Te Ira Tangata: A Study on Maori Self-Harm Treatment
Author Information
Author(s): Simon Hatcher, Nicole Coupe, Mason Durie, Hinemoa Elder, Rees Tapsell, Karen Wikiriwhi, Varsha Parag
Primary Institution: The University of Auckland
Hypothesis
A culturally informed treatment is more effective than treatment as usual in reducing the proportion of Maori who score below nine on the Beck Hopelessness Scale at one year.
Conclusion
The study aims to test whether a culturally informed package of care leads to better outcomes for Maori who present to hospital after self-harm compared to standard treatment.
Supporting Evidence
- Previous reviews indicated that problem solving therapy may be effective for self-harm.
- Maori present to hospitals for self-harm at a higher rate than non-Maori.
- The study aims to recruit a representative cohort of Maori patients.
Takeaway
This study is trying to help Maori people who hurt themselves by giving them special care that respects their culture, to see if it helps them feel better.
Methodology
The study uses a Zelen randomised controlled design where participants are randomised before giving consent.
Potential Biases
There is a risk of selection bias due to the Zelen design, as those who consent may not represent the entire population.
Limitations
The analysis of results may underestimate effects if many people refuse consent in the group randomised to problem solving therapy.
Participant Demographics
All adult Māori patients presenting to emergency departments who can give informed consent.
Statistical Information
P-Value
0.05
Confidence Interval
null
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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