The DOI matches its Crossref record; 105 of the 106 references it cites were found in a registry or an index.
Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth
Abstract
The current review provides an evidence base update of psychosocial treatments for self-injurious thoughts and behaviors (SITBs) in youth. A systematic search was conducted of 2 major scientific databases (PsycInfo and PubMed) and ClinicalTrials.gov for relevant randomized controlled trials (RCTs) published prior to June 2018. The search identified 26 RCTs examining interventions for SITBs in youth: 17 were included in the 2015 review and 9 trials were new to this update. The biggest change since the prior review was the evaluation of Dialectical Behavior Therapy for adolescents (DBT-A) as the first Level 1: Well-established intervention for reducing deliberate self-harm (composite of nonsuicidal and suicidal self-injury) and suicide ideation in youth and Level 2: Probably efficacious for reducing nonsuicidal self-injury and suicide attempts. Five other interventions were rated as Level 2: Probably efficacious for reducing SITBs in youth, with the new addition of Integrated Family Therapy. This evidence base update indicates that there are a few promising treatments for reducing SITBs in youth. Efficacious interventions typically include a significant family or parent training component as well as skills training (e.g., emotion regulation skills). Aside from DBT-A, few treatments have been examined in more than one RCT. Given that replication by independent research groups is needed to evaluate an intervention as Well-established, future research should focus on replicating the five promising interventions currently evaluated as Probably efficacious. In addition, an important future direction is to develop brief efficacious interventions that may be scalable to reach large numbers of youth.
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“An evidence update concluded that DBT was the only intervention to meet the threshold for ' well established treatments ' for reducing suicidal ideation and suicidal behaviour in children and adolescents 273 .”
From Suicide and suicide risk (2019) · cites this paper as [273]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Across several different treatment interventions, certain elements seemed to increase treatment efficacy, such as a family-centred approach, the inclusion of skills-training, and (except for suicide attempts) longer treatment duration.”
From Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents (2020) · cites this paper as [20]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
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“In light of this additional evidence, DBT-A now met the standard to be classified as a ‘well-established intervention’ for reducing both self-harm and suicidal ideation and was classified as ‘probably efficacious’ for reducing NSSI and suicide attempts.”
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“According to international standards, Dialectical Behavior Therapy for Adolescents (DBT®-A) is an evidence-based treatment for these patients, especially concerning the reduction of self-harm (8–11).”
From Radical Acceptance of Reality: Putting DBT®-A Skill Groups Online During the COVID-19 Pandemic: A Qualitative Study (2022) · cites this paper as [8]
In the citing paper
“We must emphasize that a range of psychosocial interventions, including cognitive-behavioural therapy, dialectical behaviour therapy and mentalization based therapy have all been shown to reduce suicidal and self-harming behaviour in randomized trials with both adolescents [21] and adults [22].”
From Euthanasia and assisted suicide in patients with personality disorders: a review of current practice and challenges (2020) · cites this paper as [21]
In the citing paper
“However, there is ample empirical data to show that suicidal tendencies and behaviour can be treated and that they fluctuate rapidly over time.”
From Euthanasia and assisted suicide in patients with personality disorders: a review of current practice and challenges (2020) · cites this paper as [21]
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“Although different treatment approaches have been recently tested in clinical trials targeting SI/SA in adolescents (Glenn et al., 2019), few RCTs have been conducted with sufficient representation of minoritized ethnic and LGBTQ+ youth to be able to derive conclusions specific to those groups…”
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Metadata
- Authors
- Glenn, C. R., Esposito, E. C., Porter, A. C., & Robinson, D. J.
- Affiliations
- University of Rochester (US)
- Corresponding author
- Glenn, Catherine R.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2019-05-02
- Volume
- 48
- Issue
- 3
- Pages
- 357-392
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC6534465
- OpenAlex
- W4230498762
- Cited by
- 219
- References
- 105
- Citations by year
- 2026: 21 · 2025: 28 · 2024: 33 · 2023: 42 · 2022: 33 · 2021: 36 · 2020: 20 · 2019: 6
- FWCI
- 27.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- Funders
- National Institute of Mental Health (L30 MH101616)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- self-injurious thoughts and behaviors, self-harm, non-suicidal self-injury, suicidal self-injury, suicidal ideation, youth, psychosocial interventions, dialectical behavior therapy for adolescents, parent training, emotion regulation skills, brief intervention, treatment efficacy
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