TY - JOUR PY - 2011// TI - Specific psychological treatment versus treatment as usual in adolescents with self-harm JO - Crisis A1 - Ougrin, Dennis A1 - Latif, Saqib SP - 74 EP - 80 VL - 32 IS - 2 N2 - 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.

Language: en

LA - en SN - 0227-5910 UR - http://dx.doi.org/10.1027/0227-5910/a000060 ID - ref1 ER -