Commentary: Self-harm: a global health priority – reflections on Brunner et al. (2014) / Dennis OUGRIN in Journal of Child Psychology and Psychiatry, 55-4 (April 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-4 (April 2014) . - p.349-351 Titre : Commentary: Self-harm: a global health priority – reflections on Brunner et al. (2014) Type de document : Texte imprimé et/ou numérique Auteurs : Dennis OUGRIN, Auteur Article en page(s) : p.349-351 Index. décimale : PER Périodiques Résumé : The accompanying cross-sectional study by Brunner et al. (2014) investigates the prevalence and correlates of self-injury in adolescents. It is one of the largest epidemiological studies of its kind published to date. Self-injury by cutting is a strong independent predictor of suicide (Hawton et al., 2012), therefore, understanding the prevalence and psychosocial correlates of this behaviour is of great importance. En ligne : http://dx.doi.org/10.1111/jcpp.12232 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229 [article] Commentary: Self-harm: a global health priority – reflections on Brunner et al. (2014) [Texte imprimé et/ou numérique] / Dennis OUGRIN, Auteur . - p.349-351. in Journal of Child Psychology and Psychiatry > 55-4 (April 2014) . - p.349-351 Index. décimale : PER Périodiques Résumé : The accompanying cross-sectional study by Brunner et al. (2014) investigates the prevalence and correlates of self-injury in adolescents. It is one of the largest epidemiological studies of its kind published to date. Self-injury by cutting is a strong independent predictor of suicide (Hawton et al., 2012), therefore, understanding the prevalence and psychosocial correlates of this behaviour is of great importance. En ligne : http://dx.doi.org/10.1111/jcpp.12232 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229

Commentary: Self-harm in adolescents: the best predictor of death by suicide? ? reflections on Hawton et al. (2012) / Dennis OUGRIN in Journal of Child Psychology and Psychiatry, 53-12 (December 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-12 (December 2012) . - p.1220-1221 Titre : Commentary: Self-harm in adolescents: the best predictor of death by suicide? ? reflections on Hawton et al. (2012) Type de document : Texte imprimé et/ou numérique Auteurs : Dennis OUGRIN, Auteur Article en page(s) : p.1220-1221 Langues : Anglais (eng) Mots-clés : Self-harm  suicide  adolescents  epidemiology  accident and emergency Index. décimale : PER Périodiques Résumé : The preceding article by Hawton and colleagues reporting on a prospective study of adolescents presenting with self-harm to Accident and Emergency departments (AE) is one of the largest epidemiological studies to examine the long-term outcomes of selfharm in children and adolescents. After a median of 6 years nearly 30% re-presented to AE with self-harm and 1% died, half of those due to likely suicide and the rest mainly due to accidents. It may be that many accidental deaths were also suicides judging from the method of death. In comparison to adults presenting with self-harm, the absolute risk of suicide was lower despite a high self-harm repetition rate. Self-injury by cutting was a strong independent predictor of suicide as was previous psychiatric treatment and previous self-harm. Finally the eventual method of suicide was different from that used at either the first or the last episode of selfharm. This is at odds with the data generated by adult literature which consistently shows that those with the most violent methods of selfharm, e.g. attempted hanging or shooting, tend to also die using these methods. In summary the field of adolescent self-harm is of immense importance and requires urgent research to develop our ability to predict those likely to die of suicide, and to offer effective treatment to those at risk. The article by Hawton and colleagues is an important step in our understanding of the risk factors of suicide in those adolescents who present with self-harm and in highlighting the overlapping nature of self-injury and self-poisoning in relation to suicide. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02622.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=185 [article] Commentary: Self-harm in adolescents: the best predictor of death by suicide? ? reflections on Hawton et al. (2012) [Texte imprimé et/ou numérique] / Dennis OUGRIN, Auteur . - p.1220-1221. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-12 (December 2012) . - p.1220-1221 Mots-clés : Self-harm  suicide  adolescents  epidemiology  accident and emergency Index. décimale : PER Périodiques Résumé : The preceding article by Hawton and colleagues reporting on a prospective study of adolescents presenting with self-harm to Accident and Emergency departments (AE) is one of the largest epidemiological studies to examine the long-term outcomes of selfharm in children and adolescents. After a median of 6 years nearly 30% re-presented to AE with self-harm and 1% died, half of those due to likely suicide and the rest mainly due to accidents. It may be that many accidental deaths were also suicides judging from the method of death. In comparison to adults presenting with self-harm, the absolute risk of suicide was lower despite a high self-harm repetition rate. Self-injury by cutting was a strong independent predictor of suicide as was previous psychiatric treatment and previous self-harm. Finally the eventual method of suicide was different from that used at either the first or the last episode of selfharm. This is at odds with the data generated by adult literature which consistently shows that those with the most violent methods of selfharm, e.g. attempted hanging or shooting, tend to also die using these methods. In summary the field of adolescent self-harm is of immense importance and requires urgent research to develop our ability to predict those likely to die of suicide, and to offer effective treatment to those at risk. The article by Hawton and colleagues is an important step in our understanding of the risk factors of suicide in those adolescents who present with self-harm and in highlighting the overlapping nature of self-injury and self-poisoning in relation to suicide. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02622.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=185

