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 -