ISRCTN12440268.

Study name	JOSHUA: a pilot randomised controlled trial of joint crisis plans for people who self harm
Methods	RCT
Participants	1. Service users (both males and females) aged 18 years or older 2. Current contact with a local Community Mental Health Team (CMHT) (will include assessment and brief treatment, continuing care, home treatment and out‐patient clinics attached to these teams) 3. A primary clinical diagnosis of emotionally unstable personality disorder (International Statistical Classification of Diseases and Related Health Problems, 10th Revision [ICD‐10] code F60.3) 4. An episode of self‐harm in the previous year
Interventions	6 months of 1. joint crisis plan 2. TAU
Outcomes	Primary: Self‐harm history, assessed by a questionnaire at baseline and 6 months (trial end). Secondary: 1. Client's experience of the treatment that he or she received at a particular service, assessed by the Treatment Experience Scale assessed at baseline and 6 months 2. Service Engagement Scale at baseline, 6 months (trial end) and trial drop‐out 3. The Work and Social Adjustment Scale (WSAS) at baseline and 6 months (trial end) 4. Euroqol EQ‐5D at baseline and 6 months (trial end) 5. Client Satisfaction Questionnaire at baseline and 6 months (trial end) 6. Working Alliance Inventory ‐ short version (WAI‐S) (client version) at baseline and 6 months (trial end). This is a measure of how well a client and a clinician work together. 7. WAI‐S (staff version) at baseline, 6 months (trial end) and trial drop‐out 8. Adult Service Use Schedule (ADSUS) to assess which services clients have accessed in the preceding 6 months, for health economics purposes, carried out at baseline and 6 months (trial end) 9. Alcohol Use Disorders Identification Test (AUDIT) at baseline 10. Hospital Anxiety and Depression scale (HADS) at baseline
Starting date	01 October 2009
Contact information	Dr Paul Moran, Sir David Goldberg Building, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK, paul.moran@iop.kcl.ac.uk
Notes