Multisystemic Therapy Effects on Attempted Suicide by Youths Presenting Psychiatric Emergencies

Huey, Stanley J.; Henggeler, Scott W.; Rowland, Melisa D.; Halliday‐Boykins, Colleen A.; Cunningham, Phillippe B.; Pickrel, Susan G.; Edwards, James E.

doi:10.1097/00004583-200402000-00014

Cited by 273 publications

(197 citation statements)

References 30 publications

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“…MSFT has been shown to yield decreases in substance use for treated youth (57). MSFT also has been shown to be associated with decreases in attempted suicide over time for youth (58).…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Challenges and Opportunities in the Treatment of Adolescents with Substance Use Disorder and Suicidal Behavior

Esposito‐Smythers

Goldston

2008

Substance Abuse

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Many youth who present for substance abuse treatment report co-occurring suicidality. Therefore, it is important to learn about the characteristics of this population and effective treatment strategies. The purpose of this paper is to provide an overview of some of the key issues that arise when treating youth with substance abuse and co-occurring suicidality and to offer recommendations on how to approach these areas. Specifically, we discuss the potential utility of an integrated approach to treatment, and provide an overview of the characteristics of this treatment population, motivational and treatment engagement issues, the clinical management of suicidality in the context of treatment, and the effect of psychiatric comorbidity on treatment needs. We then discuss school, family, and peer issues that may arise as well as special considerations for the use of urine drug screens with this population. We conclude with recommendations for future treatment development research in this very important area. Keywordssuicide; substance abuse; treatment; comorbidity; adolescence Substance abuse and suicidality commonly co-occur among adolescent psychiatric populations. In youth receiving substance abuse treatment, 18% to 36% report a history of suicidal behavior (1-4). In recent reviews of the literature, the presence of a substance use disorder was noted to be associated with a 3-to 4-fold increase in suicide attempts (5). Moreover, adolescents diagnosed with a substance use disorder were 5 to 13 times more likely to die by suicide than adolescents without this diagnosis (4,6). Given the association between substance use disorders and suicidality, it is important to consider our approach to treatment and clinical research with this very difficult high risk adolescent population.In this paper, we offer information on many of the clinical issues that arise in treating suicidal substance abusing adolescents. This information is based on our experience working with this population in the context of clinical trials for suicidal substance abusing teens. Specifically, our treatment development studies compare an integrated outpatient cognitive behavioral treatment for both substance use disorder and suicidality to enhanced standard care. We will review some of the key issues that should be considered when assessing and treating this population and offer recommendations for how to approach these issues. We will conclude

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“…MSFT has been shown to yield decreases in substance use for treated youth (57). MSFT also has been shown to be associated with decreases in attempted suicide over time for youth (58).…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Challenges and Opportunities in the Treatment of Adolescents with Substance Use Disorder and Suicidal Behavior

Esposito‐Smythers

Goldston

2008

Substance Abuse

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“…There are, however, no rigorous Randomised Control Trials showing that inpatient admissions reduce the risk of subsequent self-harm. Moreover, some individuals may increase their self-harm behaviour once placed into inpatient care (Huey, Henggeler, & Rowland et al, 2004). If inpatient treatment is deemed necessary, planning for discharge should start at the point of admission and contingencies should be examined to strengthen reinforces for alternatives to NSSI.…”

Section: Managementmentioning

confidence: 99%

Non-suicidal self-injury: clinical presentation, assessment and management

Dhingra

Ali

2016

Nursing Standard

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What does this paper contribute to the wider global clinical community?'• Nurses in the Emergency Departments (ED) may be the first point of contact for people involved in Non-suicidal self-injury• Nurses need to be aware of NSSI, its manifestations and treatment• Providing person centred care to patients involved in NSSI requires an understanding of the behaviour and the functions it serves 3

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“…En un ECA (Huey, 2004) demostró superioridad en la reducción de NSSI versus la hospitalización. Como el grupo tratamiento tenía una línea base superior en relación a NSSI que el grupo control (hospi-talización), no fue posible descartar la disminución como explicación del efecto del tratamiento.…”

Section: Otras Psicoterapiasunclassified

Autolesiones no suicidas en adolescentes: revisión de los tratamientos psicológicos

Mollà¹,

Vila²,

Treen³

et al. 2015

RPPC

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Resumen: Las autolesiones en adolescentes han adquirido mayor relevancia en los últimos años, por el aumento de prevalencia, el mayor riesgo de realizar una tentativa autolítica y de desarrollar un trastorno límite de la personalidad o un trastorno depresivo mayor. Nuestro objetivo es revisar la bibliografía referente a tratamientos psicológicos para las autolesiones no suicidas (non-suicidal self-injury; NSSI). Se incluyen estudios que evalúan una intervención psicoterapéutica para el tratamiento de las autolesiones. Los resultados indican que ningún tratamiento para las autolesiones ha demostrado sufi ciente evidencia en adolescentes. La terapia basada en mentalización (MBT-A) ha demostrado efi cacia en un estudio y la terapia dialéctica-conductual (DBT-A) ha demostrado efectividad. La variedad y heterogeneidad de resultados difi culta extraer conclusiones más específi cas, como cuáles son los componentes activos efi caces. Valoramos la necesidad de estandarizar criterios e instrumentos en el campo del tratamiento de las autolesiones para mejorar la validez y utilidad de los resultados. Palabras clave:Non suicidal self-injury; psychological treatment; psychotherapy; self-injury. Non-suicidal self-harm in adolescents: A review of psychological treatmentsAbstract: Self-harm in teenagers has become more important in recent years, given its increased prevalence and the greater risk involved of making a suicidal attempt and developing a borderline personality disorder or a major depressive disorder. We aim to review the literature as to psychological treatments for non-suicidal self-injury (NSSI). Studies assessing a psychotherapeutic intervention for self-harm have been included. The results indicate that no treatment for self-harm has demonstrated enough evidence in adolescents. Mentalization based therapy (MBT-A) has shown effi cacy in one study and the dialectical behavior therapy (DBT-A) has shown effi cacy. However, the variety and heterogeneity of results make it diffi cult to draw more specifi c conclusions, such as regards the effective active components. Criteria and instruments in the fi eld of the treatment of NSSI need to be standardized in order to improve the validity and clinical utility of results.

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Multisystemic Therapy Effects on Attempted Suicide by Youths Presenting Psychiatric Emergencies

Cited by 273 publications

References 30 publications

Challenges and Opportunities in the Treatment of Adolescents with Substance Use Disorder and Suicidal Behavior

Challenges and Opportunities in the Treatment of Adolescents with Substance Use Disorder and Suicidal Behavior

Non-suicidal self-injury: clinical presentation, assessment and management

Autolesiones no suicidas en adolescentes: revisión de los tratamientos psicológicos

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