Interventions for self-harm in children and adolescents

Abstract

Analysis 1.3. Comparison 1 Dialectical behaviour therapy/mentalisation for adolescents vs. Treatment as usual or other routine management, Outcome 3 Number of individual psychotherapy sessions attended. . . . . . . . Analysis 1.4. Comparison 1 Dialectical behaviour therapy/mentalisation for adolescents vs. Treatment as usual or other routine management, Outcome 4 Number of family therapy sessions attended.

Temporal trends in primary care-recorded self-harm during and beyond the first year of the COVID-19 pandemic: Time series analysis of electronic healthcare records for 2.8 million patients in the Greater Manchester Care Record

“…In any case, self-harm is the strongest risk factor for suicide in adolescents and young people [43] and early intervention for young people who have self-harmed is recommended [44] . While the evidence base concerning specific interventions for children and adolescents is inconclusive [45] , social protection policies and access to child and adolescent mental health services are vital [40] . The larger longer-term reduction in self-harm recorded for individuals from a White ethnic group may suggest higher levels of clinical need or greater access to health services among individuals in the broad ‘non-White’ ethnic group.…”

Psychotherapie nach einem Suizidversuch – Evidenzlage und Bewertung

“…Suizidgedanken (Hedges g = -0,18, 95 % KI -0,27 bis -0,10) BG Behandlungsgruppe, FU Follow-up-Erhebung (Nachuntersuchung), KG Kontrollbedingung, KI Konfidenzintervall, NSSI Nonsuicidal Self-injury (dt. nichtsuizidale Selbstverletzung), OR Odds Ratio, SMD standardisierte Mittelwertdifferenz auf KVT noch MBT fanden sich entsprechende Wirksamkeitsnachweise [7].…”

“…Trotz aller berechtigten Kritik scheint die suizidfokussierte Psychotherapie die derzeit aussichtsreichste Kandidatin unter den individuumszentrierten Interventionen zu sein: Mit Ausnahme von Lithium [44] konnte bislang für kein Medikament eine stabile antisuizidale Wirkung nachgewiesen werden [23] und andere somatische Behandlungsverfahren (Elektrokrampftherapie, Schlafentzug) wurden zu selten untersucht, um eine Einschätzung vornehmen zu können. Vor dem Hintergrund der Ergebnisse der Cochrane-Reviews von Witt und Kolleg*innen [6,7] empfehlen sich insbesondere KVT, DBT und MBT für weitere Wirksamkeitsstudien. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/ licenses/by/4.0/deed.de.…”

‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study

“…Treatment outcomes of outpatient care services, such as dialectical behavior therapy adjusted for adolescents (DBT-A) appear promising for adolescents with self-harm [ 7 ]. However, there is no established evidence-based treatment for adolescents with self-harm when risk for suicide is imminent, i.e., at times when available outpatient care services and safety measures at home are deemed insufficient [ 8 , 9 ].…”