Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- 1 The epidemiology of youth suicide
- 2 Suicide and the “continuum of adolescent self-destructiveness”: is there a connection?
- 3 Adolescent attempted suicide
- 4 Familial factors in adolescent suicidal behavior
- 5 Biological factors influencing suicidal behavior in adolescents
- 6 Psychodynamic approaches to youth suicide
- 7 Cross-cultural variation in child and adolescent suicide
- 8 An idiographic approach to understanding suicide in the young
- 9 Assessing suicidal behavior in children and adolescents
- 10 Suicide prevention for adolescents
- 11 Cognitive behavioral therapy after deliberate self-harm in adolescence
- 12 Follow-up studies of child and adolescent suicide attempters
- 13 Children and adolescents bereaved by a suicidal death: implications for psychosocial outcomes and interventions
- Index
- References
11 - Cognitive behavioral therapy after deliberate self-harm in adolescence
Published online by Cambridge University Press: 04 December 2009
Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- 1 The epidemiology of youth suicide
- 2 Suicide and the “continuum of adolescent self-destructiveness”: is there a connection?
- 3 Adolescent attempted suicide
- 4 Familial factors in adolescent suicidal behavior
- 5 Biological factors influencing suicidal behavior in adolescents
- 6 Psychodynamic approaches to youth suicide
- 7 Cross-cultural variation in child and adolescent suicide
- 8 An idiographic approach to understanding suicide in the young
- 9 Assessing suicidal behavior in children and adolescents
- 10 Suicide prevention for adolescents
- 11 Cognitive behavioral therapy after deliberate self-harm in adolescence
- 12 Follow-up studies of child and adolescent suicide attempters
- 13 Children and adolescents bereaved by a suicidal death: implications for psychosocial outcomes and interventions
- Index
- References
Summary
Circumstances of suicidal attempts
The kinds of cognitive behavioral interventions that are provided for adolescents who have taken a deliberate overdose, or who have deliberately harmed themselves in other ways, will depend to a large extent on the circumstances in which attempts occur. These include (1) acute problems that are faced by the young person; (2) the chronic problems that they face; (3) the presence of psychiatric disorders such as depression; and (4) the thoughts associated with suicidal attempts.
Acute problems
Many episodes of self-poisoning or self-harm in young people are preceded by stressful events. In a study in Manchester, England, adolescents who had deliberately poisoned themselves were found to have experienced a much greater level of personal difficulties in the three months prior to the episode than matched subjects from the general population (Kerfoot et al., 1995). In particular, they were more often reported to have problems with friendships, to be poor school-attenders, and to be having arguments with members of their families. Very commonly, there was some kind of quarrel with a key person in the young person's life. An example was an adolescent girl who had a chronically poor relationship with her mother. She had been out late repeatedly. One morning her mother confronted her and was very critical of her. The girl took a large overdose of paracetamol later that day.
Chronic problems
Many of the problems that adolescent suicide-attempters must deal with are chronic, that is, have been present for several months.
