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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.
In the citing paper
“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]
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“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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Rossouw, T. I., & Fonagy, P. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.09.018 · Cited by 746 · cited 6×
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BackgroundBarriers to children's mental health services
OWENS, P. L., HOAGWOOD, K., HORWITZ, S. M., LEAF, P. J., PODUSKA, J. M., KELLAM, S. G., & IALONGO, N. S. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200206000-00013 · Cited by 565 · cited 1×
“…length, access to qualified providers), stigma (related to psychiatric disorders and treatment), and perception of treatment efficacy are among the top barriers to treatment among youth (Gulliver, Griffiths, & Christensen, 2010; Owens et al., 2002; Smith, Linnemeyer, Scalise, & Hamilton, 2013).”
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“Notably, both trials (Diamond et al., 2018; McCauley et al., 2018) were replications of interventions that had demonstrated positive findings in an initial RCT. DBT-A had first demonstrated efficacy for reducing DSH and SI compared to enhanced usual outpatient care (Mehlum et al., 2014).”
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Kliem, S., Kröger, C., & Kosfelder, J. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0021015 · Cited by 474
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DIAMOND, G. S., REIS, B. F., DIAMOND, G. M., SIQUELAND, L., & ISAACS, L. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200210000-00008 · Cited by 382
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BackgroundResultEvidence-Based Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth
Glenn, C. R., Franklin, J. C., & Nock, M. K. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.945211 · Cited by 288 · cited 2×
“Second, and consistent with the 2015 review (Glenn et al., 2015), we elected to include only interventions specifically designed to treat SITBs in at-risk youth.”
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“Second, we excluded school-based prevention programs, as such programs are generally aimed to prevent incidents or reduce overall rates of SITBs in a group that includes both at-risk and healthy youth rather than to intervene among youth who were already determined to be at high risk (for reviews of prevention program…”
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“Two trials, one reviewed previously (Harrington et al., 1998) and one new to this review (Cottrell et al., 2018), tested a family-focused treatment program that targeted family functioning as a means to decrease SITBs.”
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Randomized trial of group therapy for repeated deliberate self-harm in adolescents
WOOD, A., TRAINOR, G., ROTHWELL, J., MOORE, A., & HARRINGTON, R. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200111000-00003 · Cited by 264 · cited 1×
“Although the initial RCT produced promising results for reducing DSH for youth receiving DGT compared to routine care (ITT analyses; Wood et al., 2001), findings failed to replicate in two subsequent trials.”
Silverman, W. K., & Hinshaw, S. P. (2008) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410701817725 · Cited by 263 · cited 1×
“…JCCAP uses a five-level ranking system (Southam-Gerow & Prinstein, 2014), adapted from the APA Division 12 Task Force on the Promotion and Dissemination of Psychological Procedures to determine intervention potency (Chambless et al., 1998; Chambless & Hollon, 1998; Silverman & Hinshaw, 2008).”
MethodMehlum, L. I., Ramberg, M., Tørmoen, A. J., Haga, E., Diep, L. M., Stanley, B., Miller, A. L., Sund, A. M., & Grøholt, B. (2016) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2016.01.005 · Cited by 263 · cited 2×
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“, 2009), and problem-solving skills (Asarnow et al., 2017; Esposito-Smythers et al., 2011).”
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“Searches included combinations of terms for SITBs (NSSI, nonsuicidal self-injury, cutting, parasuicide, self-harm, selfinjury, self-injurious, self-mutilation, self-poisoning, suicide, suicide ideation, suicidal thoughts, suicide gesture, suicide attempt, suicidal behavior, suicide event, suicide plan, suicidality), i…”
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Katz, C., Bolton, J. M., Katz, L. Y., Isaak, C. A., Tilston-Jones, T., Sareen, J., & Swampy Cree Suicide Prevention Team (2013) · Depression and Anxiety · doi:10.1002/da.22114 · Cited by 242 · cited 1×
“…incidents or reduce overall rates of SITBs in a group that includes both at-risk and healthy youth rather than to intervene among youth who were already determined to be at high risk (for reviews of prevention programs, see Katz et al., 2013; Robinson et al., 2013; Singer, Erbacher, & Rosen, 2019).”
