Deliberate self-poisoning in adolescence: why does a brief family intervention work in some cases and not others?

Harrington, Richard; Kerfoot, Michael; Dyer, Elizabeth; McNiven, Faye; Gill, Julia; Harrington, Valerie; Woodham, Adrine

doi:10.1006/jado.1999.0293

Cited by 27 publications

(17 citation statements)

References 15 publications

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“…Further research is required to test FPE against other family interventions to tease out which components of the intervention mediate change and to test maintenance effects. It is important to note that the positive findings reported here are not consistent with those of an earlier negative study of adolescents referred with overdose (Harrington et al, 2000). It is unclear whether sampling differences, the fact that in this study FPE was adjunctive to other treatments, or differences in the FPE method account for this discrepancy.…”

Section: Discussioncontrasting

confidence: 96%

“…Miklowitz et al (2004) provided 21 sessions of family-focused psychoeducation as an adjunct to medications in an uncontrolled open trial involving 20 adolescents with bipolar disorder and reported improvements in depression, manic symptoms, and behavior problems over 1 year. In contrast, FPE was no more effective than routine follow-up in adolescents with MDD with intentional drug overdose but was associated with reduced suicidal ideation in cases without MDD (Harrington et al, 2000).…”

mentioning

confidence: 71%

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A Pilot Study of Adjunctive Family Psychoeducation in Adolescent Major Depression: Feasibility and Treatment Effect

Sanford

Boyle

McCleary

et al. 2006

Journal of the American Academy of Child & Adolescent Psych

102

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Objective: To obtain preliminary evidence of the feasibility and effectiveness of adjunctive family psychoeducation in adolescent major depressive disorder. Method: Participants were from outpatient clinics in Hamilton and London, Ontario.Over 24 months, 41 adolescents ages 13 through 18 years meeting major depressive disorder criteria were recruited (31 in Hamilton, 10 in London). Participants were randomized to usual treatment or usual treatment plus family psychoeducation. Outcome measures were readministered at 2 weeks, mid-treatment, posttreatment, and 3-month follow-up. Intent-to-treat analyses used x 2 and t tests and growth curve analysis. Standardized effects based on growth curve estimates were calculated for continuous outcomes.

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Section: Discussioncontrasting

confidence: 96%

mentioning

confidence: 71%

A Pilot Study of Adjunctive Family Psychoeducation in Adolescent Major Depression: Feasibility and Treatment Effect

Sanford

Boyle

McCleary

et al. 2006

Journal of the American Academy of Child & Adolescent Psych

102

View full text Add to dashboard Cite

show abstract

“…These approaches may be favorable in terms of improvement of suicidal ideation and treatment attendance. Harrington et al (2000) found no reduction in DSH in children and adolescents after 6 months. The intervention was conducted by two social workers and consisted of five sessions of family-centered, home-based treatment.…”

Section: Problem-solving Approachmentioning

confidence: 85%

Psychological and Psychosocial Interventions After Attempted Suicide

Hepp

Wittmann

Schnyder

et al. 2004

Crisis

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A literature search was conducted to collect randomized controlled studies evaluating the outcome of psychological and psychosocial interventions after attempted suicide and deliberate self-harm. Twenty-five studies meeting the inclusion criteria were identified. The studies are grouped according to the psychological approach chosen for the intervention. They are discussed with regard to both the various therapeutic strategies and models used, and the repetition of self-harming behavior as the main outcome.

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“…Although the parents who received HBFT reported greater satisfaction compared to those who received TAU, there was no differential treatment impact on family climate. 8 …”

Section: Intervention Studiesmentioning

confidence: 99%

Protecting Adolescents From Self-Harm: A Critical Review of Intervention Studies

Brent

McMakin

Kennard

et al. 2013

Journal of the American Academy of Child & Adolescent Psych

190

142

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Objective To review the studies that test treatments targeting adolescent suicidal ideation, suicide attempts, or self-harm, and to make recommendations for future intervention development. Method The extant randomized clinical trials that aim to reduce the intensity of suicidal ideation or the recurrence of suicide attempts or self-harm were reviewed with respect to treatment components, comparison treatments, sample composition, and outcomes. Results The majority of studies that showed any effect on suicidal ideation, attempts, or self-harm had some focus on family interactions or non-familial sources of support. Two of the most efficacious interventions also provided the greatest number of sessions. Some other treatment elements associated with positive effects include addressing motivation for treatment and having explicit plans for integrating the experimental treatment with treatment as usual. In many studies, suicidal events tend to occur very early in the course of treatment prior to when an effective “dose” of treatment could be delivered. Important factors that might mitigate suicidal risk such as sobriety, healthy sleep, and promotion of positive affect were not addressed in most studies. Conclusion Interventions that can front-load treatment shortly after the suicidal crisis, e.g., while adolescent suicide attempters are hospitalized, may avert early suicidal events. Treatments that focus on the augmentation of protective factors, such as parent support and positive affect, as well as the promotion of sobriety and healthy sleep, may be beneficial with regard to the prevention of recurrent suicidal ideation, attempts, or self-harm in adolescents.

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Deliberate self-poisoning in adolescence: why does a brief family intervention work in some cases and not others?

Cited by 27 publications

References 15 publications

A Pilot Study of Adjunctive Family Psychoeducation in Adolescent Major Depression: Feasibility and Treatment Effect

A Pilot Study of Adjunctive Family Psychoeducation in Adolescent Major Depression: Feasibility and Treatment Effect

Psychological and Psychosocial Interventions After Attempted Suicide

Protecting Adolescents From Self-Harm: A Critical Review of Intervention Studies

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