Psychosocial interventions for self-harm, suicidal ideation and suicide attempt in children and young people: What? How? Who? and Where?

Cox, Georgina; Hetrick, Sarah

doi:10.1136/eb-2017-102667

Cited by 36 publications

(26 citation statements)

References 60 publications

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“…Participants wanted channels and templates to support them in making connections when they needed them most and provided a number of useful suggestions for a digital intervention to support social connectedness through messages to significant others and a moderated chat function. In terms of formal therapeutic interventions for young people at risk of self-harm, inclusion of the family and other supports is often emphasized (Fortune et al, 2008;Cox and Hetrick, 2017;Cottrell et al, 2018), and this study extends this to highlight the need for young people to maintain some autonomy and control in terms of with whom and how they share their distress with others. Relevant to building connection, young people also described "changing the environment" as an important strategy for managing urges to self-harm, and this often involved going outside or going out with friends to engage in activities.…”

Section: Discussionmentioning

confidence: 79%

Understanding the Needs of Young People Who Engage in Self-Harm: A Qualitative Investigation

et al. 2020

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Self-harm is common and associated with adverse outcomes. Research about the risk factors for self-harm has informed the field with regard to clinical interventions that should be delivered for young people who engage in self-harm. Missing is an in-depth understanding of what the triggers of an urge to self-harm might be, including in young people being treated with a clinical intervention. Therefore, there is little knowledge about what techniques young people find helpful to deal with urges to self-harm when they occur. This qualitative study engaged seven young people with lived experience of self-harm in semi-structured interviews about the immediate triggers of the urge to self-harm, and helpful strategies to manage this urge. Thematic analysis using a general inductive approach revealed distressing emotions and a sense of isolation as key themes, with other triggers associated with their induction. Highlighted was the wide range of situations and emotions that can be triggering, such that a further key theme was the idiosyncratic nature of the self-help strategies young people found helpful. Interventions that are developed to support young people who self-harm must address this complexity and findings highlight the need for young people to maintain some autonomy and control while being supported to connect with others for support. This research adds to the literature on self-help strategies to support young people in moments when they are experiencing distressing emotions, feel isolated, and have an urge to self-harm providing important insight to the prevention and intervention for self-harm among young people.

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Section: Discussionmentioning

confidence: 79%

Understanding the Needs of Young People Who Engage in Self-Harm: A Qualitative Investigation

et al. 2020

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“…Research shows that people living with mental illness often experience a specific series of changes in their thoughts, feelings and behaviors before a relapse, but more than 90% of individuals with suicidal thoughts do not receive mental health services [38]. Our findings suggest that children who have suicidal ideation need psychosocial interventions [39] to restore specific sets of feelings, emotions and behaviors and reduce the risk of poor mental health in late life.…”

Section: Discussionmentioning

confidence: 79%

Association between Childhood Suicidal Ideation and Geriatric Depression in Japan: A Population-Based Cross-Sectional Study

Morita

Fujiwara

2020

IJERPH

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Adverse childhood experiences (ACEs) are assumed to increase the risk of depression in late life via development of poor mental health conditions; however, the association between mental distress in childhood and geriatric depression has not been directly examined. This study examined the association between childhood suicidal ideation and geriatric depression, using population-based, cross-sectional survey data from 1140 community-dwelling, functionally independent older adults in Wakuya City, Japan. We assessed childhood suicidal ideation by asking the participants whether they had seriously considered attempting suicide before the age of 18, together with geriatric depression, using the Japanese version of the 15-item Geriatric Depression Scale. Poisson regression was applied to adjust for potential confounders and mediators. In total, 6.1% of the participants reported childhood suicidal ideation. After adjustment for sex, age, personality attributes and ACEs, childhood suicidal ideation was positively associated with geriatric depression prevalence ratio [PR]: 1.40, 95% Confidence Interval (95%CI): 1.04–1.88). The increased PR of geriatric depression remained significant, even after further adjustment for adulthood socio-economic status, recent life stressors and current health status (PR: 1.38, 95%CI: 1.02–1.88). Further prospective studies are warranted, but efforts to deliver mental health services to children with suicidal ideation potentially diminish the highly prevalent geriatric depression.

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“…We agree with these priorities. Other useful recent reviews on the topic of self‐harm and suicide by experts include Cox & Hetrick (); Hawton, Saunders, & O'Connor (); Turecki & Brent (); and Zalsman et al ().…”

Section: Discussionmentioning

confidence: 99%

Systematic Review and Quality Appraisal of Practice Guidelines for Self‐Harm in Children and Adolescents

Courtney

Duda

Szatmári

et al. 2018

Suicide & Life Threat Behav

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This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self-harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self-harm, what is the quality of up-to-date CPGs? Using the PRISMA format, we systematically identified CPGs meeting our inclusion and exclusion criteria. Subsequently, two independent raters conducted appraisals of the eligible CPGs using the Appraisal of Guidelines for Research and Evaluation II instrument. CPGs were then classified as "poor quality," "minimum quality," and "high quality" using operationally defined criteria developed a priori. We identified 10 eligible CPGs published or renewed between 2005 and May 2017. Only the long-term management of self-harm CPGs produced by the National Institute for Health and Care Excellence met "high-quality" criteria. Despite multiple options of CPGs published to choose from, only one was identified as "high quality," where bias is adequately minimized. Clinicians are advised to direct resources to implementing the "high-quality" CPG.

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Psychosocial interventions for self-harm, suicidal ideation and suicide attempt in children and young people: What? How? Who? and Where?

Cited by 36 publications

References 60 publications

Understanding the Needs of Young People Who Engage in Self-Harm: A Qualitative Investigation

Understanding the Needs of Young People Who Engage in Self-Harm: A Qualitative Investigation

Association between Childhood Suicidal Ideation and Geriatric Depression in Japan: A Population-Based Cross-Sectional Study

Systematic Review and Quality Appraisal of Practice Guidelines for Self‐Harm in Children and Adolescents

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