Cited by 87Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyHomicide, Infanticide, and Child Abuse

Recent advances in understanding and managing self-harm in adolescents

Open access
Clarke, Stephanie, Allerhand, Lauren A., Berk, Michele S.·2019·F1000Research

Abstract

Adolescent suicide is a serious public health problem, and non-suicidal self-injury (NSSI) is both highly comorbid with suicidality among adolescents and a significant predictor of suicide attempts (SAs) in adolescents. We will clarify extant definitions related to suicidality and NSSI and the important similarities and differences between these constructs. We will also review several significant risk factors for suicidality, evidence-based and evidence-informed safety management strategies, and evidence-based treatment for adolescent self-harming behaviors. Currently, dialectical behavior therapy (DBT) for adolescents is the first and only treatment meeting the threshold of a well-established treatment for self-harming adolescents at high risk for suicide. Areas in need of future study include processes underlying the association between NSSI and SAs, clarification of warning signs and risk factors that are both sensitive and specific enough to accurately predict who is at imminent risk for suicide, and further efforts to sustain the effects of DBT post-treatment. DBT is a time- and labor-intensive treatment that requires extensive training for therapists and a significant time commitment for families (generally 6 months). It will therefore be helpful to assess whether other less-intensive treatment options can be established as evidence-based treatment for suicidal adolescents.

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  • DBT-A is a well-established and recommended treatment for reducing self-harming behavior and BPD according to several guidelines.

    “Dialectical Behavior Therapy for Adolescents (DBT-A) is the treatment that has shown the most encouraging results [12, 13], and is a well-established [14] and recommended treatment for reducing self-harming behavior and BPD according to several guidelines [15–17].”

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Authors
Clarke, S., Allerhand, L. A., & Berk, M. S.
Affiliations
Stanford Medicine (US)
Corresponding author
Clarke, Stephanie
Venue
F1000Research
Published
2019-10-24
Volume
8
Pages
1794
ISSN
2046-1402 (ISSN-L)
OpenAlex
W2981672872
Cited by
87
References
129
Citations by year
2026: 6 · 2025: 15 · 2024: 25 · 2023: 21 · 2022: 9 · 2021: 7 · 2020: 4
FWCI
0.79
Type
journal article
Language
en
Open access
Locations
  • F1000Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Stanford University Department of Psychiatry
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
non-suicidal self-injury, adolescent suicide, suicidality, suicide attempts, dialectical behavior therapy, safety management strategies, risk factors, suicide prevention, treatment sustainability, warning signs
MeSH terms
Dialectical Behavior Therapy, Adolescent, Humans, Risk Factors, Suicide, Attempted, Comorbidity, Self-Injurious Behavior, Suicidal Ideation

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