Beating Adolescent Self-Harm (BASH): a randomised controlled trial comparing usual care versus usual care plus a smartphone self-harm prevention app (BlueIce) in young adolescents aged 12–17 who self-harm: study protocol

Abstract

Introduction A mobile app, BlueIce, was codesigned with young people with a history of self-harm to provide them with more accessible and available evidence-based support at times of distress.

A preliminary evaluation found that BlueIce was acceptable, safe and used by young people and helped to reduce self-harm.

The present study is designed to assess the effectiveness and cost-effectiveness of adding BlueIce to usual Child and Adolescent Mental Health Service (CAMHS).

Methods and analysis This study is a single-blind, randomised controlled trial comparing usual CAMHS care with usual care plus BlueIce.

A total of 138 adolescents aged 12–17 with current or a history of self-harm will be recruited through the Oxford Health National Health Service (NHS) Foundation Trust via their CAMHS clinician.

The primary outcome is self-harm at 12 weeks assessed using the Risk Taking and Self-Harm Inventory for Adolescents.

Secondary outcomes include mood, anxiety, hopelessness, general behaviour, sleep and impact on everyday life at 12 weeks and 6 months.

Health-related quality of life and healthcare resource utilisation data will be collected at baseline, 12 weeks and 6 months.

Postuse interviews at 12 weeks will determine the acceptability, safety and usability of BlueIce.

Citations

Greenhalgh I, Tingley J, Taylor G, Medina-Lara A, Rhodes S, Beating Adolescent Self-Harm (BASH): a randomised controlled trial comparing usual care versus usual care plus a smartphone self-harm prevention app (BlueIce) in young adolescents aged 12–17 who self-harm: study protocol. BMJ Open 2021;11:e049859

Page last reviewed: 12 June, 2025

Metadata

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Collection: 123456789/32, 123456789/37

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Date issued: 2021-11

ID: 1222