BackgroundProtecting Adolescents From Self-Harm: A Critical Review of Intervention Studies
Brent, D. A., McMakin, D. L., Kennard, B. D., Goldstein, T. R., Mayes, T. L., & Douaihy, A. B. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.09.009 · Cited by 237 · cited 1×
“For now, in the Efficacious treatment components across interventions section, we aimed to summarize the shared components across the Level 1 and 2 efficacious trials (also see the Brent et al., 2013, review).”
BackgroundCognitive-behavioral family treatment for suicide attempt prevention: A randomized controlled trial
Asarnow, J. R., Hughes, J. L., Babeva, K. N., & Sugar, C. A. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.03.015 · Cited by 234 · cited 32×
“, 2009), and problem-solving skills (Asarnow et al., 2017; Esposito-Smythers et al., 2011).”
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“To accurately evaluate experimental treatment efficacy, it is essential to know how well adolescents and families engaged with both the experimental and the control/comparison interventions (Becker et al., 2018).”
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“Focusing on the postdischarge period is critical given its identification as one of the highest risk periods for SA and deaths in youth (Chung et al., 2017; Goldston et al., 1999).”
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“, 2006), only one third of adolescents who think about suicide will engage in suicidal behavior (Glenn et al., 2017; Nock et al., 2013).”
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“Rudd et al. (1996) examined a separate eclectic skills group including psychoeducation, problem solving, social competence skills, and experiential-affective groups.”
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“In the parent training trial (“brand-name” RAP-P), improved family functioning mediated (full mediation via parent report, partial mediation via adolescent report) the intervention effect on adolescents’ SITBs (Pineda & Dadds, 2013).”
BackgroundMethodInfluentialYouth-Nominated Support Team for suicidal adolescents (Version 1): A randomized controlled trial.
King, C. A., Kramer, A., Preuss, L. J., Kerr, D., Weisse, L., & Venkataraman, S. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.1.199 · Cited by 171 · cited 3×
“Two trials, reviewed previously, have examined a Youth-Nominated Support Team (YST) intervention for suicidal adolescents (King et al., 2009, 2006).”
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School-based suicide prevention: a framework for evidence-based practice.
Singer, J. B., Erbacher, T. A., & Rosen, P. (2019) · School Mental Health · doi:10.1007/s12310-018-9245-8 · Cited by 162
King, C. A., Klaus, N. M., Kramer, A., Venkataraman, S., QUINLAN, P. E., & Gillespie, B. W. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0016552 · Cited by 157 · cited 3×
“Two trials, reviewed previously, have examined a Youth-Nominated Support Team (YST) intervention for suicidal adolescents (King et al., 2009, 2006).”
BackgroundKennard, B. D., Goldstein, T., Foxwell, A. A., McMakin, D. L., Wolfe, K., Biernesser, C., Moorehead, A., Douaihy, A., Zullo, L., Wentroble, E., et al. (2018) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2018.17101151 · Cited by 154 · cited 3×
“In a recent RCT (Kennard et al., 2018), 66 adolescents hospitalized for SA or SI were randomly assigned to ASAP plus TAU or TAU only.”
BackgroundInfluentialDiamond, G. S., Wintersteen, M. B., Brown, G. K., Diamond, G. M., Gallop, R., Shelef, K., & Levy, S. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2009.11.002 · Cited by 152 · cited 11×
“RCT replication was less helpful for the status of Psychodynamic Therapy–Family-Based, “brand name” ABFT (Diamond et al., 2018, 2010), which is now rated as Level 4: Experimental for reducing SI and SA in youth.”
BackgroundMethodInfluentialTreatment for adolescents following a suicide attempt: results of a pilot trial
Donaldson, D., Spirito, A., & Esposito-Smythers, C. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200502000-00003 · Cited by 151 · cited 2×
“…and mode has not changed since the prior review (of note, it was previously labeled “CBT-Individual+CBT-Family+Parent Training” due to the addition of parent training compared to earlier iterations of the treatment package; Donaldson et al., 2005; Esposito-Smythers, Spirito, Uth, & LaChance, 2006).”
