A Randomized Study Protocol for Customized Interventions in Youth Deliberate Self-harm

Abstract

Background: The objective of this research is to provide ideal interventions for youth engaged in self-harm, addressing the scarcity of literature exploring these interventions. While dialectical behavior therapy (DBT) and cognitive behavioral therapy are common approaches, this study aims to explore the potential of problem solving therapy (PST) and coping skills therapy as promising interventions. Methods: The study is guided by cognitive behavioral theory (CBT), which provides the framework for understanding the relationships between cognitive constructs, personality profiles, coping skills, problem-solving abilities, emotions, and self-harm behaviors among adolescents. The research is designed as a randomized study protocol and includes primary and secondary outcome measures, including assessments of depressive and anxiety symptoms, quality of life, cognitive constructs, and personality profiles. Gender-specific effectiveness and the effectiveness of interventions in youth with borderline personality disorder (BPD) are also considered. Study Setting: The study will be conducted at the Institute of Medical Sciences and SUM Hospital, Bhubaneswar, India. Statistical Analysis: The statistical analysis will include a t-test, repeated measures ANOVA, regression analysis, and correlation coefficients to assess the interventions’ effectiveness and their interactions with individual characteristics. Nonetheless, this research protocol holds promise in providing valuable understanding into modified interventions for youth engaged in deliberate self-harm (DSH) behaviors.