non-suicidal self-harming behaviour suicidal behaviour X84
Conditions
Interventions
Group 1: Two follow-up appointments after 4-6 and 8-10 weeks after completion of the standardized emergency management to evaluate the effectiveness.
Sponsors
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie der Universität Regensburg am Bezirksklinikum Regensburg
Eligibility
Sex/Gender
All
Age
11 Years to 19 Years
Inclusion criteria
Inclusion criteria: • Sufficient understanding of the German language • Informed consent of the study participant and their legal guardians • Patients who are presented as emergency in the clinical outpatient department with suicidal behavior and / or self-harming behavior • Age at the start of the study: 11-19 years
Exclusion criteria
Exclusion criteria: • Acute psychotic disorder or other acute psychiatric condition that may affect the patient's capacity to consent • Intellectual disability (IQ <80) according to clinical assessment • Acute suicidality requiring longer stationary treatment (more than 4 nights) at one of the medical wards • regular outpatient treatment by established child and adolescent psychiatric colleagues, which does not require a specified treatment • Lack of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Optimization of the existing emergency management with the help of the information gained through the catamnesis. 2. Reduction of self-harming during the course by targeted indication and by use of a safety plan. The endpoint is recorded when 70 study participants are enrolled. | — |
Secondary
| Measure | Time frame |
|---|---|
| Survey of general functional level and severity of mental illness: • GAF - Global assesment of functioning (Endicott et al., 1976) • CGI-S - Clinical global Impressions - Disease severity (Busner and Targum, 2007) Dimensional psychiatric diagnosis for follow-up with regard to general psychopathology and self-harming as well as suicidal behavior: - SCL-90-S: This is a self-assessment method used worldwide to record mental stress in patients ("SCL-90®-S - Symptom Checklist 90® Standard - Hogrefe, Psychology Publishing," n.d.) - SITBI - Follow-Up: The Self-Injurious Thoughts and Behaviors Interview (Nock et al., 2007) is a structured interview broken down into six modules, within the presence, frequency, and characteristics of six types of self-harming thoughts and behaviors are recorded ("Diagnosis of Suicidality - Hogrefe, Psychology," n.d.). It is also used for a problem analysis for the causal research and as a basis for the following recommendations. This is a appropriate diagnostic tool for clinics and research (Fischer et al., 2014). This examines the course of suicidal and non-suicidal self-harming behavior. - ERS: Emotion Reactivity Scale: This examines the emotional reactivity of adolescents; this is also related to psychopathology and self-harming thoughts or behavior (Nock et al., 2008) - Questions about the motivation of young people to end self-harming behavior, from the study by Armitage et al. (Armitage et al., 2016). This is to determine whether the motivation of the adolescents has changed. - Questions about the benefits of the safety plan and the implementation of the recommendations With the guardians / caregivers: • SITBI follow-up: problem analysis with the guardian • Questions about the benefits of the safety plan and the implementation of the recommendations • Parent Motivation Inventory: This instrument is used to measure the motivation of the guardians to participate in a treatment (Nock and Photos, 2006), as well as to check w | — |
Countries
Germany
Contacts
Public ContactRomuald Brunner
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie der Universität Regensburg am Bezirksklinikum Regensburg
Outcome results
None listed