[Treatment plan for female adolescents in the grip of chronic suicidality].
| Autor: | van de Koppel M, Mérelle SYM, Stikkelbroek YAJ, van der Heijden PT, Spijker J, Popma A, Creemers DHM |
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| Jazyk: | Dutch; Flemish |
| Zdroj: | Tijdschrift voor psychiatrie [Tijdschr Psychiatr] 2022; Vol. 64 (4), pp. 214-219. |
| Abstrakt: | Background: A psychological autopsy study (Mérelle e.a. 2020) demonstrates a subgroup of female adolescents with chronic suicidal behavior and severe internalizing problems. Aim: To describe characteristics of the suicidal process and the challenges experienced in providing mental health care for this subgroup. Method: A case description and review of literature. Results: The persistent suicidal threat and the following despair of the patient and its parents are forcing care providers into an impasse: the primary focus of treatment is to guarantee the patient's safety, whereby the treatment of underlying problems is underexposed. Based on expert knowledge we make recommendations including autonomy-promoting treatment policy, treating suicidality as a transdiagnostic phenomenon, creating a multidisciplinary network of care providers and making chronic suicidality tolerable for care providers. Conclusion: We propose preliminary practical recommendations in our quest for optimal mental health care for chronic suicidal adolescents. |
| Databáze: | MEDLINE |
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