TY  - JOUR
PY  - 2020//
TI  - [Suicidality in adolescents with therapy refractory internalising behaviour]
JO  - Tijdschrift voor Psychiatrie
A1  - Herpers, P. C. M.
A1  - Neumann, J. E. C.
A1  - Staal, W. G.
SP  - 283
EP  - 290
VL  - 62
IS  - 4
N2  - Suicidality in adolescence is increasingly becoming a societal problem, especially because there remains a small group of patients in which treatment effectiveness is small. Existing formal guidelines often are of limited value in this group that often shows complex comorbidity.<br/> AIM: To contribute to the diagnostic and aetiological perspective in order to better understand therapy refractory internalising behaviour.<br/> METHOD: Integration of several scientific theoretical concepts into a holistic model.<br/> RESULTS: Evidence shows that suicidality should be considered within a broader scope of therapy refractory internalising behaviour. Important underpinnings comprise a partially overprotective parenting style, disturbed attachment processes and social anxiety. Internalising and externalising behaviour problems are viewed as expressions of avoidance behaviour. Furthermore, we discuss important implications for treatment.<br/> CONCLUSION: Applying an aetiological model for therapy refractory internalising behaviour may help to increase efficacy of treatment. Thus, transdiagnostic treatment can be offered, being less dependent on specific dsm-classifications. Focus of treatment is on restoration of basic trust between the youngster and his parents, and on ending avoidance behaviour that is based on social anxiety.<p /> <p>Language: nl</p>
LA  - nl
SN  - 0303-7339
UR  - http://dx.doi.org/
ID  - ref1
ER  -