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Self-Evaluation: Self-Enhancement and Self-Verification03:00

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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Practitioner review: Self-harm in adolescents.

Dennis Ougrin1, Troy Tranah, Eleanor Leigh

  • 1Child and Adolescent Psychiatry, King's College London, Institute of Psychiatry, De Crespigny Park, London, UK. dennis.ougrin@kcl.ac.uk

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Summary

This review found limited evidence for therapeutic interventions reducing adolescent self-harm. More research is needed to establish effective treatments for repeated self-harm in young people.

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Area of Science:

  • Adolescent psychiatry
  • Clinical psychology
  • Evidence-based practice

Background:

  • Repeated adolescent self-harm is prevalent, linked to severe psychopathology and suicide risk.
  • Existing treatments for self-harm lack robust systematic review of their efficacy.
  • There is a significant demand for effective clinical services for self-harming adolescents.

Purpose of the Study:

  • To systematically review randomized controlled trials (RCTs) on therapeutic interventions for adolescent self-harm.
  • To assess the efficacy of specific psychological and social interventions in reducing self-harm repetition.
  • To identify gaps in research for adolescent self-harm treatment.

Main Methods:

  • Searched major databases (Medline, PsychINFO, EMBASE, PubMed) up to December 2010.
  • Included RCTs comparing specific therapeutic interventions against treatment as usual or placebo.
  • Focused on adolescents presenting with self-harm behaviors.

Main Results:

  • Fourteen RCTs evaluated psychological and social interventions for adolescent self-harm.
  • No intervention demonstrated independently replicated efficacy in reducing self-harm.
  • Developmental Group Psychotherapy showed initial promise but lacked replication; Multisystemic Therapy (MST) showed mixed results for suicidal attempts.

Conclusions:

  • Urgent need for further research to develop effective adolescent self-harm treatments.
  • MST requires further evaluation specifically in adolescent self-harm populations.
  • Dialectical behavior therapy and cognitive behavioral therapy need RCTs to confirm efficacy for self-harm.