Keywords
- Type
- Chapter
- Information
- Suicide in Children and Adolescents , pp. 251 - 270Publisher: Cambridge University PressPrint publication year: 2003
References
, , , , , , , and (2000). Clinical outcome after short-term psychotherapy for adolescents with major depressive disorder. Archives of General Psychiatry, 57(1), 29–36Google Scholar
(1997). The aftercare of adolescents with deliberate self-harm. Journal of Child Psychology and Psychiatry, 38, 277–286Google Scholar
(2001). Assessment and treatment of the youthful suicidal patient. Annals of the New York Academy of Sciences, 932, 106–128; discussion 128–131Google Scholar
Brent, D. A., and Lerner, M. S. (1994). Cogntive therapy with affectively ill, suicidal adolescents. In Wilkes, T. C. R., Belsher, G., Rush, A. J., and Frank, E. (eds.) Cognitive Therapy for Depressed Adolescents (pp. 298–322). New York City, NY: Guilford Press
, , et al. (1997). A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive treatments. Archives of General Psychiatry, 54, 877–885Google Scholar
, , and (1998). Adolescents who take overdoses: outcomes in terms of changes in psychopatholgy and the adolescents' attitudes to care and to their overdose. Journal of Adolescence, 21, 209–218Google Scholar
(1973). Egocentrism and anti-social behavior: the assessment and training of social perspective-taking skills. Developmental Psychology, 9, 326–332Google Scholar
Clarke, G., Lewinsohn, P., and Hops, H. (1990). Leaders Manual for Adolescent Groups. Adolescent Coping with Depression Course. Eugene, OR: Castalia Publishing Company
, , and (1991). Effectiveness of cognitive-behavior therapy for maladaptive children: a meta-analysis. Psychological Bulletin, 110, 204–214Google Scholar
, , et al. (1998a). Systematic review of efficacy of cognitive behaviour therapies in child and adolescent depressive disorder. British Medical Journal, 316, 1559–1563Google Scholar
, , et al. (1998b). Randomized trial of a home based family intervention for children who have deliberately poisoned themselves. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 512–518Google Scholar
, , and (1998c). Psychological treatment of depression in children and adolescents: a review of treatment research. British Journal of Psychiatry, 173, 291–298Google Scholar
Harrington, R. C., Wood, A., and Verduyn, C. (1998d). Clinically depressed adolescents. In Graham, P. (ed.) Cognitive Behaviour Therapy for Children and Families (pp. 156–193). Cambridge: Cambridge University Press
Hawton, K., and Catalan, J. (1982). Attempted Suicide. Oxford: Oxford Medical Publications
, , et al. (1998). Deliberate self harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. British Medical Journal, 317, 441–447Google Scholar
, , et al. (1998). Which depressed patients respond to cognitive-behavioral treatment?Journal of the American Academy of Child and Adolescent Psychiatry, 37, 35–39Google Scholar
(1997). Practitioner review: psychosocial treatments for conduct disorder in children. Journal of Child Psychology and Psychiatry, 38, 161–178Google Scholar
Kendall, P. C. (1991). Child and Adolescent Therapy. Cognitive-Behavioural Procedures. New York City, NY: Guilford Press
, , and (1995). Brief home-based intervention with young suicide attempters and their families. Journal of Adolescence, 18, 557–568Google Scholar
, , et al. (1996). Correlates and short-term course of self-poisoning in adolescents. British Journal of Psychiatry, 168, 38–42Google Scholar
Kuhn, D., Amsel, E., and O'Loughlin, M. (1988). The Development of Scientific Thinking Skills. San Diego, CA: Academic Press
, , Hops, H. et al. (1990). Cognitive-behavioural treatment for depressed adolescents. Behavior Therapy, 21, 385–401Google Scholar
, , et al. (1985). The McMaster Family Assessment Device: reliability and validity. Journal of Marital and Family Therapy, 11, 345–356Google Scholar
Piaget, J. (1970). Piaget's theory. In Mussen, P. H. (ed.) Carmichael's Manual of Child Psychology, Volume 1 (pp. 703–732). New York City, NY: Wiley
Puig-Antich, J., and Chambers, W. (1978). The Schedule for Affective Disorders and Schizophrenia for school-aged children [unpublished interview schedule]. New York City, NY: New York State Psychiatric Institute
Stark, K. D. (1990). Childhood Depression: School-based Intervention. New York City, NY: Guilford
, , and (1993). Are adolescent suicide attempters noncompliant with outpatient care?Journal of the American Academy of Child and Adolescent Psychiatry, 32, 89–94Google Scholar
, , and (1994). Maternal expressed emotion in conduct and emotional disorders of childhood. Journal of Child Psychology and Psychiatry, 35, 365–376Google Scholar
Wilkes, T. C. R., Belsher, G., Rush, A. J. et al. (1994). Cognitive Therapy for Depressed Adolescents. New York City, NY: Guilford Press
, , and (1996). Controlled trial of a brief cognitive-behavioural intervention in adolescent patients with depressive disorders. Journal of Child Psychology and Psychiatry, 37, 737–746Google Scholar
- 4
- Cited by