatment, or receive eight sessions of CAT plus their usual treatment. Participants will be invited to complete assessments at the study start, and 8, 16 and 20 weeks after they have been randomly allocated to a group. Assessments will capture important clinical outcomes, and data will also be collected on recruitment and attendance rates.
REC name
North West - Greater Manchester Central Research Ethics Committee
REC reference
25/NW/0230
Date of REC Opinion
26 Sep 2025
REC opinion
Further Information Favourable Opinion