Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/24456

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Title
Clinical management of deliberate self-harm in young people: the need for evidence-based approaches to reduce repetition
Author/Creator
Burns, J.;  Dudley, M.;  Hazell, Phillip;  Patton, G.
Description
Objective: To examine the evidence for the effectiveness of clinical interventions designed to reduce the repetition of deliberate self-harm (DSH) in adolescents and young adults. Methods: Electronic databases were searched for papers describing randomised and clinical control trials (RCTs) and quasi-experimental studies of interventions targeting adolescents and young adults presenting to clinical services following DSH or suicidal ideation. Results: Three RCTs, four clinical control trials and three quasi-experimental studies were identified. Group therapy, trialled in a RCT, was the only specific programme which led to a significant reduction in rates of repetition of self-harm. Attendance at follow-up did not improve significantly regardless of the intervention, while one clinically controlled trial of intensive intervention resulted in poorer attendance at follow-up. One quasi-experimental study of family therapy resulted in a significant reduction in suicidal ideation. Conclusions: The evidence base for treatments designed to reduce the repetition of self-harm in adolescents and young adults is very limited. Expensive interventions such as intensive aftercare offer no clear benefit over routine aftercare. Given that deliberate self-harm among young people is a common clinical problem further good quality treatment studies are warranted. Careful consideration should be given to process evaluation to determine which individual components of any given intervention are effective.
Relation
Australian and New Zealand Journal of Psychiatry Vol. 39, no. 3, p. 121-128
Date
2005
Publisher
Blackwell Science
Keyword(s)
clinical interventions;  deliberate self-harm;  evidence based;  young;  people;  adolescent suicide attempters;  randomized controlled-trial;  evidence;  based medicine;  methodological issues;  poisoned themselves;  youth;  suicide;  follow-up;  intervention;  parasuicide;  care
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/24456
Identifier
ISSN:1440-1614
Language
eng
Reviewed
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Subject
"Australian and New Zealand Journal of Psychiatry"
 
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