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Longer-term Effectiveness of Systemic Family Therapy for Young People After Self-harm

An extended follow up of pragmatic randomised controlled trial

About the Course:

Self-harm in adolescents is a significant global mental health problem and it tends to be a repeated problem. A single effective intervention strategy has not been identified. This course is based on a study which looked at the results of an extended follow-up (to at least 36 months) to the Self-Harm Intervention: Family Therapy (SHIFT) program trial. The topic of self-harm in adolescents will be reviewed. Additionally, the results of the original SHIFT trial as well as the results of the extended follow-up study will be covered in this course. Clinical implications of this study and recommendations for further research will also be reviewed.

This course is based on the reading-based online article, Longer-term Effectiveness of Systemic Family Therapy Compared With Treatment As Usual for Young People After Self-harm created by David J. Cottrell, MA, FRCPsych, et al. in 2020.

Publication Date:

EClinicalMedicine, 18, 100246 Jan 2020

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

David J. Cottrell, MA, FRCPsych
David J. Cottrell is affiliated with Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. His research interests are in the evaluation of psychological interventions and of Child and Adolescent Mental Health services. He was a co-author of the NICE guidelines on the management of depression in children and young people. He has been Chief Investigator of a large multi-centre randomised controlled trial investigating systemic family therapy following teenage self-harm (SHIFT, funded by NIHR), and co-investigator on a second multi-centre randomised controlled trial evaluating multi-systemic treatment for teenagers at risk of care or custody (START, funded by the Department of Health). His current research interests continue to focus on self-harm in young people. He has had multiple works published in peer reviewed journals.
Alex Wright-Hughes , MSc
Alex Wright-Hughes is a Principal Statistician within the Complex Interventions Division at the Clinical Trials Research Unit (CTRU), Leeds Institute of Clinical Trials Research (LICTR), University of Leeds. She is interested in the design, conduct, analysis and reporting of clinical trials of complex interventions and have contributed to research across diverse clinical areas, settings, trial designs and interventions. She is working on several grant projects and has had her work published in multiple peer reviewed journals.
Ivan Eisler, PhD
Ivan Eisler was affiliated with the Institute of Psychiatry, Psychology and Neurological Science Kings College London, London, UK. He has been a major influence on the creation of effective, evidence-based eating disorders services in the UK and internationally. In addition, his focus on evidence-based interventions and his collaborative approach to therapy, focusing on the way the family organize themselves around the problem, and avoiding family blame, has been an important influence on the field of family therapy. His research has ensured that family therapy and other systemic approaches are accepted as key interventions in the treatment of eating disorders. His work has been published in multiple peer reviewed journals.

Course Creator

Anna Lynn Hollis, Ph.D., School Psychologist
Anna Hollis, Ph.D., NCSP, is a nationally certified school psychologist currently living near Detroit, Michigan. She is licensed as a psychologist in 2 states (Michigan and South Carolina) and certified as a school psychologist in in 5 states (South Carolina, Michigan, Vermont, Pennsylvania, and Maryland). She is a member of the American Psychological Association (APA); the National Association of School Psychologists (NASP); the Michigan Association of School Psychologists (MASP); and the Association for Contextual Behavioral Science (ACBS). Dr. Hollis obtained her Ph.D. in School Psychology from the University of South Carolina. Her professional interests include Acceptance and Commitment Therapy (ACT); Positive Psychology; Trauma-Informed Practice; and Urban School Psychology.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Discuss the topic of self-harm in adolescents, including current prevalence estimates, recurrence, and interventions.
  2. Discuss the results of the initial Self-Harm Intervention: Family Therapy (SHIFT) trial.
  3. Describe the results of the extended follow-up study.
  4. Discuss the clinical implications of this research on the treatment of self-harm in adolescents.
  5. Discuss the authors' recommendations based on this research.


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Authors

The authors have disclosed any disclosures within the material.

Course Creator: Anna Lynn Hollis, Ph.D., School Psychologist

No relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

Exam Questions

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Categorized in:

Course Number 103241
1 CE credit hour
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  • Reading-Based Online
Exam Fee $5.97
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