TY  - JOUR
PY  - 2022//
TI  - Subjective distress, self-harm, and suicidal ideation or behavior throughout trauma-focused cognitive-behavioral therapy in transitional age youth
JO  - Psychological trauma: theory, research, practice, and policy
A1  - Peters, Wilma
A1  - Rice, Simon
A1  - Cohen, Judith
A1  - Smith, Noelle B.
A1  - McDonnell, Christina G.
A1  - Winch, Ashley
A1  - Nicasio, Andel V.
A1  - Zeifman, Richard J.
A1  - Alvarez-Jimenez, Mario
A1  - Bendall, Sarah
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: Elevations in distress, self-harm, and suicidal ideation or behavior are of significant concern in clinical practice. We examined these in a pilot trial of Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) for transitional age youth (aged 15-25 years) with histories of interpersonal trauma and symptoms of posttraumatic stress disorder. <br><br>METHOD: Participants were 20 young people (13 females, M = 19.5 years) from a pilot study of TF-CBT. Frequencies of elevated distress, self-harm, and suicidal ideation or behavior were measured throughout treatment sessions and across the treatment phases of TF-CBT. <br><br>RESULTS: Across the 279 sessions of TF-CBT (m = 15.5 sessions), there were 16 incidents of elevated distress in seven participants (i.e., six in Phase I and five each in Phases II and III); 15 incidents of self-harming behavior in seven participants (five incidents in each of the three phases) and one incident of both elevated distress and suicide ideation (Phase I). <br><br>CONCLUSION: Findings indicate that there may be a relationship between the experience of in session distress and self-harming behaviors. The importance of safety planning and coping skills (acquired in Phase 1) is stressed to ensure the effective implementation of TF-CBT. (PsycInfo Database Record (c) 2022 APA, all rights reserved).<p />  <p>Language: en</p>
LA  - en
SN  - 1942-9681
UR  - http://dx.doi.org/10.1037/tra0001289
ID  - ref1
ER  -