Self-harm is an increasingly recognised phenomenon and one of the strongest predictors of suicide, which continues to be one of the leading causes of death in young people world-wide. Self-harm can take many forms and may present with or without suicidal intent and both in the context of mental disorder, and without.
Self-harm & Suicide
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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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Depression, Self-harm and Suicidal Thoughts
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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Self-Harm & Suicide Issue
As a clinician, it certainly does feel that more and more young people are being referred, following self harm or with suicidal ideas, to the CAMHS service I work in. This nationwide increase in numbers is acknowledged in recent government reports, which are summarised in this edition.
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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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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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Self-harm & Suicide
Self-harm is an increasingly recognised phenomenon and one of the strongest predictors of suicide, which continues to be one of the leading causes of death in young people worldwide. Self-harm can take many forms and may present with or without suicidal intent and both in the context of mental disorder, and without.
Read more -
Self-Harm: The Parent’s View
Though it is not always openly discussed, the impact self-harm has on the individual and their family, can be very distressing. For someone to recover from ‘rock-bottom’ requires support, with family being an obvious source. It makes sense that the pillars of this support system, parents in most cases, feel equipped to support their child in recovering from such an experience. Saying this, there is little research on parents’ perspective of care following self-harm.
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