MethodResultSuicide Prevention for High‐Risk Persons Who Refuse Treatment *
Motto, J. A. (1976) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1976.tb00880.x · Cited by 150 · cited 2×
“Using a different approach, Robinson et al. (2012) tested whether a modified postcard intervention (Motto, 1976) would increase connection to care among young people.”
BackgroundMethodTang, T., Jou, S., Ko, C., Huang, S., & Yen, C. (2009) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2009.01991.x · Cited by 148 · cited 8×
“Tang et al. (2009) found that school-based IPT-A significantly reduced SI over the course of treatment compared to TAU (i.e., psychoeducation and supportive counseling).”
BackgroundMethodInfluentialAsarnow, J. R., Berk, M., Hughes, J. L., & Anderson, N. L. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.940624 · Cited by 147 · cited 11×
“One RCTwill compare different follow-up services posthospitalization (e.g., intensive individualized care management with multiple systems in the adolescent’s life) aimed at decreasing risk for subsequent suicidal behavior and rehospitalization (“Promote Access to Stop Suicide [PASS]: comparison of F/U services for Yo…”
BackgroundInfluentialRegression to the mean: treatment effect without the intervention
Morton, V., & Torgerson, D. J. (2005) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2004.00505.x · Cited by 147 · cited 1×
“…ri m en ta l tr ea tm en t gr ou p; TA U = tr ea tm en ta s us ua l. a T ri al w as in cl ud ed in th e pr io r JC C A P E vi de nc e B as e U pd at e (G le nn et al ., 20 15 ). comparison groups) to exhibit a reduction in symptoms over time (e.g., regression to the mean; Morton & Torgerson, 2005).”
BackgroundDiamond, G. S., Kobak, R. R., Krauthamer Ewing, E. S., Levy, S. A., Herres, J. L., Russon, J. M., & Gallop, R. J. (2019) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.10.006 · Cited by 147 · cited 11×
“RCT replication was less helpful for the status of Psychodynamic Therapy–Family-Based, “brand name” ABFT (Diamond et al., 2018, 2010), which is now rated as Level 4: Experimental for reducing SI and SA in youth.”
InfluentialSecondary prevention of attempted suicide in adolescence
Cotgrove, A., Zirinsky, L., Black, D., & Weston, D. (1995) · Journal of Adolescence · doi:10.1006/jado.1995.1039 · Cited by 143 · cited 3×
“In the earliest trial to examine a resource intervention, Cotgrove et al. (1995) compared standard care plus a token to access the hospital on demand versus standard care in an RCT with 105 adolescents with a history of DSH or SA.”
BackgroundDevelopmental Approach to Prevent Adolescent Suicides
Wyman, P. A. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.05.039 · Cited by 141 · cited 1×
“As such, this period represents a critical opportunity for effective intervention and prevention of SITBs (National Action Alliance for Suicide Prevention: Research Prioritization Task Force, 2014; Wyman, 2014).”
BackgroundEvidence base update for psychosocial treatments for pediatric obsessive-compulsive disorder
Freeman, J., Garcia, A., Frank, H., Benito, K., Conelea, C., Walther, M., & Edmunds, J. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.804386 · Cited by 139
Green, J. M., Wood, A. J., Kerfoot, M. J., Trainor, G., Roberts, C., Rothwell, J., Woodham, A., Ayodeji, E., Barrett, B., Byford, S., et al. (2011) · BMJ · doi:10.1136/bmj.d682 · Cited by 137 · cited 1×
“One trial (Assessment of Treatment in Suicidal Teenagers; ASSIST trial) reported nonsignificant findings for DSH in DGTcompared to routine care (ITT analyses; Green et al., 2011).”
ResultOverlooked and Underserved: “Action Signs” for Identifying Children With Unmet Mental Health Needs
Jensen, P. S., Goldman, E. E., Offord, D., Costello, E. J., Friedman, R., Huff, B. P., Crowe, M., Amsel, L., BENNETT, K. J., Bird, H., et al. (2011) · PEDIATRICS · doi:10.1542/peds.2009-0367 · Cited by 134 · cited 1×
“Sadly, most youth with mental health difficulties do not receive adequate mental health treatment (Jensen et al., 2011; Kataoka, Zhang, & Wells, 2002).”
