TY  - JOUR
PY  - 2023//
TI  - Recurrence of adolescent suicide attempt and self-harm (RASS study): effectiveness of single therapeutic project
JO  - Clinical child psychology and psychiatry
A1  - Konno, Yoichi T.
A1  - Araújo Filho, Gerardo Md
A1  - Almeida, José Robson Sr Jr
A1  - Santos, Nágila Bl
A1  - Marques Filho, Altino B.
A1  - Fernandes, Bianca B.
A1  - Parreira, Gabriel S.
A1  - Carvalho, Pedro Hf
A1  - Cenedesi, Loise Mt
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: This retrospective cohort study aims to understand the effectiveness of the Singular Therapeutic Project (STP) implemented in a Child Psychosocial Care Center in preventing recurrence of self-harm and suicide attempt (SA), by comparing the group of patients who adhered to the STP with the group that did not adhere completely. <br><br>METHOD: Data were collected from the medical records of adolescents with self-harm or SA during the period from 2015 to 2019. The primary outcomes analyzed were recurrence of SA, self-harm, and hospitalization; and the secondary outcomes analyzed were demographics, diagnosis, number of appointments, and negative life events. <br><br>RESULTS: A total of 228 adolescents were included. After multivariate analysis, social service consultations decreased risk in 94.6% (HR.054, 95% CI:.004-.681) of the cases, but risk was increased by 23 times if there was an episode of self-harm among family members and/or friends (HR 23.641, 95% CI: 1.394-400.8). Additionally, in terms of SA, adherence to family interventions reduced the risk by 66.2% (HR.338, 95% CI:.125-.913). Victims of prejudice, racism, homophobia, transphobia presented a 3.7-fold increased risk (HR 3.766, 95% CI: 1.058-13.401). <br><br>CONCLUSION: The STP interventions were effective in reducing the recurrence of self-harm and SAs in adolescents.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-1045
UR  - http://dx.doi.org/10.1177/13591045231213029
ID  - ref1
ER  -