Self-harm In Eating Disorders (SHINE) Study

SHINE (Self-Harm in Eating Disorders) is an NIHR-funded study investigating the psychological, emotional, and social factors that underlie self-harm in young people aged 16-25 with an eating disorder. 

About the Study

Approximately 25%-55% of young people with an eating disorder also self-harm. Currently, however, there is a lack of understanding around why a young person may develop both an eating disorder and self-harm, how these impact each other, and what a young person’s specific care and support needs are. These knowledge gaps have clear implications for treatment pathways and outcomes. To date, there are no NHS services or interventions which provide much-needed specialist support for both an eating disorder and self-harm.

In the SHINE study we are recruiting young people with a diagnosis of an eating disorder and either current or previous self-harm thoughts or behaviours, from three UK-based outpatient services: (i) Forward Thinking Birmingham, Birmingham Women’s and Children’s NHS Foundation Trust; (ii) Gloucestershire Health and Care NHS Foundation Trust, and (iii) Coventry and Warwickshire Partnership Trust.

We have been working closely with the Institute for Mental Health’s Young Persons Advisory Group to design the study, explore the feasibility and acceptability of the study methods, ensure that ethical standards are met, and disseminate the findings.

This study is funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number NIHR201108).

The study gained ethical approval from the NHS HRA West Midlands – Black Country Research Ethics Committee (number: 296032).

Team members

Dr Anna Lavis (Chief Investigator) is an Associate Professor in Medical Anthropology within the Institute for Applied Health Research at the University of Birmingham.

Dr Maria Michail (Co-Investigator) is an Associate Professor within the Institute for Mental Health at the University of Birmingham.

Miss Rosina Pendrous is a Research Fellow within the Institute of Applied Health Research at the University of Birmingham.

Miss Christina Easter (Co-Investigator) is a Medical Statistician within the Institute of Applied Health Research at the University of Birmingham.

Mx Kalen Reid (Co-Investigator) is the study’s PPI lead.

Dr Sheryllin McNeil (Co-Investigator) is the Psychological Therapies Lead at the Specialist Eating Disorder Service, within the Birmingham Women’s and Children’s NHS Foundation Trust.

Dr Helen Bould (Co-Investigator) is a Consultant Senior Lecturer in Child and Adolescent Psychiatry at the University of Bristol and an Honorary Consultant in Child and Adolescent Psychiatry within the Gloucestershire Health and Care NHS Foundation Trust.

Dr Anthony Winston (Co-Investigator) is a consultant in Eating Disorders and Medical Lead for Eating Disorders within the Coventry and Warwickshire Partnership Trust.

Publications

Lavis A, McNeil S, Bould H, et al. Self-Harm in Eating Disorders (SHINE): a mixed-methods exploratory study. BMJ Open 2022;12:e065065. doi: 10.1136/bmjopen-2022-065065

Contact us

Dr Anna Lavis: a.c.lavis@bham.ac.uk

Dr Maria Michail: m.michail@bham.ac.uk

Miss Rosina Pendrous: r.pendrous@bham.ac.uk

 

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About the SHINE Study - YouTube