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Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines

Plener, Paul L. ; Brunner, Romuald ; Fegert, Jörg M. ; Groschwitz, Rebecca C. ; In-Albon, Tina ; Kaess, Michael ; Kapusta, Nestor D. ; Resch, Franz ; Becker, Katja

In: Child and adolescent psychiatry and mental health, 10 (2016), Nr. 46. pp. 1-9. ISSN 1753-2000

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Download (1MB) | Lizenz: Creative Commons LizenzvertragTreating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines by Plener, Paul L. ; Brunner, Romuald ; Fegert, Jörg M. ; Groschwitz, Rebecca C. ; In-Albon, Tina ; Kaess, Michael ; Kapusta, Nestor D. ; Resch, Franz ; Becker, Katja underlies the terms of Creative Commons Attribution 3.0 Deutschland

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Abstract

Background: Nonsuicidal self-injury (NSSI) is a frequent and clinically relevant phenomenon in adolescence. Within Europe, Germany has one of the highest prevalence rates in youth with lifetime prevalence ranging between 25 and 35%. However, treatment guidelines for NSSI are not yet available. Methods: Consensus based clinical guidelines were created by a working group consisting of members of eleven medical, psychological or psychotherapeutic professional national associations, and two members of patient self-help and prevention groups. The guidelines were developed in consecutive expert meetings and literature searches and agreed on in a final consensus conference. Results: Given that evidence on both the psychotherapeutic and psychopharmacological treatment of NSSI is limited, a consensus based approach was chosen. The consensus indicated that due to the accumulating evidence on the efficacy of psychotherapeutic approaches, core elements of psychotherapy should be provided in treatment of NSSI. A specific psychopharmacological therapy of NSSI cannot be recommended. In addition, the guidelines provide recommendations for surgical intervention of NSSI. Conclusions: In accordance with the heterogeneous level of evidence, recommendations for the clinical management of NSSI in adolescence were made during a consensus conference after reviewing available literature. There is still a lack of knowledge on prevention as well as clinical interventions, which needs to be addressed by further clinically relevant studies.

Item Type: Article
Journal or Publication Title: Child and adolescent psychiatry and mental health
Volume: 10
Number: 46
Publisher: BioMed Central
Place of Publication: London
Date Deposited: 12 Dec 2016 08:42
Date: 2016
ISSN: 1753-2000
Page Range: pp. 1-9
Faculties / Institutes: Service facilities > Zentralinstitut für Seelische Gesundheit
Medizinische Fakultät Heidelberg > Psychiatrische Universitätsklinik
Subjects: 150 Psychology
610 Medical sciences Medicine
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