Practitioner Review: Common elements in treatments for youth suicide attempts and self-harm - a practitioner review based on review of treatment elements associated with intervention benefits / Jocelyn I. MEZA in Journal of Child Psychology and Psychiatry, 64-10 (October 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-10 (October 2023) . - p.1409-1421 Titre : Practitioner Review: Common elements in treatments for youth suicide attempts and self-harm - a practitioner review based on review of treatment elements associated with intervention benefits Type de document : Texte imprimé et/ou numérique Auteurs : Jocelyn I. MEZA, Auteur ; Lucas ZULLO, Auteur ; Sylvanna M. VARGAS, Auteur ; Dennis OUGRIN, Auteur ; Joan R. ASARNOW, Auteur Article en page(s) : p.1409-1421 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Adopting a common elements approach, this practitioner review aims to highlight specific treatment elements that are common to interventions with demonstrated benefits in randomized controlled trials (RCTs) for reducing suicide attempts and self-harm in youth. Identification of common treatment elements among effective interventions offers a key strategy for clarifying the most robust features of effective interventions and improving our ability to implement effective treatment and decrease the lag between scientific advances and clinical care. Methods A systematic search of RCTs evaluating interventions targeting suicide/self-harm in youth (ages 12-18) yielded a total of 18 RCTs assessing 16 different manualized interventions. An open coding process was used to identify common elements present within each intervention trial. Twenty-seven common elements were identified and classified into format, process, and content categories. All trials were coded for the inclusion of these common elements by two independent raters. RCTs were also classified into those where trial results supported improvements in suicide/self-harm behavior (n = 11 supported trials) and those without supported evidence (n = 7 unsupported trials). Results Compared with unsupported trials, the 11 supported trials shared the following elements: (a) inclusion of therapy for both the youth and family/caregivers; (b) an emphasis on relationship-building and the therapeutic alliance; (c) utilization of an individualized case conceptualization to guide treatment; (d) provided skills training (e.g. emotion regulation skills) to both youth and their parents/caregivers; and (e) lethal means restriction counseling as part of self-harm monitoring and safety planning. Conclusions This review highlights key treatment elements associated with efficacy that community practitioners can incorporate in their treatments for youth presenting with suicide/self-harm behaviors. En ligne : https://doi.org/10.1111/jcpp.13780 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Practitioner Review: Common elements in treatments for youth suicide attempts and self-harm - a practitioner review based on review of treatment elements associated with intervention benefits [Texte imprimé et/ou numérique] / Jocelyn I. MEZA, Auteur ; Lucas ZULLO, Auteur ; Sylvanna M. VARGAS, Auteur ; Dennis OUGRIN, Auteur ; Joan R. ASARNOW, Auteur . - p.1409-1421. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-10 (October 2023) . - p.1409-1421 Index. décimale : PER Périodiques Résumé : Background Adopting a common elements approach, this practitioner review aims to highlight specific treatment elements that are common to interventions with demonstrated benefits in randomized controlled trials (RCTs) for reducing suicide attempts and self-harm in youth. Identification of common treatment elements among effective interventions offers a key strategy for clarifying the most robust features of effective interventions and improving our ability to implement effective treatment and decrease the lag between scientific advances and clinical care. Methods A systematic search of RCTs evaluating interventions targeting suicide/self-harm in youth (ages 12-18) yielded a total of 18 RCTs assessing 16 different manualized interventions. An open coding process was used to identify common elements present within each intervention trial. Twenty-seven common elements were identified and classified into format, process, and content categories. All trials were coded for the inclusion of these common elements by two independent raters. RCTs were also classified into those where trial results supported improvements in suicide/self-harm behavior (n = 11 supported trials) and those without supported evidence (n = 7 unsupported trials). Results Compared with unsupported trials, the 11 supported trials shared the following elements: (a) inclusion of therapy for both the youth and family/caregivers; (b) an emphasis on relationship-building and the therapeutic alliance; (c) utilization of an individualized case