Self-harmERGT-ANCT06297824
Feasibility of Emotion Regulation Group Therapy for Adolescent Self-Harm
A study testing ERGT-A in people with Self-harm and Emotion Regulation, run by Karolinska Institutet at 1 site in Sweden.
Trial summary
Deliberate self-harm (DSH) is a prevalent behaviour among adolescents but there is no current recommendation for an efficacious treatment. Emotion regulation group therapy (ERGT) is a brief treatment for DSH with a well-documented utility and feasibility in the adult population, and an adapted version for adolescents… Read more about this study
- Who is it for?
- Ages 13 to 17 years
- Conditions the study is for
- Self-harm, Emotion Regulation, Adolescent - Emotional Problem
- What is being tested?
- ERGT-A
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 21 participants
- Where
- 1 siteSweden
- Study dates
- 10 Oct 2023to 10 Mar 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 13 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- 13-17 years of age;
- having engaged in deliberate self-harm (DSH)-behaviours ≥ 5 times the last year;
- having engaged in ≥1 DSH episode during the past month;
- having ongoing psychiatric treatment in the community;
- having at least one caregiver or other significant adult, committed to participate in the parent program; and
- stability of psychotropic medications
Who cannot join
- a diagnosis of psychotic, bipolar I disorder or severe social anxiety disorder (SAD);
- ongoing substance dependence;
- the presence of co-occurring psychiatric disorders that require immediate treatment;
- having an autism spectrum disorder together with borderline intellectual disability or having an intellectual disability;
- insufficient understanding of the Swedish language
Trial locations and contacts
1 site in 1 country.
Sweden1 site
Prima Barn och Vuxenpsykiatri Handen och Järva
Stockholm, Spånga, 16374
About this study
Official title: Can a Brief Emotion Regulation Group Therapy Help Adolescents With Deliberate Self-Harm? A Feasibility Study and a Qualitative Interview Study
Deliberate self-harm (DSH) is a prevalent behaviour among adolescents but there is no current recommendation for an efficacious treatment. Emotion regulation group therapy (ERGT) is a brief treatment for DSH with a well-documented utility and feasibility in the adult population, and an adapted version for adolescents may provide equal benefits for adolescents, provided adjustments to prevent or decrease social contagion are present.
A quantitative feasibility open trial (N=20) followed up by a qualitative interview study will examine the feasibility, acceptability and preliminary effect of ERGT for adolescents.
Read the detailed description
Deliberate self-harm (DSH) is a prevalent behaviour among adolescents but there is no current recommendation for an efficacious treatment. Emotion regulation group therapy (ERGT) is a brief treatment for DSH with a well-documented utility and feasibility in the adult population, and an adapted version for adolescents may provide equal benefits for adolescents, provided adjustments to prevent or decrease social contagion are present. Adaptations to ERGT will result in a 12 session long treatment for adolescents Emotion regulation group therapy for Adolescents (ERGT-A). A parallel parent group focused on strengthening parental skills will be given alongside ERGT-A (5 sessions)
Method: A quantitative feasibility open trial (N=20) with pre, post and 1 month follow-up assessments will examine the feasibility, acceptability and preliminary effect of ERGT for adolescents.
Feasibility measures include recruitment rate, proportion beginning treatment, attrition, treatment credibility and satisfaction, negative effects, and alliance.
Preliminary effects measures include DSH, emotion regulation ability, anxiety and depression.
