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Specific Psychological Treatment Versus Treatment as Usual in Adolescents with Self-Harm Systematic Review and Meta-Analysis

Forfatter(e)
Ougrin, D. Latif, S.
År
2011
DOI
10.1027/0227-5910/a000060
Tidsskrift
Crisis-the Journal of Crisis Intervention and Suicide Prevention
Sider
74-80
Kategori(er)
Selvskading/selvmord
Tiltakstype(r)
FamilieterapiKognitiv atferdsterapi, atferdsterapi og kognitiv terapi
Abstract

Background: Despite recent advances in the understanding and treatment of self-harm, poor engagement with therapy remains a serious problem.

Aims: To investigate whether offering specific psychological treatment (SPT) leads to better engagement than offering treatment as usual (TAU) in adolescents who have self-harmed.

Methods: Data sources were identified by searching Medline, PsychINFO, EMBASE, and PubMed for randomized controlled trials comparing SPT versus TAU in adolescents presenting with self-harm.

Results: Seven studies met inclusion criteria, and six were entered into the meta-analysis. There was no statistically significant difference between the number of subjects not completing four or more sessions of an SPT (27.7%, 70/253) than TAU (43.3%, 106/245), RR = 0.71 (95% CI: 0.49-1.05).

Conclusions: Engaging adolescents with psychological treatment is necessary although not sufficient to achieve treatment goals. Further research is needed to develop tools for maximizing engagement.