TY - JOUR
PY - 2022//
TI - Treatment plan for female adolescents in the grip of chronic suicidality ;; Behandelbeleid bij vrouwelijke adolescenten gegijzeld door chronische suïcidaliteit
JO - Tijdschrift voor Psychiatrie
A1 - van de Koppel, M.
A1 - Mérelle, S. Y. M.
A1 - Stikkelbroek, Y. A. J.
A1 - van der Heijden, P. T.
A1 - Spijker, J.
A1 - Popma, A.
A1 - Creemers, D. H. M.
SP - 214
EP - 219
VL - 64
IS - 4
N2 - 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
LA - nl SN - 0303-7339 UR - http://dx.doi.org/ ID - ref1 ER -