Method: A qualitative interview study. Using thematic analysis to explore participants' experience of ERGT-A and parent group
- Being tested
- ERGT-A
- Keywords
- self-harm, Emotion regulation, Group treatment, Adolescents
- Medical subject headings
- Self-Injurious Behavior, Emotional Regulation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ERGT-ABehavioural
Emotion regulation group therapy for adolescents
| Study group | Role | What they receive |
|---|---|---|
| ERGT-A | Other | 12 session emotion regulation treatment in group format. Psychoeducation and homework assignments. Subjects taught are the function of deliberate self-harm (DSH), functionality of emotions, negative consequences of emotional avoidance, non-avoidant emotion regulation. Receives: Behavioral: ERGT-A |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility measure, recruitment rate
Recruitment rate
Measured: through study completion, an average of 1 year
Feasibility measures, proportion included
Proportion of participants invited to participate who accepts and is included (higher = better, min 0%- max 100%)
Measured: through study completion, an average of 1 year
Feasibility measures, compliance
Compliance, no of sessions attended (>50%), (higher = better, min 0-max 10)
Measured: Pre-treatment to post-treatment (End of treatment, EOT) (12 weeks)
Feasibility measures, attrition
Attrition, percent of included participants who drops out of treatment (lower = better, min 0%- max 100%)
Measured: Pre-treatment to post-treatment EOT (12 weeks)
Feasibility measures, client satisfaction
Mean score on Client satisfaction questionnaire> 25 (higher= better, min 8-max 32)
Measured: at post-treatment EOT (12 weeks)
Feasibility measures, negative effects of treatment
Low rating on Negative effects Questionnaire (lower= better, min 0-max 20)
Measured: at post-treatment EOT (12 weeks)
Secondary outcomes (4)
Preliminary effect, self harm frequency EOT
Mean Deliberate self-harm frequency at post-treatment (min 0-max 100, lower=better)
Measured: Pre-treatment to post-treatment (EOT) (12 weeks)
Preliminary effect, self harm frequency 1MFU
Mean Deliberate self-harm frequency at post-treatment and 1MFU lower than at post-treatment (min 0-max 100, lower=better)
Measured: Post-treatment (EOT) to follow-up (4 weeks)
Preliminary effect, emotion dysregulation EOT
Mean difficulty in emotion regulation rating (DERS-16) at post-treatment lower than at pre-treatment (min 16, max 80, lower=better)
Measured: Pre-treatment to post-treatment (EOT) (12 weeks)
Preliminary effect, emotion dysregulation 1MFU
Mean difficulty in emotion regulation rating (DERS-16) at 1MFU lower than at post-treatment (min 16, max 80, lower=better)
Measured: Post-treatment (EOT) to follow-up (4 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2024
- Study start10 Oct 2023
- Primary completion10 Mar 2025
- Study completion10 Mar 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Self-harmStudies of the same condition, open and under way.
- More trials run by Karolinska InstitutetThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Feasibility, open trial
- Masking
- None (open label)
- Enrolment
- 21 participants (actual)
Sponsor and investigators
- Lead sponsor
- Karolinska Institutet
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hanna Sahlin, Karolinska Institutet
- Investigators
- Hanna Sahlin, PhD, Principal investigator, Karolinska Institutet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06297824
- Sponsor's protocol ID
- 2023-04909-01
- Other IDs
- 2023
- Acronym
- ERGT-A
- Status last verified
- Apr 2025
- First submitted
- 29 Jan 2024
- Last updated
- 9 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Can a Brief Emotion Regulation Group Therapy Help Adolescents With Deliberate Self-Harm? A Feasibility Study and a Qualitative Interview Study
- ClinicalTrials.gov ID
- NCT06297824
- Acronym / sponsor ID
- ERGT-A / 2023-04909-01
- Keywords
- self-harm, Emotion regulation, Group treatment, Adolescents
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 21 participants (actual)
- Lead sponsor
- Karolinska InstitutetUniversity, hospital or other
- Study start
- 10 Oct 2023 (actual)
- Primary completion
- 10 Mar 2025 (actual)
- Study completion
- 10 Mar 2025 (actual)
- First posted
- 7 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Deliberate self-harm (DSH) is a prevalent behaviour among adolescents but there is no current recommendation for an efficacious treatment. Emotion regulation group therapy (ERGT) is a brief treatment for DSH with a well-documented utility and feasibility in the adult population, and an adapted version for adolescents may provide equal benefits for adolescents, provided adjustments to prevent or decrease social contagion are present.
A quantitative feasibility open trial (N=20) followed up by a qualitative interview study will examine the feasibility, acceptability and preliminary effect of ERGT for adolescents.
