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Background <p>Self-harm is a major health concern amongst young people that is increasing in prevalence. Cognitive analytic therapy (CAT) is a relational, integrative psychotherapy that is theoretically consistent with our growing understanding of self-harm. The aim of this study was to ascertain the feasibility and acceptability of evaluating brief CAT in young people aged 13–17 who self-harm using a randomised controlled trial (RCT) design.</p> Method <p>Sixty young people with experiences of self-harm will be recruited from child and adolescent mental health services. Participants will be randomly allocated (1:1 ratio) to brief CAT plus treatment as usual (TAU) or TAU alone. Assessors will be blind to treatment allocation. Assessments will occur at baseline, 8, 16, and 20&#xa0;weeks after randomisation. A qualitative process evaluation will investigate experiences of the therapy and trial procedures. The primary outcome for this study is feasibility, judged against a priori progression criteria relating to recruitment, retention, adherence to therapy, and missing data.</p> Discussion <p>Brief CAT may help young people struggling with self-harm, but research is needed. In order to undertake a definitive RCT, it is first necessary to resolve a number of feasibility uncertainties. The planned feasibility trial will help inform a larger definitive trial focused on the efficacy of brief CAT for young people who self-harm.</p> Trial registration <p>The trial was pre-registered (01/08/25) on ISR CTN (ISRCTN code: ISRCTN11505839).</p>

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Cognitive analytic therapy for self-harm with young people: protocol for the RELATE-YP feasibility randomized controlled trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月14日

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  • Peter Taylor,
  • Isabel Adeyemi,
  • Martin Eden,
  • Samantha Hartley,
  • Mark Hann,
  • Cameron Latham,
  • Sarah Parry,
  • Catherine Robinson,
  • Stephen Kellett

摘要

Background

Self-harm is a major health concern amongst young people that is increasing in prevalence. Cognitive analytic therapy (CAT) is a relational, integrative psychotherapy that is theoretically consistent with our growing understanding of self-harm. The aim of this study was to ascertain the feasibility and acceptability of evaluating brief CAT in young people aged 13–17 who self-harm using a randomised controlled trial (RCT) design.

Method

Sixty young people with experiences of self-harm will be recruited from child and adolescent mental health services. Participants will be randomly allocated (1:1 ratio) to brief CAT plus treatment as usual (TAU) or TAU alone. Assessors will be blind to treatment allocation. Assessments will occur at baseline, 8, 16, and 20 weeks after randomisation. A qualitative process evaluation will investigate experiences of the therapy and trial procedures. The primary outcome for this study is feasibility, judged against a priori progression criteria relating to recruitment, retention, adherence to therapy, and missing data.

Discussion

Brief CAT may help young people struggling with self-harm, but research is needed. In order to undertake a definitive RCT, it is first necessary to resolve a number of feasibility uncertainties. The planned feasibility trial will help inform a larger definitive trial focused on the efficacy of brief CAT for young people who self-harm.

Trial registration

The trial was pre-registered (01/08/25) on ISR CTN (ISRCTN code: ISRCTN11505839).