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March 4, 2026Journal of Affective Disorders3 citationsOpen Access

Prevalence and treatment effects of suicidal ideation and self-injurious behavior in children and adolescents in outpatient psychotherapy: A multicenter assessment

TITina In-Albon NPNils Petras LKLaura Kraus

Key Points

To assess the prevalence and treatment effects of suicidal ideation and self-injurious behavior in children and adolescents receiving outpatient psychotherapy.
Conducted a multicenter assessment of outpatient psychotherapy.
Collected self-reports from children and adolescents and caregiver reports.
Monitored changes in suicidal ideation and self-injurious behavior after routine-care psychotherapy.
Higher prevalence rates of suicidal ideation and self-injurious behavior found in self-reports than caregiver reports.
A substantial proportion of patients reported improvement in suicidal ideation after treatment.
Emphasizes the need for effective risk assessment and psychotherapy techniques targeting these behaviors during treatment.

Abstract

SISIB are very common in children and adolescents in outpatient settings. Prevalence rates are higher in self-reports than in caregiver reports, indicating the importance of assessing SISIB in children and adolescents themselves. After routine-care psychotherapy, a substantial proportion of patients report an amelioration of SISIB. These results indicate the importance of monitoring SISIB during treatment and of therapists being aware of risk assessment techniques and psychotherapy interventions targeting SISIB.

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