The Treatment of Suicide and Self-Injurious Behaviors in Children and Adolescents

C., Gilbert, Anna; DeYoung, Lena L.A.; Barthélémy, C; Jenkins, Gracie A.; MacPherson, Heather A.; Kim, Kerri L.; Kudinova, Anastacia Y.; Radoeva, Petya D.; Dickstein, Daniel P.

doi:10.1007/s40501-020-00201-3

Cited by 11 publications

(12 citation statements)

References 59 publications

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“…The ubiquity of medication-only interventions is notable, as no medications have been specifically developed to target SITBs 35 , and medications are rarely formulated specifically for pediatric use 50 . Therefore, dosages may not have been optimized for youth SITB treatment.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of interventions for suicide and self-injury in children and adolescents: a meta-analysis

Harris

Huang

Funsch

et al. 2022

Sci Rep

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Despite increased numbers of children and adolescents seeking and receiving mental health treatment, rates of self-injurious thoughts and behaviors (SITBs) in youth are rising. In the hopes of aiding ongoing efforts to alleviate the burden of SITBs in this vulnerable population, the present study summarizes current knowledge on the efficacy of SITB interventions in children and adolescents. We conducted a meta-analysis of randomized controlled trials (RCTs) assessing treatment effects on SITBs in child and adolescent populations. A total of 112 articles comprising 558 effect sizes were included in analyses. Nearly all interventions produced nonsignificant reductions in SITBs. For binary SITB outcomes, a nonsignificant treatment effect was detected, with an RR of 1.06 (95% CIs [0.99, 1.14]). For continuous SITB outcomes, analyses also yielded a nonsignificant treatment effect (g = − 0.04 [− 0.12, 0.05]). These patterns were largely consistent across SITB outcomes, regardless of intervention type, treatment components, sample and study characteristics, and publication year. Our findings highlight opportunities for improving SITB intervention development and implementation in child and adolescent populations. The most efficacious interventions are likely to directly target the causes of SITBs; therefore, future research is needed to identify the causal processes underlying the onset and maintenance of SITBs in youth.

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Section: Discussionmentioning

confidence: 99%

“…No medications are designed to address SITBs; rather, existing medications target psychiatric conditions that may include SITBs as symptoms or sequelae 35 . Because SITBs are often monitored in treatment studies as adverse events, the effects of pharmacological interventions on SITBs can be quantified.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of interventions for suicide and self-injury in children and adolescents: a meta-analysis

Harris

Huang

Funsch

et al. 2022

Sci Rep

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“…Although some scholars have postulated that core treatment elements across some of the above approaches (e.g., treatment intensity, family involvement, addressing interpersonal issues, reducing risk factors) may be linked to successful treatment, the mechanisms behind these elements remain unclear (Glenn et al, 2015). It is clear that novel alternative treatment approaches are needed to improve outcomes for adolescents engaging in NSSI (Fox et al, 2020;Gilbert et al, 2020). One such novel approach may be treatment targeted toward increasing barriers to NSSI; indeed, preliminary work in this area seems promising (Franklin et al, 2016;Hooley & Franklin, 2018;Hooley & St. Germain, 2014).…”

Section: Why Is a New Treatment Conceptualization Needed?mentioning

confidence: 99%

“…Current treatments for NSSI in adolescents are limited and lack empirical validation established by randomized control trials across populations and research settings (for complete reviews of NSSI treatments, see Fox et al, 2020; Gilbert et al, 2020). Dialectical behavior therapy (DBT), cognitive behavior therapy (CBT), family-based and/or attachment therapy, and mentalization-based therapy (MBT) are some of the most used NSSI treatment approaches, and findings on their efficacy relative to treatment as usual are mixed (Glenn et al, 2015; Ougrin et al, 2015).…”

Section: Why Is a New Treatment Conceptualization Needed?mentioning

confidence: 99%

“…Current estimates suggest that between 17% and 38% of adolescents and young adults (AYA) engage in self-injury (Cipriano et al, 2017; Turner et al, 2014). Despite the pervasive engagement in NSSI, no sufficiently effective treatment approach exists (Fox et al, 2020; Gilbert et al, 2020), and many people who engage in NSSI report minimal voluntary contact with mental-health-care professionals (Rowe et al, 2014). This suggests that a tremendous gap exists between the experience of NSSI and current psychological best practices and highlights an urgent need for the reconceptualization of the experience and treatment of NSSI.…”

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confidence: 99%

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Straight to the Source: e-Communities for Nonsuicidal Self-Injury and the Emerging Case for Harm Reduction in the Treatment of Nonsuicidal Self-Injury

Preston

West

2021

Clinical Psychological Science

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Nonsuicidal self-injury (NSSI) is a prevalent phenomenon, yet no sufficiently effective treatment approach exists, leading researchers to consider how a reconceptualization of NSSI phenomenology may be necessary to optimize treatment. Multiple novel reconceptualizations seem to converge on the idea that NSSI provides certain benefits (e.g., affect regulation) that lead to nonlinear recovery processes in which cessation is not always possible. NSSI e-communities have also become increasingly studied given their popularity among those who self-injure, and they often contain harm-reduction content (e.g., wound care, safe cutting practices). The United Kingdom has approved harm reduction for NSSI treatment; however, its implementation remains uncommon. The current article integrates these novel and growing lines of research and theory and presents converging evidence for the inclusion of harm reduction in NSSI treatment approaches. Future directions and ethical considerations are discussed.

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Interventions for self-harm in children and adolescents

Witt

Hawton

Hetrick

et al. 2020

Cochrane Database of Systematic Reviews

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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.

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The Treatment of Suicide and Self-Injurious Behaviors in Children and Adolescents

Cited by 11 publications

References 59 publications

Efficacy of interventions for suicide and self-injury in children and adolescents: a meta-analysis

Efficacy of interventions for suicide and self-injury in children and adolescents: a meta-analysis

Straight to the Source: e-Communities for Nonsuicidal Self-Injury and the Emerging Case for Harm Reduction in the Treatment of Nonsuicidal Self-Injury

Interventions for self-harm in children and adolescents

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