BackgroundHazell, P. L., Martin, G., Mcgill, K., Kay, T., Wood, A., Trainor, G., & Harrington, R. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181aoacec · Cited by 132 · cited 1×
“A second trial indicated that the experimental intervention may actually be iatrogenic with the DGT group reportingmoreDSH than those receiving routine care (ITT analyses; Hazell et al., 2009).”
MethodHetrick, S. E., Yuen, H. P., Bailey, E., Cox, G. R., Templer, K., Rice, S. M., Bendall, S., & Robinson, J. (2017) · Evidence-Based Mental Health · doi:10.1136/eb-2017-102719 · Cited by 124 · cited 9×
“, Cognitive-Behavioral Therapy [CBT]–Individual) rather than by treatment “brand names” (e.g., Reframe-IT; Hetrick et al., 2017).”
BackgroundMethodInfluentialLeavitt, R. A., Ertl, A. M., Sheats, K., Petrosky, E. Y., Ivey-Stephenson, A. Z., & Fowler, K. A. (2018) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6708a1 · Cited by 112
Cottrell, D. J., Wright-Hughes, A., Collinson, M., Boston, P., Eisler, I., Fortune, S., Graham, E. H., Green, J., House, A. O., Kerfoot, M., et al. (2018) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30058-0 · Cited by 109
Robinson, J., Hetrick, S., Cox, G., Bendall, S., Yuen, H. P., Yung, A., & Pirkis, J. (2016) · Early Intervention in Psychiatry · doi:10.1111/eip.12137 · Cited by 108 · cited 2×
“Modules delivered over the Internet include behavioral activation, cognitive restructuring, distress tolerance, and problem-solving skills (Robinson et al., 2014).”
BackgroundOugrin, D., Zundel, T., Ng, A., Banarsee, R., Bottle, A., & Taylor, E. (2011) · Archives of Disease in Childhood · doi:10.1136/adc.2010.188755 · Cited by 106 · cited 3×
“Two trials, reviewed previously, have examined brief family-based interventions in the ED (Asarnow et al., 2011; Ougrin et al., 2011).”
BackgroundMethodCzyz, E. K., King, C. A., & Biermann, B. J. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1496442 · Cited by 105 · cited 2×
“In a pilot RCT with 36 adolescents hospitalized for suicide risk, Czyz, King, and Biermann (2018) compared a MI-enhanced safety planning intervention (MI-SafeCope) to hospital TAU plus the Recovery Action Plan (crisis management strategies and safety planning).”
BackgroundCopeland, W. E., Goldston, D. B., & Costello, E. J. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.08.015 · Cited by 104 · cited 2×
“Although SI is impairing for youth (Copeland et al., 2017; Foley et al., 2006), only one third of adolescents who think about suicide will engage in suicidal behavior (Glenn et al., 2017; Nock et al., 2013).”
BackgroundHsu, L. (1989) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.57.1.131 · Cited by 104 · cited 4×
“We chose to exclude studies with smaller sample sizes due to problems of group nonequivalence that often arise in such cases (Hsu, 2016).”
BackgroundMethodInfluentialJournal of Clinical Child and Adolescent Psychology
(2011) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2011.618086 · Cited by 88
Morthorst, B. R., Krogh, J., Erlangsen, A., Alberdi, F., & Nordentoft, M. (2012) · BMJ · doi:10.1136/bmj.e4972 · Cited by 84 · cited 6×
“…review does highlight that very brief, or low dose, interventions, whether family based (Asarnow et al., 2011; Ougrin et al., 2013) or resource/outreach focused (Cotgrove et al., 1995; Morthorst et al., 2012; Robinson et al., 2012) do not appear to be substantial enough for reducing SITBs in youth.”
