Skillsketten zur Behandlung von nicht-suizidalem selbstverletzenden Verhalten – Schritt für Schritt

Die Erarbeitung von Skillsketten zur Reduktion von nicht-suizidalem selbstverletzendem Verhalten (NSSV) und der Behandlung einer Affektregulationsstörung ist eine etablierte Methode in der Psychotherapie. Patient*innen sollen durch Skills dabei unterstützt werden, funktionaler mit psychischem/emotionalem Stress umzugehen, Emotionen zu regulieren und alternative Fertigkeiten zu etablieren, um selbstschädigende Verhaltensweisen Schritt für Schritt durch Skills zu ersetzen. Randomisiert-kontrollierte Studien zeigten die Wirksamkeit dieser Methode bei Betroffenen.

Publication History

Article published online:
27 January 2025

• Literatur

• 1 Plener PL, Kaess M, Schmahl C. et al. Nonsuicidal self-injury in adolescents. Dtsch Ärztebl Int 2018; 115: 23
• 2 Nock MK. Self-injury. Annu Rev Clin Psychol 2010; 6: 339-363
• 3 Moloney F, Amini J, Sinyor M. et al. Sex differences in the global prevalence of nonsuicidal self-injury in adolescents: a meta-analysis. JAMA Netw Open 2024; 7: e2415436-e2415436
• 4 Gillies D, Christou MA, Dixon AC. et al. Prevalence and Characteristics of Self-Harm in Adolescents: Meta-Analyses of Community-Based Studies 1990–2015. J Am Acad Child Adolesc Psychiatry 2018; 57: 733-741
• 5 Kaess M, Resch F, Rockstroh F. Nicht-suizidales selbstverletzendes Verhalten bei Kindern und Jugendlichen. In: Fegert JM, Resch F, Kaess M. et al. Psychiatrie und Psychotherapie des Kindes-und Jugendalters. Berlin, Heidelberg: Springer; 2022: 1-19
• 6 Nock MK, Joiner Jr TE, Gordon KH. et al. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res 2006; 144: 65-72
• 7 Castellví P, Lucas-Romero E, Miranda-Mendizábal A. et al. Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis. J Affect Disord 2017; 215: 37-48
• 8 Ohlis A, Bjureberg J, Lichtenstein P. et al. Comparison of suicide risk and other outcomes among boys and girls who self-harm. Eur Child Adolesc Psychiatry 2020; 29: 1741-1746
• 9 American Psychiatric Association. Diagnostisches und Statistisches Manual Psychischer Störungen – DSM-5. Göttingen: Hogrefe; 2018
• 10 Klonsky ED. The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev 2007; 27: 226-39
• 11 Santangelo PS, Koenig J, Funke V. et al. Ecological Momentary Assessment of Affective and Interpersonal Instability in Adolescent Non-Suicidal Self-Injury. J Abnorm Child Psychol 2017; 45: 1429-1438
• 12 Goodman M, Tomas IA, Temes CM. et al. Suicide attempts and self-injurious behaviours in adolescent and adult patients with borderline personality disorder. Personal Ment Health 2017; 11: 157-163
• 13 Reitz S, Kluetsch R, Niedtfeld I. et al. Incision and stress regulation in borderline personality disorder: neurobiological mechanisms of self-injurious behaviour. Br J Psychiatry 2015; 207: 165-72
• 14 Stiglmayr CE, Grathwol T, Linehan MM. et al. Aversive tension in patients with borderline personality disorder: a computer-based controlled field study. Acta Psychiatr Scand 2005; 111: 372-9
• 15 Taylor PJ, Jomar K, Dhingra K. et al. A meta-analysis of the prevalence of different functions of non-suicidal self-injury. J Affect Disord 2018; 227: 759-769
• 16 Schmahl C, Herpertz SC, Bertsch K. et al. Mechanisms of disturbed emotion processing and social interaction in borderline personality disorder: state of knowledge and research agenda of the German Clinical Research Unit. Borderline Personal Disord Emot Dysregul 2014; 1: 12
• 17 Kothgassner OD, Robinson K, Goreis A. et al. Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents. Borderline Personal Disord Emot Dysregul 2020; 7: 9
• 18 Miller AL, Rathus JH, DuBose AP. et al. Dialectical behavior therapy for adolescents. In: Dimeff LA, Koerner K. Dialectical behavior therapy in clinical practice: Applications across disorders and settings. New York City: The Guilford Press; 2007: 245-263
• 19 McCauley E, Berk MS, Asarnow JR. et al. Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial. JAMA Psychiatry 2018; 75: 777-785
• 20 Stiglmayr C. Dialektisch-Behaviorale Therapie (DBT). Stuttgart: Kohlhammer Verlag; 2023
• 21 Bohus M. Borderline-Störung. Fortschritte der Psychotherapie – Band 14. Göttingen: Hogrefe; 2019
• 22 von Auer AK, Bohus M. Interaktives Skillstraining für Jugendliche mit Problemen der Gefühlsregulation (DBT-A): Das Therapeutenmanual-Akkreditiert vom Deutschen Dachverband DBT. Stuttgart: Klett-Cotta; 2018
• 23 Fliege H, Kocalevent RD, Walter OB. et al. Three assessment tools for deliberate self-harm and suicide behavior: evaluation and psychopathological correlates. J Psychosom Res 2006; 61: 113-21
• 24 Kaess M, Parzer P, Mattern M. et al. Adverse childhood experiences and their impact on frequency, severity, and the individual function of nonsuicidal self-injury in youth. Psychiatry Res 2013; 206: 265-72
• 25 Gross JJ. Emotion regulation: Conceptual and empirical foundations. In: Gross JJ. Handbook of emotion regulation. New York City: The Guilford Press; 2014: 3-20