‘Suicide and self-harm; The Research, The Evidence, The Interventions’ Emanuel Miller Memorial International Online Conference

30


Event type Emanuel Miller International Conference

Online
Thursday 30 March and Friday 31 March
13:00 - 16:00 UK time (tbc)

Sad looking teenage girl

Worldwide 10-20% of young people report having self-harmed at least once before the age of 18 and self-harm is one of the strongest risk factors for completed suicide. Added to this suicide is the 2nd leading cause of death for young people globally and therefore predictors such as self-harm are of great importance.

A critical topic that all those working in the field of child and adolescent mental health should know about. Learn about the latest research, the different types of interventions, and the evidence base that supports this. The Emanuel Miller Memorial Lecture & International Online Conference will focus on ‘Suicide and self-harm; The Research, The Evidence, The Interventions’ gathering together the leading academics, clinicians, and researchers in field.

Booking and prices
About the talks
Confirmed speakers

Booking and prices

To book simply click the button at the top of the page, or this link, and fill in the details. ACAMH Members should sign in first to ensure that they get their discount. If you are not an ACAMH Member now is a great time to join and make a saving on this event. Take a look at the different levels of membership on offer. Don’t forget as a charity any surplus made is reinvested back as we work to our vision of ‘Sharing best evidence, improving practice’, and our mission to ‘Improve the mental health and wellbeing of young people aged 0-25’. 

Early bird special now on offer

£79 ACAMH Members (then £99)

£119 Non Members (then £139) Join now and save

£5 – ACAMH Undergraduate & Masters Members, at all times

FREE – International members, at all times

About the talks – more details to follow

Professor Paul Plener –What helps adolescents who self-harm? Therapeutic approaches for challenging behaviours’
Self-harming behaviours in adolescents are often challenging for clinicians to treat. The last 10 years have seen an increase in well-conducted studies on therapeutic approaches to target self-harming behaviours and a couple of meta-analyses have underlined the efficacy of psychotherapeutic interventions. This talk will provide an overview about existing psychotherapeutic interventions to address self-harming behaviours and will also provide an insight in new “non-psychotherapeutic” approaches that have been studied ,including psychopharmacological or other biologically oriented treatment methods.

Learning outcomes

  • To understand different psychotherapeutic treatment approaches in self-harm in adolescents
  • To be able to differentiate the evidence for different interventions for self-harm
  • To gain knowledge about non talk-oriented therapeutic interventions for self-harm in adolescents

Professor Christian Schmahl‘Psychobiological mechanisms of non-suicidal self-injury’
Non-suicidal self-injury (NSSI) is a frequent dysfunctional behavior in adolescence and also part of the symptom spectrum of psychiatric conditions such as Borderline Personality Disorder (BPD). Most past research on NSSI has focused on epidemiology, risk factors, as well as functions of NSSI. Previous research on biological substrates of NSSI has been less extensive and has particularly focused on potentially underlying biological traits (cortisol, endogenous opioids, limbic brain regions, processing of painful stimuli) in individuals with NSSI. In spite of a high volatility of NSSI symptoms during adolescence, and effective treatment options, both resulting in substantial remission rates, however, it remains unclear why and how NSSI follows a more severe course in a substantial portion of individuals. It thus seems important to investigate state-related aspects of NNSSI and to dissect psychobiological processes involved in NSSI acts with different resolutions (i.e. at the biomolecular, endocrine, psychophysiological, neural, behavioural, and psychosocial level). Latest biological research in NSSI combines assessment during every-day life with experimental measures of mechanisms behind NSSI, including investigation of the autonomous nervous system and the HPA axis, pain sensitivity, endogenous opioids, inflammation, and resting prefrontal activity.

