Introduction: Suicide in adolescents poses a major public health crisis as the second leading cause of death in youth. Suicidal thoughts and behaviors (STBs) are a principal reason for psychiatric hospitalization among adolescents. Numerous studies across development have identified risk factors (e.g., depression, borderline personality (BPD)…

A family systems framework guided our investigation of self-injurious behavior (SIB) in adolescents. As part of a larger study, we collected data examining SIB and family functioning from 29 adolescents (M[subscript age] = 15.66) and their caregivers. These adolescents with traits of borderline personality disorder were seeking counseling from…

Objective: We examined whether mentalization-based treatment for adolescents (MBT-A) is more effective than treatment as usual (TAU) for adolescents who self-harm. Method: A total of 80 adolescents (85% female) consecutively presenting to mental health services with self-harm and comorbid depression were randomly allocated to either MBT-A or TAU.…

Self-inflicted injury (SII) in adolescence marks heightened risk for suicide attempts, completed suicide, and adult psychopathology. Although several studies have revealed elevated rates of depression among adolescents who self injure, no one has compared adolescent self injury with adolescent depression on biological, self-, and informant-report…

Background: There is little research on how specific borderline personality disorder (BPD) symptoms relate to suicide attempts or suicide and non-suicidal self-injury (NSSI) within adolescent populations, which is important to know given the recent proposal of an NSSI disorder. Even less well known is whether specific BPD symptoms distinguish NSSI…

Nonsuicidal self-injury (NSSI) is a behavior that is prevalent among children and adolescents. Although NSSI is often associated with borderline personality disorder and depression, it co-occurs with numerous psychiatric symptoms and associated diagnoses. The current article reviews the research addressing psychiatric symptoms that are commonly…

The aims of this study were to investigate the rates of deliberate self-harm (DSH) behavior among an Italian adolescent sample, as well as to explore its clinical correlates. On a sample of 234 adolescents in Italian secondary schools (Mean age = 16.47; SD = 1.7) were assessed the DSH as well as externalizing symptoms (including both conduct…

Over the past several decades, research has focused increasingly on developmental precursors to psychological disorders that were previously assumed to emerge only in adulthood. This change in focus follows from the recognition that complex transactions between biological vulnerabilities and psychosocial risk factors shape emotional and behavioral…

This retrospective chart review study of 227 participants examined the psychiatric profiles of outpatient adolescents ages 12 to 19 years (M = 15.08 years, SD = 1.72 years) engaging in different types of deliberate self-harm (DSH) behaviors. Participants were divided into four groups: no deliberate self-harm (NoDSH; n = 119), nonsuicidal…

This state-of-the-art practitioner resource and course text provides a comprehensive view of adolescent development and spells out effective ways to help teens who are having difficulties. The book illuminates protective and risk factors in the many contexts of adolescents' lives, from individual attributes to family, school, neighborhood, and…

Administered Chronic Self-Destructiveness Scale (CSDS) and Psychopathic Deviate and Hypomania scales of Minnesota Multiphasic Personality Inventory (MMPI) to 112 delinquent adolescents and to 141 high school students. Both male and female delinquents reported significantly higher levels of chronic self-destructiveness than did students.…

Reviews data collected by the Oxford Monitoring System for Attempted Suicide in teenagers between 1985-1995 to determine trends in acts of deliberate self-harm. Notes substantial increase in number of episodes of deliberate self-harm for both males and females. Discusses implications for hospital and counseling professionals and well as…

This paper presents a detailed theoretical discussion of destructive narcissism in relation to Freud and Rosenfeld and later theorists. In destructive narcissism, the destructiveness is itself idealised and overrides "the vital functions which serve the purpose of self-preservation" (Freud, S., 1914, "On narcissism" S.E. 14: 87)--a feature which…

This case study examines a 16.5-year-old male adolescent who engages in fire setting, severe aggression and self injurious and impulsive behaviors. He was treated with Mode Deactivation Therapy (MDT) for four months and his problem behaviors have been reduced significantly. He was previously treated with Dialectical Behavior Therapy (DBT). It…

Reviews psychopathologic risk factors for adolescent suicide and suicidal behavior, namely, affective, disruptive, substance abuse, psychotic, and personality disorders. Discusses interaction of psychopathology with age and gender. Reviews role of family environmental risk factors and stress events in suicide and suicidal behavior, both alone and…