Effectiveness of psychotherapeutic interventions targeted at adolescents with suicidal behavior: an integrative literature review
DOI:
https://doi.org/10.12707/RIV18027Keywords:
primary prevention, suicide, adolescent, reviewAbstract
Background: The prevention of recurrent suicidal behaviors in adolescents is crucial given their size and repetitive nature, and the increased risk of death by suicide.
Objectives: To identify the current and available scientific evidence on the psychotherapeutic interventions targeted at adolescents with suicidal behaviors and to assess the effectiveness of these interventions at the level of suicidal ideation, depression, and repetition of suicidal behavior.
Methodology: Integrative literature review, through research in online bibliographic databases, with the selected search descriptors, during the publication period from January 2007 to December 2016, in English, with available references and full-text articles.
Results: Of a total of 1,847 papers found we included 10 studies on adolescents with suicidal behavior, targets of psychotherapeutic intervention, with positive results in cognitive-behavioral intervention with psychoeducation for adolescents and their families, community intervention, dialectical-behavioral therapy, and mentalization-based therapy at the level of the defined outcomes.
Conclusion: We identified psychotherapeutic interventions with effectiveness, but the heterogeneity of the studies requires thoughtful analysis and comparison of evaluated samples, methodologies, and interventions.
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References
Ali Alavi, M. D., Sharifi, B., Ghanizadeh, A., & Dehbozorgi, G. (2013). Effectiveness of cognitive-behavioral therapy in decreasing suicidal ideation and hopelessness of the adolescents with previous suicidal attempts. Iranian Journal of Pediatrics, 23(4), 467-72. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3883378/
Asarnow, J. R., Baraff, L. J., Berk, M., Grob, C. S., Devich- Navarro, M., Suddath, R., … Tang, L. (2011). An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment. Psychiatric Services: A Journal of the American Psychiatric Association, 62(11), 1303-1309. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3251923/.
Asarnow, J. R., Berk, M., Hughes, J. H., & Anderson, N. L. (2015). The SAFETY Program: A treatment-development trial of a cognitive-behavioral family treatment for adolescent suicide attempters. Journal of Clinical Child & Adolescent Psychology, 44(1), 194–203. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289426/
Centre of Research Excellence in Suicide Prevention. (2015). Care after a suicide attempt. Recuperado de http://www.coordinare.org.au/news/mental-health-report-released-care-after-a-suicide-attempt/
Direção-Geral da Saúde. (2013). Plano Nacional de Prevenção do Suicídio 2013/2017. Recuperado de https://www.dgs.pt/documentos-e-publicacoes/plano-nacional-de-prevencao-do-suicido-20132017.aspx
Esposito-Smythers, C., Spirito, A., Kahler, C. W., Hunt, J., & Monti, P. (2011). Treatment of co-occurring substance abuse and suicidality among adolescents: A randomized trial. Journal of Consulting and Clinical Psychology, 79(6), 728-739. doi:10.1037/a0026074
Gonzales, A. H., & Bergstrom, L. (2013). Adolescent non-suicidal self-injury (NSSI) interventions. Journal of child and Adolescent Psychiatric Nursing, 26, 124–30. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/23607824
Green, J. M., Wood, A. J., Kerfoot, M. J., Trainor, G., Roberts, C., Rothwell, J., … Harrington, R. (2011). Group therapy for adolescents with repeated selfharm: Randomised controlled trial with economic evaluation. BMJ, 342(682). doi: 10.1136/bmj.d682
Hawton, K., Witt, K. G., Taylor-Salisbury, T. L., Arens man, E., Gunnell, D., Hazell, P., … van Heeringen, K. (2015). Pharmacological interventions for self-harm in adults. Cochrane Database of Systematic Reviews 6(7). Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/26147958
Hazell, P. L., Martin, G., McGill, K., Kay, T., Wood, A., Trainor, G., & Harrington, R. (2009). Group therapy for repeated deliberate self-harm in adolescents: Failure of replication of a randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 48(6), 662-70. Recuperado de http://www.sciencedirect.com/science/article/pii/S0890856709600952
Higgins, J., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions: Version 5.1.0. The Cochrane Collaboration. Recuperado de http://handbook.cochrane.org/
Hvid, M., Vangborg, K., Sorensen, H. J., Nielsen, I. K., Stenborg, J. M., & Wang, A. G. (2011). Preventing repetition of attempted suicide-II. The Amager Project, a randomized controlled trial. Nordic journal of psychiatry, 10. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/21171837.
King, C. A., Gipson, P. Y., Horwitz, A. G., & Opperman, K. J. (2015). Teen options for change: An intervention for young emergency patients who screen positive for suicide risk. Psychiatric Services, 66(1). doi:10.1176/appi.ps.201300347
Mehlum, L., Tormoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., … Groholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(10), 1082-1091. Recuperado de http://www.sciencedirect.com/science/article/pii/S0890856714004997
Ougrin, D., Tranah, T., Stahl, D., Moran, P., & Asarnow, J. R. (2015). Therapeutic interventions for suicide attempts and self-harm in adolescents: Systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 97–107. Recuperado de http://www.sciencedirect.com/science/article/pii/S089085671400731X
Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51(12), 1304-1313. e3. Recuperado de http://www.sciencedirect.com/science/article/pii/S0890856712007368
The Joanna Briggs Institute. (2014). Joanna Briggs Institute reviewers’ manual: 2014 edition. Adelaide, Australia: Author. Recuperado de http://joannabriggs.org/assets/docs/sumari/ reviewersmanual-2014.pdf
Wright-Hughes, A., Graham, E., Farrin, A., Collinson, M., Boston, P., Eisler, I., … Cottrell, D. (2015). Self-harm intervention: Family therapy (SHIFT), a study protocol for a randomised controlled trial of family therapy versus treatment as usual for young people seen after a second or subsequent episode of self-harm. Trials, 16, 501. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/26537599