Resumen: Las autolesiones en adolescentes han adquirido mayor relevancia en los últimos años, por el aumento de prevalencia, el mayor riesgo de realizar una tentativa autolítica y de desarrollar un trastorno límite de la personalidad o un trastorno depresivo mayor. Nuestro objetivo es revisar la bibliografía referente a tratamientos psicológicos para las autolesiones no suicidas (non-suicidal self-injury; NSSI). Se incluyen estudios que evalúan una intervención psicoterapéutica para el tratamiento de las autolesiones. Los resultados indican que ningún tratamiento para las autolesiones ha demostrado sufi ciente evidencia en adolescentes. La terapia basada en mentalización (MBT-A) ha demostrado efi cacia en un estudio y la terapia dialéctica-conductual (DBT-A) ha demostrado efectividad. La variedad y heterogeneidad de resultados difi culta extraer conclusiones más específi cas, como cuáles son los componentes activos efi caces. Valoramos la necesidad de estandarizar criterios e instrumentos en el campo del tratamiento de las autolesiones para mejorar la validez y utilidad de los resultados. Palabras clave:Non suicidal self-injury; psychological treatment; psychotherapy; self-injury. Non-suicidal self-harm in adolescents: A review of psychological treatmentsAbstract: Self-harm in teenagers has become more important in recent years, given its increased prevalence and the greater risk involved of making a suicidal attempt and developing a borderline personality disorder or a major depressive disorder. We aim to review the literature as to psychological treatments for non-suicidal self-injury (NSSI). Studies assessing a psychotherapeutic intervention for self-harm have been included. The results indicate that no treatment for self-harm has demonstrated enough evidence in adolescents. Mentalization based therapy (MBT-A) has shown effi cacy in one study and the dialectical behavior therapy (DBT-A) has shown effi cacy. However, the variety and heterogeneity of results make it diffi cult to draw more specifi c conclusions, such as regards the effective active components. Criteria and instruments in the fi eld of the treatment of NSSI need to be standardized in order to improve the validity and clinical utility of results.

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Introduction Type A behaviour pattern (TABP) is defined as the combination of competitive need for achievement, sense of time urgency, aggressiveness, and hostility. Studies raised evidence for an association between TABP and cardiovascular disease. Recent studies on its association with mortality showed contradicting results and used different methods to measure TABP. Objectives/aims Investigating the association between TABP and all-cause, CVD, and all-cancer mortality. Methods We used data of the MONICA and the NRP1A studies that were linked with the Swiss National Cohort (SNC) (n = 7997). Essentially, the SNC is an anonymous record linkage of census, migration and mortality data. TABP was measured by the Bortner Scale. To determine the all-cause, CVD, and cancer mortality risk a Cox regression was performed. Following Edwards et al. (1990), we analysed the Bortner Scale in two different ways: all items and its two dimensions (speed and competitiveness) separately. Results We found a significant association of the Bortner Scale with all-cause mortality in women (adjusted for sociodemographic factors HR 1.02, 95% CI 1.00-1.03, additionally adjusted for lifestyle factors-smoking, alcohol intake, physical activity, BMI category-1.01, 1.00-1.03). The subscale of competitiveness was associated with all-cause and CVD mortality in women. Interestingly, stratifying for lifestyle variables revealed that the association was only present in those having a healthy lifestyle, e.g. nonsmoking or non-hazardous alcohol intake. Conclusions The Bortner Scale and its subscale of competitiveness were associated with mortality in women. In those having great health awareness, this might offer potential for further reduction of mortality risk. Disclosure of interest The authors have not supplied their declaration of competing interest.