Self-Harm
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Family-focused CBT is not superior to enhanced treatment-as-usual in reducing suicide attempts
In 2011, Esposito-Smythers et al. reported that integrated outpatient cognitive-behavioural therapy (I-CBT) significantly reduced substance use, suicidal behaviours, and the rate of health service use compared with enhanced treatment-as-usual (E-TAU) in adolescents with co-occurring alcohol or drug use disorder and suicidality.
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DBT is effective for youth with high levels of emotion dysregulation
In 2019, Molly Adrian and colleagues examined the predictors and moderators of treatment outcomes for suicidal adolescents who participated in a randomized controlled trial evaluating Dialectical Behaviour Therapy (DBT) versus Individual/Group Supportive Therapy (IGST).
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Dialectical behaviour therapy for adolescents: a comparison of 16-week and 24-week programmes delivered in a public community setting
Clinicians in CAMHS across Ireland have sought training in DBT-A to treat the increasing number of adolescents presenting to their services with self-harm and/or suicidal behaviour. With a growing national interest in DBT provision in community services, the National DBT Project Ireland was established in 2013 to coordinate training and implementation of DBT (in both adult and child/adolescent services) in the Irish public health service.
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Links between adverse childhood experiences and self-harm
What are ACEs, and how do they link with mental health and self-harm in particular?
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Depression, Self-harm and Suicidal Thoughts edition
There are good treatments available for depression, (pharmacological and non-pharmacological) though more options are required to meet the needs of those that do not respond well to treatment. The costs to society, not just the treatment cost but also cost to individuals and wider society including education and employment, are huge.
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Continued family dysfunction accounts for the association between childhood adversity and adolescent self-harm
Non-suicidal self-injury (NSSI) is any deliberate attempt at inflicting physical self-harm in the absence of suicidal intent. NSSI peaks during adolescence, with roughly 17% of adolescents reporting having engaged in it at least once.
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Raising Awareness for Body Dysmorphic Disorder
BDD is not something that clinicians always think of, so what are the symptoms that we should be looking out for and what evidence-based treatments can help relieve the symptoms that people experience?
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How can we identify and treat Body Dysmorphic Disorder?
Body Dysmorphic Disorder is a mental health condition where a person worries about perceived flaws in their appearance — flaws that are unnoticeable to others, or else appear incredibly slight. It affects people of any age but is most prevalent in teenagers and young adults, and although common, it frequently goes unrecognised or misdiagnosed.
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How does my lived experience inform my nursing practice?
“Being a CAMHS nurse allows me to be creative and to try to incorporate the most memorable care I received into my practice.”
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Machine learning approach predicts suicide risk
A study has evaluated the performance of machine learning on routinely collected electronic health records, as a possible approach to accurately screen and detect adolescents at risk of making suicide attempts.
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