Citation

Hughes JL, Asarnow JR. Cogn. Behav. Pract. 2022; 29(1): 198-213.

Copyright

(Copyright © 2022, Association for Advancement of Behavior Therapy, Publisher Elsevier Publishing)

DOI

10.1016/j.cbpra.2021.06.009

PMID

unavailable

Abstract

The Safe Alternatives for Teens and Youth (SAFETY) treatment was developed to decrease the risk of repeat suicidal and self-harm behavior in youth presenting with elevated suicide risk. This paper uses case illustrations to demonstrate the SAFETY treatment, building upon the companion paper describing our "incubator" treatment development model and process (Asarnow et al., 2022). As illustrated in the second case illustration, the incubator model approach was particularly useful during the COVID-19 pandemic switch to telehealth. SAFETY specifically targets suicide and self-harm risk reduction using an individually tailored principle-guided approach, grounded in a case conceptualization that identifies cognitive-behavioral processes and reactions that contribute to increased suicide attempt risk and explains the youth's suicidal/self-harm behavior within the context of his or her broader social systems. The SAFETY treatment has been tested in two treatment development trials, and results support the efficacy of SAFETY for preventing suicide attempts in adolescents presenting with recent self-harm. © 2022

Language: en

Keywords

adolescent; human; suicide; female; male; alcohol; case report; treatment; self-harm; self-injury; cannabis; pandemic; patient safety; suicide attempt; drug overdose; telehealth; juvenile; emotion regulation; adolescent health; alcohol consumption; sexual orientation; controlled study; clinical article; automutilation; alprazolam; paracetamol; problem solving; risk reduction; communication disorder; Article; clinical effectiveness; family conflict; parasympathetic tone; cognitive-behavioral therapy; home safety; cannabis use; grandmother; coronavirus disease 2019; behavioral disinhibition