Learning outcomes

  • To understand the importance of biological research in NSSI
  • To understand the state-dependence of biological NSSI markers
  • To recognise the importance of ambulatory assessment of psychobiological NSSI markers

Professor Dennis Ougrin and Tatum Cummins – ‘Pain sensitivity as a biomarker for self-harm in young people.’
Self-harm is a recognised risk factor for suicide in young people, however there are no established risk factors for self-harm. There is some evidence, mainly from studies on women with BPD, that people with self-harm show pain hyposensitivity. But little is known about the relationship between pain and non-pain sensitivity and self-harm in young people. We assessed somatosensory sensitivity in looked-after young people – a group at high-risk for self-harm and suicide – and young people living at home using a validated suite of quantitative sensory tests (QST). We completed testing on 64 young people (mean age 16.3 ± 1), 50 of which were recruited from local authority-run group homes and residential care settings in Glasgow and London. Associations between somatosensory sensitivity, incidence and frequency of self-harm within the previous year, residential status (looked-after vs. community-dwelling), age, gender, and antidepressant use were calculated. Young people with five or more incidences of self-harm in the previous year showed significant hyposensitivity to painful and non-painful QST measures compared to community-dwelling controls after adjusting for age, gender, and antidepressant use (both P<0.001). Pressure pain thresholds (PPT) accounted for most of the observed variance (AUC = 0.76, Sensitivity = 0.72, Specificity = 0.61). We concluded that sensory hyposensitivity is a phenotype of young people with self-harm and propose PPT to be a quick, cheap, and easy to interpret clinical test to identify youth at increased risk of repeat self-harm or suicide. We extended these findings to show that pain hyposensitivity is closely associated with history of sexual abuse.

Learning outcomes

  • To understand risk factors for self-harm and suicide in young people
  • To understand the complexities of pain perception
  • To understand the differential impact of lived experience on pain sensitivity
  • To appreciate the limitations of quantitative sensory testing measures

Professor Michael Kaess – ‘Nonsuicidal self-injury – a transdiagnostic marker of risk and psychopathology’
Nonsuicidal self-injury (NSSI) is a highly prevalent phenomenon among adolescents. During the past 10 years, research has begun to investigate NSSI as an own diagnostic entity following suggested diagnostic criteria in the DSM-5. However, there is now growing evidence that NSSI may serve best as a valid and strong transdiagnostic marker of psychopathology and risk.

The talk will present epidemiological, clinical and biological research that undermines the transdiagnostic character of NSSI. NSSI comes along with frequent and diverse comorbidity. There are well-replicated underlying mechanism such as impaired emotion regulation, stress vulnerability or frequent interpersonal problems that can be found in a variety of mental disorders. In addition, there is a strong association with diverse types of self-harm and risk-taking behaviors and NSSI is one of the strongest predictors of suicidal.

Finally, the talk will try to highlight the potential of NSSI as a marker of risk and its future role in detection and intervention of mental disorders.

Learning outcomes

  • To understand the common underpinnings of NSSI
  • To understand the role of NSSI as a transdiagnostic marker of psychopathology
  • To understand the role of NSSI as a marker of suicide risk

Confirmed speakers – many more to follow

Professor Christian Schmahl
Professor Christian Schmahl, Medical Director, Dept. of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany

Christian Schmahl’s research focus is on emotion regulation, self-injurious behaviour and dissociation as well as the interaction of neurobiology and psychotherapy in Borderline Personality Disorder and Posttraumatic Stress Disorder. He received his M.D. in Germany at Mainz and Giessen Medical School and did a residency in Psychiatry as well as in Psychosomatic Medicine. Since 2018 he is spokesperson of the Research Training Group “Impact of Adverse Childhood Experiences on Psychosocial and Somatic Conditions across the Lifespan”. He has published more than 250 articles and book chapters.

Prof. Dr Paul Plener
Professor Paul Plener, Head of the Department of Child and Adolescent Psychiatry/ Vienna General Hospital, Chair of Child and Adolescent Psychiatry/ Medical University of Vienna

Professor Plener is head of the Dept. of Child and Adolescent Psychiatry at Vienna General Hospital and chair of Child and Adolescent Psychiatry at the Medical University of Vienna. He is president elect of the Austrian Association of Child and Adolescent Psychiatry. Professor Plener’s research interest is focused on Nonsuicidal Self-Injury, suicidality and trauma.

