Objective: This study evaluated a brief psychological intervention aimed at improving distress tolerance and decreasing future admissions for individuals presenting to a mental health service in the context of crisis or self-harm. Methods: Eighty-five participants completed The Crisis Intervention Package at the point of contact with the mental health service. The outcome of the intervention was evaluated through pre- and post-scores on the Distress Tolerance Scale and future hospital admissions. Results: Participants showed a significant improvement in Distress Tolerance Scale scores ( P < 0.001) indicating an increase in ability to tolerate distressing emotions. Additionally, there was a significant decrease in hospital admissions 6 months pre-test to 6 months post-test. Conclusions: The results demonstrate the potential effectiveness of structured, brief interventions aimed at increasing distress tolerance and self-management skills for individuals presenting to a mental health service in crisis.

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The primary aim of the literature review is to explore the relevant literature on the use and effectiveness of genograms in family therapy. The literature is predominantly related to the use of genograms in various settings and adaptations. There are minimal studies on the effectiveness of genograms as a therapeutic tool in family therapy. Searches were conducted of MEDLINE, EMBASE, CINAHL, SCOPUS and PsycINFO electronic databases. The international review includes all studies, irrespective of study methodology. This review will inform clinicians working in family therapy and other relevant disciplines on the usefulness of genograms as a therapeutic tool, examples of adaptations to the traditional genogram for specific populations and purposes, and, to a lesser extent, the therapeutic effectiveness of genograms in family therapy. The results and discussion will provide insights on the utilisation of genograms, the range of population, gaps in the existing literature and the need for further research.