Psychotherapeutic approaches to non-suicidal self-injury in adolescents

Washburn, Jason J.; Richardt, Sarah; Styer, Denise M.; Gebhardt, Michelle; Juzwin, K. R.; Yourek, Adrienne; Aldridge, Delia

doi:10.1186/1753-2000-6-14

Cited by 72 publications

(57 citation statements)

References 70 publications

(88 reference statements)

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“…17,38,39 We identified 15 RCTs-widely considered the gold standard in treatment research 19 -that evaluated NSSI treatment effects. Our results encourage cautious optimism regarding the possible efficacy of ERGT, MACT, atypical antipsychotics, and SSRIs for reducing NSSI.…”

Section: Discussionmentioning

confidence: 99%

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

2014

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Objective: Nonsuicidal self-injury (NSSI), the deliberate, self-inflicted damage of bodily tissue without the intent to die, is associated with various negative outcomes. Although basic and epidemiologic research on NSSI has increased during the last 2 decades, literature on effective interventions targeting NSSI is still emerging. Here, we present a comprehensive, systematic review of existing psychological and pharmacological treatments designed specifically for NSSI, or including outcome assessments examining change in NSSI. Method:We conducted a systematic search of PsycINFO, MEDLINE, and ERIC databases to retrieve relevant articles that met inclusion criteria; specifically, uncontrolled and controlled trials that 1) presented quantitative outcome data on NSSI, and 2) clearly differentiated NSSI from suicidal self-injury (SSI). Consistent with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, definition of NSSI, we excluded studies examining populations with developmental or intellectual disabilities, or with psychotic disorders.Results: Several interventions appear to hold promise for reducing NSSI, including dialectical behaviour therapy, emotion regulation group therapy, manual-assisted cognitive therapy, dynamic deconstructive psychotherapy, atypical antipsychotics (aripiprazole), naltrexone, and selective serotonin reuptake inhibitors (with or without cognitive-behavioural therapy). Nevertheless, there remains a paucity of well-controlled studies investigating treatment efficacy for NSSI.Conclusions: Structured psychotherapeutic approaches focusing on collaborative therapeutic relationships, motivation for change, and directly addressing NSSI behaviours seem to be most effective in reducing NSSI. Medications targeting the serotonergic, dopaminergic and opioid systems also have demonstrated some benefits. Future studies employing controlled designs as well as a clear delineation of NSSI and SSI will improve knowledge regarding treatment effects. W W W Traiter l'automutilation non suicidaire : une revue systématique des interventions psychologiques et pharmacologiquesObjectif : L'automutilation non suicidaire (AMNS), c'est-à-dire les dommages délibérés et auto-infligés aux tissus corporels sans intention de mourir, est associée à divers résultats négatifs. Bien que la recherche basique et épidémiologique sur l'AMNS ait augmenté au cours des 20 dernières années, la littérature sur les interventions efficaces ciblant l'AMNS est encore naissante. Ici, nous présentons une revue systématique exhaustive des traitements psychologiques et pharmacologiques existants conçus spécifiquement pour l'AMNS, ou incluant des évaluations de résultats examinant le changement de l'AMNS.Méthode : Nous avons mené une recherche systématique dans les bases de données PsycINFO, MEDLINE, et ERIC pour extraire les articles pertinents qui satisfaisaient aux critères d'inclusion; spécifiquement, les essais incontrôlés et contrôlés qui 1) présentaient des données quantitative de résultats de l'AMNS, et 2) différ...

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Section: Discussionmentioning

confidence: 99%

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

2014

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“…[25,[31][32][33]; bullying e cyber bullying [13,34]; migration, social transplantation, adverse sociocultural discrimination [35,36]. It is advised that all young people who express suicidal ideation should receive a complete psychosocial assessment in order to identify all the risk and protective factors, mental illness, as well as a full understanding of the self-injurious process in the individual [37][38][39][40]. An adequate psychosocial assessment was associated with decrease in the repetition of NSSI behaviour [41,42].…”

Section: Psychosocial Factors and Nssimentioning

confidence: 99%

Non Suicidal Self Injury in Adolescence: Psychosocial Predictors

Leite¹,

Ferreira²,

Veiga³

et al. 2017

J Gen Pract

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Non-suicidal self-injury (NSSI) has its typical onset during adolescence and usually configures a maladaptive coping strategy that serves numerous functions. Adverse psychosocial situations are related with an increased risk for NSSI. The objective of this work was to identify the most prevalent psychosocial risk factors for NSSI during adolescence and statistically significant associations between them. A convenience sample of 50 adolescents with identified history of NSSI was used. Each case was searched for the Abnormal Psychosocial Situations (APS) contemplated in the psychosocial axis (Axis V) of the International Classification of Diseases (10 th edition). The 10 more prevalent APS were present in at least 50% of the subjects. Several statistically significant associations between APS were identified, signalizing certain patterns of associations that suggest increased risk for NSSI. A proper assessment of the psychosocial contexts may allow identification of youth at risk for NSSI, and thus the institution of early intervention programs.

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“…Evidence-based treatment protocols that target NSSI in adolescents are scarce (Muehlenkamp, 2006;Washburn et al, 2012). The most often referred treatments are Mentalization Based Treatment for Adolescents (MBT-A) (Laurenssen et al, 2014;Rossouw, 2013;Rossouw & Fonagy, 2012) and Dialectical Behavior Therapy for Adolescents (DBT-A) (Fleischhaker et al, 2011;Katz, Cox, Gunasekara, & Miller, 2004;MacPherson, Cheavens, & Fristad, 2013;McDonell et al, 2010;Miller, Rathus, & Linehan, 2007;Rathus & Miller, 2002;TØrmoen et al, 2014).…”

Section: Specific Psychological Treatmentmentioning

confidence: 99%

Non-Suicidal Self-Injury in Swedish Adolescents : Prevalence, Characteristics, Functions and Associations With Childhood Adversities

Zetterqvist¹

2014

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Psychotherapeutic approaches to non-suicidal self-injury in adolescents

Cited by 72 publications

References 70 publications

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

Treating Nonsuicidal Self-Injury: A Systematic Review of Psychological and Pharmacological Interventions

Non Suicidal Self Injury in Adolescence: Psychosocial Predictors

Non-Suicidal Self-Injury in Swedish Adolescents : Prevalence, Characteristics, Functions and Associations With Childhood Adversities

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