Improving outcomes in patients who self-harm – Adapting and evaluating a brief psychological intervention in Emergency Departments (ASSURED)

ASSURED is a randomised controlled trial aiming to improve care for people presenting to the Emergency Department (ED) with self-harm and suicidal ideation. These presentations are increasing in UK EDs and are key risk factors for suicide, but limited resources and access to evidence-based treatment means that many people do not receive the onward care they need. ASSURED aims to recruit and train mental health practitioners to deliver the ASSURED intervention or Treatment as Usual (TAU) to 620 patient participants after they attend ED. The ASSURED intervention involves four rapid follow-up sessions, where the person has a chance to tell their story, develop a meaningful and personalised safety plan, and explore their hopes for the future using solution-focused techniques. We will assess the clinical and cost-effectiveness of the ASSURED intervention compared to TAU, with an aim of reducing self-harm and suicidal ideation presentations to ED, and improving secondary outcomes such as suicidality, psychological wellbeing, social outcomes, and experiences of care at ED. We have been guided throughout by people with lived experience and are grateful for their continued time and insight.