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The Treatment of Suicide and Self-Injurious Behaviors in Children and Adolescents

  • Child and Adolescent Psychiatry (M Singh and M Goldsmith, Section Editors)
  • Published:
Current Treatment Options in Psychiatry Aims and scope Submit manuscript

Abstract

Purpose

Suicide is currently the second leading cause of death for 10–34 year-olds. Moreover, up to 20% of adolescents report engaging in non-suicidal self-injury (NSSI) at some point in their lifetime. Despite the urgent need, the literature on effective treatment options for children and adolescents struggling with suicide, NSSI, and other self-injurious behaviors (SIBs) is relatively limited. This article reviews the efficacy of current treatments for youth suicidality and SIBs.

Recent Findings

Most of the existing literature on treatment for suicidality and NSSI in children and adolescents is focused on psychotherapy, specifically cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), psychoeducation, family therapy, and school-based interventions. In contrast, psychopharmacology studies have focused on addressing disorders related to suicidality and NSSI such as major depressive disorder, rather than on the behaviors themselves.

Summary

Currently, there is no single treatment that is considered the gold standard for child and adolescents struggling with suicidality and NSSI. While individual psychotherapies, including CBT and DBT, and psychopharmacological agents, such as selective serotonin reuptake inhibitors (SSRIs), show promise in addressing suicide and related psychopathology, there is considerable need for novel approaches to address the underlying mechanisms leading to youth suicidality and NSSI.

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  1. PediMIND Program, Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI, 02915, USA

    Anna C. Gilbert BS, Lena L.A. DeYoung BS, Christine M. Barthelemy BS, Gracie A. Jenkins BS, Heather A. MacPherson PhD, Kerri L. Kim PhD, Anastacia Y. Kudinova PhD, Petya D. Radoeva MD, PhD & Daniel P. Dickstein MD, FAAP

  2. Division of Child Psychiatry, Department of Psychiatry, Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA

    Anna C. Gilbert BS, Lena L.A. DeYoung BS, Christine M. Barthelemy BS, Gracie A. Jenkins BS, Heather A. MacPherson PhD, Kerri L. Kim PhD, Anastacia Y. Kudinova PhD, Petya D. Radoeva MD, PhD & Daniel P. Dickstein MD, FAAP

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Gilbert, A.C., DeYoung, L.L., Barthelemy, C.M. et al. The Treatment of Suicide and Self-Injurious Behaviors in Children and Adolescents. Curr Treat Options Psych 7, 39–52 (2020). https://doi.org/10.1007/s40501-020-00201-3

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