BackgroundInfluentialOugrin, D., Boege, I., Stahl, D., Banarsee, R., & Taylor, E. (2013) · Archives of Disease in Childhood · doi:10.1136/archdischild-2012-303200 · Cited by 84 · cited 2×
“However, this review does highlight that very brief, or low dose, interventions, whether family based (Asarnow et al., 2011; Ougrin et al., 2013) or resource/outreach focused (Cotgrove et al., 1995; Morthorst et al., 2012; Robinson et al., 2012) do not appear to be substantial enough for reducing…”
BackgroundResultKing, C. A., Gipson, P. Y., Horwitz, A. G., & Opperman, K. J. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201300347 · Cited by 73 · cited 27×
“Given the increasing number of RCTs, and because such research designs provide the best test of treatment efficacy, we chose to focus this review exclusively on RCTs.”
BackgroundInfluentialRobinson, J., Hetrick, S., Cox, G., Bendall, S., Yung, A., & Pirkis, J. (2015) · Early Intervention in Psychiatry · doi:10.1111/eip.12136 · Cited by 71 · cited 2×
“Modules delivered over the Internet include behavioral activation, cognitive restructuring, distress tolerance, and problem-solving skills (Robinson et al., 2014).”
BackgroundRobinson, J., Yuen, H. P., Gook, S., Hughes, A., Cosgrave, E., Killackey, E. J., Baker, K., Jorm, A. F., McGorry, P. D., & Yung, A. R. (2012) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2011.00334.x · Cited by 69 · cited 6×
“…review does highlight that very brief, or low dose, interventions, whether family based (Asarnow et al., 2011; Ougrin et al., 2013) or resource/outreach focused (Cotgrove et al., 1995; Morthorst et al., 2012; Robinson et al., 2012) do not appear to be substantial enough for reducing SITBs in youth.”
BackgroundMethodInfluentialKennard, B. D., Biernesser, C. L., Wolfe, K. L., Foxwell, A. A., Lee, S. J. C., Rial, K. V., Patel, S., Cheng, C., Goldstein, T. R., McMakin, D. L., et al. (2015) · Journal of Technology in Human Services · doi:10.1080/15228835.2015.1106384 · Cited by 67 · cited 2×
“As Safe as Possible (ASAP) is a brief (3-hr) skills training intervention and app-supported follow-up for hospitalized youth aimed at reducing suicidal behavior postdischarge (Kennard et al., 2015).”
BackgroundAlavi, A., Sharifi, B., Ghanizadeh, A. J., & Dehbozorgi, G. (2013) · Europe PMC (PubMed Central) · Cited by 66
Interpersonal Psychotherapy for Depressed Adolescents ☆
Young, J. F., & Mufson, L. H. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-809324-5.06093-4 · Cited by 61
Berk, M. S., Starace, N. K., Black, V. P., & Avina, C. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2018.1509750 · Cited by 57
Spirito, A., Stanton, C. A., Donaldson, D. L., & Boergers, J. (2002) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3101_06 · Cited by 55
Madden, S. (2013) · WORLD SCIENTIFIC eBooks · doi:10.1142/9789814374040_0027 · Cited by 55
Barriers to Outpatient Mental Health Treatment for Children and Adolescents: Parental Perspectives
Smith, T., Linnemeyer, R. M., Scalise, D., & Hamilton, J. (2013) · International Journal of Systemic Therapy · doi:10.1080/08975353.2013.792203 · Cited by 49
Spirito, A., Wolff, J. C., Seaboyer, L. M., Hunt, J., Esposito-Smythers, C. L., Nugent, N. R., Zlotnick, C., & Miller, I. (2014) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2013.0130 · Cited by 44 · cited 3×
“…we excluded trials with small sample sizes (< 20 adolescents per group; Hsu, 2016), which removed a number of smaller CBT trials (Alavi, Sharifi, Ghanizadeh, & Dehbozorgi, 2013; Donaldson, Spirito, & Esposito-Smythers, 2005; Högberg & Hällström, 2018; Spirito et al., 2015) from the current review.”
