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Journal Article

Citation

van de Koppel M, Mérelle SYM, Stikkelbroek YAJ, van der Heijden PT, Spijker J, Popma A, Creemers DHM. Tijdschr. Psychiatr. 2022; 64(4): 214-219.

Copyright

(Copyright © 2022, Uitgeverij de Tijdstroom)

DOI

unavailable

PMID

35506974

Abstract

BACKGROUND: A psychological autopsy study (Mérelle e.a. 2020) demonstrates a subgroup of female adolescents with chronic suicidal behavior and severe internalizing problems.

AIM: To describe characteristics of the suicidal process and the challenges experienced in providing mental health care for this subgroup.

METHOD: A case description and review of literature.

RESULTS: The persistent suicidal threat and the following despair of the patient and its parents are forcing care providers into an impasse: the primary focus of treatment is to guarantee the patient's safety, whereby the treatment of underlying problems is underexposed. Based on expert knowledge we make recommendations including autonomy-promoting treatment policy, treating suicidality as a transdiagnostic phenomenon, creating a multidisciplinary network of care providers and making chronic suicidality tolerable for care providers.

CONCLUSION: We propose preliminary practical recommendations in our quest for optimal mental health care for chronic suicidal adolescents.


Language: nl

Keywords

Humans; Female; Adolescent; Parents; *Suicide Prevention; Patient Care Planning; *Suicidal Ideation

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