conceptualization to guide treatment; (d) provided skills training (e.g. emotion regulation skills) to both youth and their parents/caregivers; and (e) lethal means restriction counseling as part of self-harm monitoring and safety planning. Conclusions This review highlights key treatment elements associated with efficacy that community practitioners can incorporate in their treatments for youth presenting with suicide/self-harm behaviors. En ligne : https://doi.org/10.1111/jcpp.13780 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Practitioner Review: Self-harm in adolescents / Dennis OUGRIN in Journal of Child Psychology and Psychiatry, 53-4 (April 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.337-350 Titre : Practitioner Review: Self-harm in adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Dennis OUGRIN, Auteur ; Troy TRANAH, Auteur ; Eleanor LEIGH, Auteur ; Lucy TAYLOR, Auteur ; Joan ASARNOW ROSENBAUM, Auteur Année de publication : 2012 Article en page(s) : p.337-350 Langues : Anglais (eng) Mots-clés : Self-injury  self-harm  self-poisoning  adolescents Index. décimale : PER Périodiques Résumé : Background:  Repeated self-harm in adolescents is common and associated with elevated psychopathology, risk of suicide, and demand for clinical services. Despite recent advances in the understanding and treatment of self-harm there have been few systematic reviews of the topic. Aims:  The main aim of this article is to review randomised controlled trials (RCTs) reporting efficacy of specific pharmacological, social or psychological therapeutic interventions (TIs) in reducing self-harm repetition in adolescents presenting with self-harm. Method:  Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed from the first available year to December 2010. RCTs comparing specific TIs versus treatment as usual or placebo in adolescents presenting with self-harm were included. Results:  Fourteen RCTs reported efficacy of psychological and social TIs in adolescents presenting with self-harm. No independently replicated RCTs have been identified reporting efficacy of TIs in self-harm reduction. Developmental Group Psychotherapy versus treatment as usual was associated with a reduction in repeated self-harm, however, this was not replicated in subsequent studies. Multisystemic Therapy (MST) versus psychiatric hospitalisation was associated with a reduction of suicidal attempts in a sample of adolescents with a range of psychiatric emergencies. However, analyses focusing only on the smaller subgroup of adolescents presenting with deliberate self-harm at the initial psychiatric emergency, did not indicate significant benefits of MST versus hospitalisation. Conclusions:  Further research is urgently needed to develop TIs for treating self-harm in adolescents. MST has shown promise but needs to be evaluated in a sample of adolescents with self-harm; dialectic behavioural therapy and cognitive behavioural therapy for self-harm require RCTs to evaluate efficacy and effectiveness. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02525.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152 [article] Practitioner Review: Self-harm in adolescents [Texte imprimé et/ou numérique] / Dennis OUGRIN, Auteur ; Troy TRANAH, Auteur ; Eleanor LEIGH, Auteur ; Lucy TAYLOR, Auteur ; Joan ASARNOW ROSENBAUM, Auteur . - 2012 . - p.337-350. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-4 (April 2012) . - p.337-350 Mots-clés : Self-injury  self-harm  self-poisoning  adolescents Index. décimale : PER Périodiques Résumé : Background:  Repeated self-harm in adolescents is common and associated with elevated psychopathology, risk of suicide, and demand for clinical services. Despite recent advances in the understanding and treatment of self-harm there have been few systematic reviews of the topic. Aims:  The main aim of this article is to review randomised controlled trials (RCTs) reporting efficacy of specific pharmacological, social or psychological therapeutic interventions (TIs) in reducing self-harm repetition in adolescents presenting with self-harm. Method:  Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed from the first available year to December 2010. RCTs comparing specific TIs versus treatment as usual or placebo in adolescents presenting with self-harm were included. Results:  Fourteen RCTs reported efficacy of psychological and social TIs in adolescents presenting with self-harm. No independently replicated RCTs have been identified reporting efficacy of TIs in self-harm reduction. Developmental Group Psychotherapy versus treatment as usual was associated with a reduction in repeated self-harm, however, this was not replicated in subsequent studies. Multisystemic Therapy (MST) versus psychiatric hospitalisation was associated with a reduction of suicidal attempts in a sample of adolescents with a range of psychiatric emergencies. However, analyses focusing only on the smaller subgroup of adolescents presenting with deliberate self-harm at the initial psychiatric emergency, did not indicate significant benefits of MST versus hospitalisation. Conclusions:  Further research is urgently needed to develop TIs for treating self-harm in adolescents. MST has shown promise but needs to be evaluated in a sample of adolescents with self-harm; dialectic behavioural therapy and cognitive behavioural therapy for self-harm require RCTs to evaluate efficacy and effectiveness. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02525.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=152

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