{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:03:51Z","timestamp":1780549431917,"version":"3.54.1"},"reference-count":42,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec id=\"S2056472425107801_as1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Self-harm is widespread and often occurs in the community without resulting in hospital presentation. Individuals with depressive symptoms are at elevated risk. There are limited self-harm interventions designed for community and primary care settings. The Community Outpatient Psychological Engagement Service for Self-harm (COPESS) is a brief talking therapy intervention for self-harm based in community settings.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425107801_as2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To assess the feasibility of evaluating the COPESS intervention in a community setting in relation to participant recruitment, retention, data collection and the acceptability of the intervention.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425107801_as3\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>We used a mixed-method approach and a single-blind randomised controlled trial design with 1:1 allocation to either COPESS plus treatment as usual or treatment as usual alone. Adults with depressive symptoms and self-harm in the past 6 months were recruited from general practices. Secondary outcome measures were assessed at baseline and 1 month, 2 months and 3 months after randomisation. The trial was pre-registered on clinicaltrials.gov (NCT04191122) on 9 December 2019.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425107801_as4\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Fifty-five people were randomised (of an initial target of 60). Retention rates at follow-up assessments were high (&gt;75%), as was attendance by all participants for all therapy sessions (93%). At 3 months, there were trends towards lower levels of self-harm urges, depressive symptoms and distress in the COPESS group compared with controls. Fidelity to the manualised COPESS therapy was moderate to high.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472425107801_as5\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>All progression criteria were met, supporting further evaluation of the intervention in a full-scale efficacy and\/or cost-effectiveness trial. These findings add to the growing evidence base supporting the utility of brief psychological interventions for self-harm. COPESS has potential as a brief primary-care-based intervention for those struggling with self-harm.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2025.10780","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T04:58:18Z","timestamp":1755665898000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and acceptability of the Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): randomised controlled trial"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-7914","authenticated-orcid":false,"given":"Pooja","family":"Saini","sequence":"first","affiliation":[{"name":"School of Psychology, Liverpool John Moores University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Hunt","sequence":"additional","affiliation":[{"name":"School of Psychology, Liverpool John Moores 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