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Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines

Overview of attention for article published in Child and Adolescent Psychiatry and Mental Health, November 2016
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Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines
Published in
Child and Adolescent Psychiatry and Mental Health, November 2016
DOI 10.1186/s13034-016-0134-3
Pubmed ID

Paul L. Plener, Romuald Brunner, Jörg M. Fegert, Rebecca C. Groschwitz, Tina In-Albon, Michael Kaess, Nestor D. Kapusta, Franz Resch, Katja Becker


Nonsuicidal self-injury (NSSI) is a frequent and clinically relevant phenomenon in adolescence. Within Europe, Germany has one of the highest prevalence rates in youth with lifetime prevalence ranging between 25 and 35%. However, treatment guidelines for NSSI are not yet available. Consensus based clinical guidelines were created by a working group consisting of members of eleven medical, psychological or psychotherapeutic professional national associations, and two members of patient self-help and prevention groups. The guidelines were developed in consecutive expert meetings and literature searches and agreed on in a final consensus conference. Given that evidence on both the psychotherapeutic and psychopharmacological treatment of NSSI is limited, a consensus based approach was chosen. The consensus indicated that due to the accumulating evidence on the efficacy of psychotherapeutic approaches, core elements of psychotherapy should be provided in treatment of NSSI. A specific psychopharmacological therapy of NSSI cannot be recommended. In addition, the guidelines provide recommendations for surgical intervention of NSSI. In accordance with the heterogeneous level of evidence, recommendations for the clinical management of NSSI in adolescence were made during a consensus conference after reviewing available literature. There is still a lack of knowledge on prevention as well as clinical interventions, which needs to be addressed by further clinically relevant studies.

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Germany 2 3%
United States 1 1%
Unknown 67 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 14 20%
Student > Master 10 14%
Student > Ph. D. Student 9 13%
Researcher 7 10%
Student > Doctoral Student 6 9%
Other 12 17%
Unknown 12 17%
Readers by discipline Count As %
Psychology 25 36%
Medicine and Dentistry 15 21%
Social Sciences 8 11%
Nursing and Health Professions 3 4%
Agricultural and Biological Sciences 1 1%
Other 4 6%
Unknown 14 20%