Abstract
Article AbstractBecause this piece does nothave an abstract, we have provided for your benefit the first 3 sentences of the full text.To the Editor: Dr Amos, a local colleague, makes the fairly obviousintellectual point that the design of our studyis unable to definitively provethat the young people who were randomized to 3 active treatment conditions andwho improved over the course of the trial would not have had the same outcomesif treatment had been withheld. However, we believe, for 2 reasons, that ourinterpretation is correct that even relatively nonspecific, yet comprehensive,psychosocial intervention is very likely to have helped these patients toimprove.Firstly, thebaseline characteristics of the sampleindicate that these help-seekingpatients are experiencing severe distress, a range of comorbid syndromes,moderately severe functional impairment, and substantial risk ofself-harm.
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