|Beitragstitel||Schema therapy and suicide attempt, suicidal ideation and self-harm in adolescence|
Suicide is the second leading cause of death among adolescents in high-income countries.
WHO Members committed themselves to incorporate proven suicide prevention strategies into national health and education programmes.
The review of effective clinical interventions seems particularly relevant in the context of the work in Malatavie, the HUG unit for prevention, assessment and treatment of the suicidal risk in adolescence.
Schema therapy is an integrative psychotherapeutic approach based on the early maladaptive schemas (EMS). The aim is to heal schemas and replace maladaptive coping styles with adaptive patterns, meeting the patient's core emotional needs.
In this review, we describe the current status regarding the provision of schema therapy in patients at risk of suicide and self-harm and the associations between EMS and suicidal risk in adolescence.
Due to the limited evidences focused on the adolescent population and in order to identify the nature and extent of the research evidence, we make a preliminary assessment including ongoing research.
Emergencies evidences show the potential for schema therapy to reduce suicidal risk and self-harm symptomatology.
So far, studies conducted with schema therapy have been mainly focused on adult population. However, evidences on the link between EMS and a severe mental illnesses among adolescents has recently increased : among these, suicidal ideation and self harm.
The results of this review have led to a reflection about the provision of schema therapy for the adolescents followed in our unit.
Althought these evidences are encouraging, longitudinal studies with larger samples are needed to establish temporal causality.