2019 May-June

Here we are with the selection of articles published in the months of May and June 2019, about suicide, self harm and suicidal related topics from the major scientific journals.

Three articles are presented with a small comment by Raffaella Calati and Martina Riganese.

Effectiveness of a brief intervention aimed at increasing distress tolerance for individuals in
crisis or at risk of self-harm
Yardley P, McCall A, Savage A, Newton R.
Australasian Psychiatry: Bulletin Of Royal Australian And New Zealand College Of Psychiatrists. May 2019:1039856219848835. doi:10.1177/1039856219848835.
This paper introduces a brief psychological intervention, The Crisis Intervention Package (CIP), aimed at improving distress tolerance in people presenting to a mental health service for a crisis or for self-harm issues. The aim of this study was to evaluate the effectiveness of CIP. The outcome of the intervention was investigated through pre- and post-scores on the Distress Tolerance Scale and future hospital admissions.
The results suggest that CIP is useful to improve distress tolerance and to reduce the number of hospital admissions in the 6 months following.
Item 1 – 3 of 3

Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth
Glenn CR, Esposito EC, Porter AC, Robinson DJ.
Journal of Clinical Child & Adolescent Psychology. May 2019;48(3):357-392. doi:10.1080/15374416.2019.1591281.
This systematic review shows an evidence base update of psychosocial treatments for self-injurious thoughts and behaviors (SITBs) in adolescentes (< 19 years), adding 9 new trials to the 17 ones that were included in a 2015 study (Glenn et al., 2015). It was found that efficacious interventions typically include a significant family or parent training component as well as skills training (e.g., emotion regulation skills).
Item 2 – 3 of 3

Understanding self-harm in older adults: A qualitative study
Troya MI, Dikomitis L, Babatunde OO, Bartlam B, Chew-Graham C.
EClinicalMedicine. June 2019;12:52-61. doi:10.1016/j.eclinm.2019.06.002.
This is the first qualitative study that offers an in-depth exploration of the reasons and experiences of self-harm (SH) in older adults (≥ 60 years) with suicidal intent. It is aimed at investigating how older adults experience SH and which are the factors that lead to SH, using semi-structured interviews and follow-up interviews. The 16 participants involved (older adults and support workers) identified multiple life-course events (for example trauma, adverse experiences, loss, interpersonal and health problems) that could act as stressors and make older people more vulnerable to SH.
Item 3 – 3 of 3