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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Childhood maltreatment increases suicide risk despite strong neuropsychological functioning
A cross-sectional and prospective study recently examined the independent effects of childhood maltreatment, neuropsychological functioning, and psychopathology, and their potential interactions with suicidal behaviour.
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Social connectedness is a protective factor against short-term suicide attempts (post discharge) in school children
Researchers in the USA have performed a multi-site, prospective analysis of >2,000 adolescents aged 12-17 years to try to determine the short-term predictors of suicide attempts within 3-months of an emergency department visit. The study population was enriched to include a high proportion of adolescents at risk for suicide attempts.
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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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Violent self-harm may predict subsequent suicide
Researchers in Sweden have found that violent methods of self-harm requiring hospitalization may indicate high risk of future suicide in adolescents and young women.
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Navigating an unfamiliar world: how parents of young people that self-harm experience support and treatment
Participants described a range of reactions to treatment and support for themselves and the young person. We identified three main themes: attitudes towards the young person, practical aspects of help and the need for parents to be involved.
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The family environment mediates risk of self-harming
Non-suicidal self-injury (NSSI) constitutes any deliberate physical injury to oneself that is not life-threatening. It is a behaviour that commonly starts during adolescence. Childhood family adversity (CFA) is associated with NSSI, but the risk pathways between CFA and NSSI are unclear.
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