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Review
. 2023 Oct;64(10):1409-1421.
doi: 10.1111/jcpp.13780. Epub 2023 Mar 6.

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  1   2 , Lucas Zullo  1 , Sylvanna M Vargas  1   2 , Dennis Ougrin  3 , Joan R Asarnow  1
Affiliations
Review

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 et al. J Child Psychol Psychiatry. 2023 Oct.

Abstract

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.

Keywords: adolescence; self-harm; suicide attempts; treatment trials.

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References

    1. Adrian, M., McCauley, E., Berk, M.S., Asarnow, J.R., Korslund, K., Avina, C., … & Linehan, M.M. (2019). Predictors and moderators of recurring self-harm in adolescents participating in a comparative treatment trial of psychological interventions. Journal of Child Psychology and Psychiatry, 60, 1123-1132.
    1. American Academy of Pediatrics (AAP). (2022). Screening for suicide risk in clinical practice. Available from: https://www.aap.org/en/patient-care/blueprint-for-youth-suicide-preventi.... Accessed on July 15, 2022.
    1. Asarnow, J.R., & Chung, B. (2021). Covid-19: Lessons for suicide prevention. Journal of Child Psychology and Psychiatry, 62, 919-921.
    1. Asarnow, J.R., Hughes, J., Cohen, D., Berk, M., McGrath, E., & Huey, S.J., Jr. (2022). The incubator treatment development model: The SAFETY treatment for suicidal/self- harming youth. Cognitive and Behavioral Practice, 29, 185-197.
    1. *Asarnow, J.R., Hughes, J.L., Babeva, K.N., & Sugar, C.A. (2017). Cognitive-behavioral family treatment for suicide attempt prevention: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 56, 506-514.

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