BackgroundWright-Hughes, A. M., Graham, L., Farrin, A. J., Collinson, M., Boston, P., Eisler, I., Fortune, S. A., Green, J., House, A. O., Owens, D., et al. (2015) · Trials · doi:10.1186/s13063-015-1007-4 · Cited by 43 · cited 2×
“Among adolescents referred to mental health services for repetitive self-harm, Cottrell et al. (2018) compared family therapy (FT) for selfharm to community TAU in the largest (N = 832) multisite RCT included in this review (Self-Harm Intervention: Family Therapy; Wright-Hughes et al., 2015).”
BackgroundBrief home-based intervention with young suicide attempters and their families
Kerfoot, M., Harrington, R., & Dyer, E. J. (1995) · Journal of Adolescence · doi:10.1006/jado.1995.1038 · Cited by 39
Högberg, G., & Hällström, T. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15050921 · Cited by 39 · cited 2×
“In a small (N = 32; 12–15 per group) RCTwith depressed youth in outpatient care, mood-regulation-focused CBT (MR-CBT) was compared to TAU (standard practice in psychiatry; Högberg & Hällström, 2018).”
BackgroundMethodDigitally-delivered cognitive-behavioural therapy for youth insomnia: A systematic review
Werner-Seidler, A., Johnston, L., & Christensen, H. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.01.007 · Cited by 36
Esposito-Smythers, C., Spirito, A., Uth, R., & Lachance, H. R. (2006) · American Journal on Addictions · doi:10.1080/10550490601006188 · Cited by 32
Robinson, J., Hetrick, S. E., Cox, G., Bendall, S., Yung, A. R., Yuen, H. P., Templer, K., & Pirkis, J. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-155 · Cited by 30 · cited 1×
“Modules delivered over the Internet include behavioral activation, cognitive restructuring, distress tolerance, and problem-solving skills (Robinson et al., 2014).”
BackgroundWe’ve Come a Long Way, Baby!: Evolution and Revolution in CBT with Youth
Friedberg, R. D., Hoyman, L. C., Behar, S., Tabbarah, S., Pacholec, N. M., Keller, M., & Thordarson, M. A. (2014) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-014-0178-3 · Cited by 22 · cited 1×
“Growing research indicates that digital interventions are feasible and acceptable for youth (Friedberg et al., 2014; Richardson, Stallard, & Velleman, 2010) and may be just as efficacious as in-person delivery (Werner-Seidler, Johnston, & Christensen, 2018; Zachariae, Lyby, Ritterband, & O’Toole,…”
BackgroundGroup Therapy for Repeated Deliberate Self-Harm in Adolescents
Hazell, P., Martin, G., McGill, K., Kay, T., Wood, A., Trainor, G., & Harrington, R. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181a0acec · Cited by 17
Hsu, L. M. (2015) · American Psychological Association eBooks · doi:10.1037/14805-010 · Cited by 2
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Cited by
Sorted by citations
Turecki, G., Brent, D. A., Gunnell, D., O’Connor, R. C., Oquendo, M. A., Pirkis, J., & Stanley, B. H. (2019) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0121-0 · Cited by 1,074
Kothgassner, O. D., Robinson, K., Goreis, A., Ougrin, D., & Plener, P. L. (2020) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-020-00123-9 · Cited by 163
“More recently, an update to the systematic review of treatment interventions for SITBs in youth [21] focused exclusively on RCTs, including the 9 new trials available since 2015 [20].”
BackgroundResultInterventions for self-harm in children and adolescents
Witt, K. G., Hetrick, S. E., Rajaram, G., Hazell, P., Taylor Salisbury, T. L., Townsend, E., & Hawton, K. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013667.pub2 · Cited by 149
Suicide in young people: screening, risk assessment, and intervention
Hughes, J. L., Horowitz, L. M., Ackerman, J. P., Adrian, M. C., Campo, J. V., & Bridge, J. A. (2023) · BMJ · doi:10.1136/bmj-2022-070630 · Cited by 135
Asarnow, J. R., & Mehlum, L. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13130 · Cited by 100
“In summary, while negative trials and failures to replicate are to be expected, the weight of the evidence supports the value of a variety of treatments for youths presenting with selfharm and suicidality (Glenn et al., 2019; Ougrin et al., 2015; Iyengar et al., 2018).”
Background
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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