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Do interventions reduce the risk of repeat self-harm or suicide in young people?: Commentary on… Cochrane Corner

  • Susan Howson and Sarah Huline-Dickens
Summary

As in adults, self-harm in children and young people is common. It results in much distress to families and carers, and considerable morbidity among children and young people. Although much more common than completed suicide, it is strongly linked to repeated self-harm and suicide. The conclusions in this review are limited by the small number of studies included, no studies of pharmacological interventions at all and most of the included interventions being evaluated in a single study. One moderately sized study of mentalisation in adolescents with comorbid depression showed a significant effect on scores on a self-harm measure, indicating fewer self-reported episodes of self-harm. No other intervention showed a significant reduction in reported self-harm, although trials may have been too small to show statistical significance.

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Copyright
Corresponding author
Dr Susan Howson, The Terraces, Mount Gould Hospital, Mount Gould Road, Plymouth PL4 7QD, UK. Email s.howson@exeter.ac.uk
Footnotes
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See p. 286, this issue.

Hawton et al's review of pharmacological interventions was discussed in Round the Corner earlier this year: see Smith K, Attenburrow MJ (2016) Does drug treatment reduce the risk of further self-harm or suicide? Commentary on… Cochrane Corner. BJPsych Advances, 22: 3–7. Ed.

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Footnotes
References
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Do interventions reduce the risk of repeat self-harm or suicide in young people?: Commentary on… Cochrane Corner

  • Susan Howson and Sarah Huline-Dickens
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