Detailed description
Deliberate self-harm (DSH) is a prevalent behaviour among adolescents but there is no current recommendation for an efficacious treatment. Emotion regulation group therapy (ERGT) is a brief treatment for DSH with a well-documented utility and feasibility in the adult population, and an adapted version for adolescents may provide equal benefits for adolescents, provided adjustments to prevent or decrease social contagion are present. Adaptations to ERGT will result in a 12 session long treatment for adolescents Emotion regulation group therapy for Adolescents (ERGT-A). A parallel parent group focused on strengthening parental skills will be given alongside ERGT-A (5 sessions)
Method: A quantitative feasibility open trial (N=20) with pre, post and 1 month follow-up assessments will examine the feasibility, acceptability and preliminary effect of ERGT for adolescents.
Feasibility measures include recruitment rate, proportion beginning treatment, attrition, treatment credibility and satisfaction, negative effects, and alliance.
Preliminary effects measures include DSH, emotion regulation ability, anxiety and depression.
Method: A qualitative interview study. Using thematic analysis to explore participants' experience of ERGT-A and parent group
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Feasibility, open trial
| Arm | Type | Receives |
|---|---|---|
| ERGT-A | Other | Behavioral: ERGT-A12 session emotion regulation treatment in group format. Psychoeducation and homework assignments. Subjects taught are the function of deliberate self-harm (DSH), functionality of emotions, negative consequences of emotional avoidance, non-avoidant emotion regulation. |
Who may qualify
- Ages
- 13 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- 13-17 years of age;
- having engaged in deliberate self-harm (DSH)-behaviours ≥ 5 times the last year;
- having engaged in ≥1 DSH episode during the past month;
- having ongoing psychiatric treatment in the community;
- having at least one caregiver or other significant adult, committed to participate in the parent program; and
Key exclusion criteria (5 listed)
- a diagnosis of psychotic, bipolar I disorder or severe social anxiety disorder (SAD);
- ongoing substance dependence;
- the presence of co-occurring psychiatric disorders that require immediate treatment;
- having an autism spectrum disorder together with borderline intellectual disability or having an intellectual disability;
- insufficient understanding of the Swedish language
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ERGT-AEmotion regulation group therapy for adolescents | Behavioural | ERGT-A |
Primary outcome
Feasibility measure, recruitment rate
Time frame: through study completion, an average of 1 year
Recruitment rate
Feasibility measures, proportion included
Time frame: through study completion, an average of 1 year
Proportion of participants invited to participate who accepts and is included (higher = better, min 0%- max 100%)
Feasibility measures, compliance
Time frame: Pre-treatment to post-treatment (End of treatment, EOT) (12 weeks)
Compliance, no of sessions attended (>50%), (higher = better, min 0-max 10)
Feasibility measures, attrition
Time frame: Pre-treatment to post-treatment EOT (12 weeks)
Attrition, percent of included participants who drops out of treatment (lower = better, min 0%- max 100%)
Feasibility measures, client satisfaction
Time frame: at post-treatment EOT (12 weeks)
Mean score on Client satisfaction questionnaire> 25 (higher= better, min 8-max 32)
Feasibility measures, negative effects of treatment
Time frame: at post-treatment EOT (12 weeks)
Low rating on Negative effects Questionnaire (lower= better, min 0-max 20)
4 secondary outcomes
Preliminary effect, self harm frequency EOT
Time frame: Pre-treatment to post-treatment (EOT) (12 weeks)
Preliminary effect, self harm frequency 1MFU
Time frame: Post-treatment (EOT) to follow-up (4 weeks)
Preliminary effect, emotion dysregulation EOT
Time frame: Pre-treatment to post-treatment (EOT) (12 weeks)
Preliminary effect, emotion dysregulation 1MFU
Time frame: Post-treatment (EOT) to follow-up (4 weeks)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Apr 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hanna Sahlin, PhD principal investigator
Karolinska Institutet
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ERGT-A in people with Self-harm and Emotion Regulation, run by Karolinska Institutet at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility measure, recruitment rate (time frame: through study completion, an average of 1 year). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Apr 2025.