Tatum Cummins

Tatum Cummins, Editor, Springer Nature

Tatum currently works as the Editor for the journals BMC Neuroscience and BMC Neurology at Springer Nature. Tatum completed her PhD in Neuroscience at King’s College London under the supervision of the late Prof. Stephen B. McMahon, where she studied pain mechanisms in humans using psychophysics. In collaboration with Prof. Dennis Ougrin and Prof. Helen Minnis, they completed a study on somatosensory sensitivity in looked-after young people with and without self-harm using quantitative sensory testing measures.

Professor Dennis Ougrin
Professor Dennis Ougrin, Consultant Child & Adolescent Psychiatrist, Reader in Child and Adolescent Psychiatry and Global Mental Health

Professor Ougrin graduated from a medical school in Ukraine in 1998 and came to the Maudsley hospital in the UK to undertake his post-graduate training in child and adolescent psychiatry. He worked as a consultant child and adolescent psychiatrist establishing and leading intensive community care services at South London and Maudsley NHS Foundation Trust. He also led the MSc in Child and Adolescent Mental Health at King’s College London and acted as the Chief Investigator of major NIHR, MRC and charity-funded studies in the field of self-harm and intensive community care services. In 2018-2020 Professor Ougrin was the editor-in-chief of Child and Adolescent Mental Health, a key clinical journal in child and adolescent psychiatry, psychology and allied disciplines. In September 2021 Professor Ougrin was appointed to lead the Youth Resilience Research Unit at Queen Mary University of London.

Professor Ougrin leads a programme of global mental health studies aimed at developing community mental health services in Ukraine and other Low- and Middle-Income Countries. His main professional interests include the prevention of Borderline Personality Disorder and effective interventions for self-harm in young people. He the author of Therapeutic Assessment, a novel model of assessment for young people with self-harm. He also developed and tested an Intensive Community Care Service model for young people with severe psychiatric disorders called Supported Discharge Service. The model was evaluated in the first randomised controlled trial of an intensive community care service for young people in the UK. The results of the trial informed the development of intensive community care services in the UK and internationally. Professor Ougrin has expertise in conducting randomised controlled trials in the fields of psychological therapy and mental health service models. He also works on developing modular psychotherapeutic interventions for self-harm and on understanding the pathophysiology of self-harm in young people.

Professor Michael Kaess

Professor Michael Kaess, Professor of Child and Adolescent Psychiatry, University of Bern. Switzerland and University of Heidelberg, Germany

Michael Kaess is Professor of Child and Adolescent Psychiatry and Psychotherapy at the University of Bern as well as the Director of the University Hospital of Child and Adolescent Psychiatry and Psychotherapy Bern in Switzerland. In addition, Michael Kaess is heading a research section at the Center for Psychosocial Medicine at the University Heidelberg, Germany. Michael Kaess is an internationally renowned researcher in the field of adolescent risk-taking and self-harm behavior as well as early detection and intervention of potentially underlying mental disorders such as borderline personality disorders and affective disorders.

Professor David Cottrell

Professor David Cottrell, Emeritus Professor of Child & Adolescent Psychiatry

David was appointed Foundation Chair in Child & Adolescent Psychiatry at Leeds in 1994. He was Associate Medical Director for Child and Adolescent Psychiatry in Leeds for many years and has a wide experience of the development, management, delivery and evaluation of child and adolescent mental health services. His research interests are in the evaluation of psychological interventions and of Child and Adolescent Mental Health services. He was a co-author of the NICE guidelines on the management of depression in children and young people. He has been Chief Investigator of a large multi-centre randomised controlled trial investigating systemic family therapy following teenage self-harm (SHIFT, funded by NIHR), and co-investigator on a second multi-centre randomised controlled trial evaluating multi-systemic treatment for teenagers at risk of care or custody (START, funded by the Department of Health). His current research interests continue to focus on self-harm in young people. (Bio and image from the University of Leeds)

Booking and prices

To book simply click the button at the top of the page, or this link, and fill in the details. ACAMH Members should sign in first to ensure that they get their discount. If you are not an ACAMH Member now is a great time to join and make a saving on this event. Take a look at the different levels of membership on offer. Don’t forget as a charity any surplus made is reinvested back as we work to our vision of ‘Sharing best evidence, improving practice’, and our mission to ‘Improve the mental health and wellbeing of young people aged 0-25’. 

About the talks
Confirmed speakers