Lea Hess, Christian Hertel, Stefan Lerch, Corinna Reichl, Michael Kaess
{"title":"Differential Associations of Borderline Personality Disorder with Past and Recurrent Suicidal Behavior in Adolescents in a Specialized Early Intervention Setting.","authors":"Lea Hess, Christian Hertel, Stefan Lerch, Corinna Reichl, Michael Kaess","doi":"10.1024/1422-4917/a001060","DOIUrl":"10.1024/1422-4917/a001060","url":null,"abstract":"<p><p><b></b> <i>Objective:</i> Adolescent borderline personality disorder (BPD) is associated with an elevated risk of suicidal behavior, with suicide reattempts often considered a hallmark of the disorder. However, empirical evidence linking BPD to suicide reattempts in youth remains limited and inconsistent. This study investigates whether BPD predicts suicide reattempts in a high-risk clinical adolescent sample. <i>Method:</i> We drew our data from two longitudinal clinical samples (<i>n</i> = 323, 87 % female, <i>M</i> <sub>age</sub> = 15.11, <i>SD</i> <sub>age</sub> = 1.54) with specialized treatment for self-harm and risk-taking behavior. We assessed BPD and suicide attempts at baseline and two annual follow-ups, using multinomial logistic regression to test whether BPD at baseline predicted suicide reattempts. <i>Results:</i> Overall, 21 % of adolescents reported at least one suicide reattempt during the follow-up period. While a BPD diagnosis and a higher number of fulfilled BPD criteria were significantly associated with ever having attempted suicide, neither was significantly associated with suicide reattempts. <i>Conclusion:</i> Among adolescents receiving specialized care, BPD is linked to a history of suicide attempts but does not independently predict repeated attempts, challenging assumptions about chronic suicidal risk and treatment resistance as defining features of BPD and underscoring the need to differentiate between initial and recurrent suicidal behaviors.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"80-89"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Die Entwicklung der Suizidzahlen von Kindern und Jugendlichen in Deutschland von 2005 bis 2023.","authors":"Daria Kasperzack, Udo König, Katja Becker","doi":"10.1024/1422-4917/a001067","DOIUrl":"10.1024/1422-4917/a001067","url":null,"abstract":"<p><p>The Development of Suicide Rates Among Children and Adolescents in Germany from 2005 to 2023: Gender- and Age-Specific Trends <b>Abstract:</b> An analysis of suicide progression figures can provide indications of the influencing (suicide-prevention) factors and therefore represents a relevant health policy task. Suicide-prevention factors can be effective depending on age and gender. For this reason, suicide rates should be analyzed separately by gender and age range. Before the impact of the corona pandemic, suicide figures in Germany were at an all-time low. From a child and adolescent psychiatric and psychotherapeutic perspective, the question arises as to whether the decline in numbers - and thus the effectiveness of suicide-prevention efforts - also relates to childhood and adolescence. We calculated joinpoint regressions to analyze possible trends and significant trend changes in the development of suicide rates over time. There was a decline in suicide rates of older male adolescents from 2005 to 2023. For older female adolescents, on the other hand, there is an overall increase in suicide rates, significant trend changes, and a significant increase in suicide rates even before the corona pandemic. The rise in suicide rates among females is also evident in younger female adolescents. In contrast, there is no significant trend among younger male adolescents. The suicide progression figures illustrate the need for gender- and age-specific analyses. We present the implications of these findings for suicide prevention in childhood and adolescence.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"90-99"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zum Gedenken an Professor Dr. Fritz Poustka.","authors":"Martin Holtmann","doi":"10.1024/1422-4917/a001069","DOIUrl":"https://doi.org/10.1024/1422-4917/a001069","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 2","pages":"121-122"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angela Wenzel, Martin Holtmann, Marianne Klein, Thomas Krömer, Olaf Reis, Gisela Schimansky, Rainer Thomasius
{"title":"(Einmal-)E-Zigaretten und neuartige Nikotinprodukte: Hohes Suchtpotential bei Kindern und Jugendlichen – Forderung nach rascher politischer Intervention.","authors":"Angela Wenzel, Martin Holtmann, Marianne Klein, Thomas Krömer, Olaf Reis, Gisela Schimansky, Rainer Thomasius","doi":"10.1024/1422-4917/a001066","DOIUrl":"https://doi.org/10.1024/1422-4917/a001066","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 2","pages":"130-134"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kliniksuizide unter Kindern und Jugendlichen.","authors":"Susanne Knappe, Katharina König, Julia J Zink, Nadine Glasow, Ute Lewitzka","doi":"10.1024/1422-4917/a001059","DOIUrl":"10.1024/1422-4917/a001059","url":null,"abstract":"<p><p>In-Hospital Suicides in Children and Adolescents: First Analyses of the Werner Felber Institute Database on Child and Adolescent Psychiatric Wards <b>Abstract:</b> Suicide is a significant challenge and a clinical phenomenon among adolescents and young adults. Suicide risk for youth receiving inpatient psychiatric treatment is likely increased, given higher levels of psychosocial strain among inpatients than among youth in the general population. <i>Objective:</i> To report on the number, frequency, and characteristics of in-hospital suicide attempts and suicides among children and adolescents receiving inpatient psychiatric treatment. <i>Methods:</i> Our analyses are based on the Werner-Felber-Institute Database, which includes all cases from 2019 to 2024, inasmuch as data on age, gender, or year of suicidal behavior were available. Assessment of characteristics related to suicidal behavior included data on hazardousness, lethality, psychopathology, likelihood for discovery, method, and motive. <i>Results:</i> Eight cases of suicide and 85 suicide attempts were reported among youth, with a mean age of 15.63 and 15.84 years. Compared to in-hospital suicide behavior in adults, these numbers were substantially lower for suicide but substantially higher for suicide attempts. Most suicide attempts among children and adolescents took place within the hospital building, using intoxication. <i>Conclusions:</i> The results provide first insights into suicide behavior among youth receiving inpatient psychiatric treatment. The high number of suicide attempts points to a significant risk constellation even while in clinical care. To delineate targeted preventive interventions, we need greater accuracy in data collection.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"70-79"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Der Safety-Plan als (ergänzende) Kurzintervention für Jugendliche mit suizidalem Verhalten.","authors":"Katja Becker, Anna Anschlag, Daria Kasperzack","doi":"10.1024/1422-4917/a001051","DOIUrl":"10.1024/1422-4917/a001051","url":null,"abstract":"<p><p>The Safety Plan as a (Supplementary) Brief Intervention for Adolescents with Suicidal Behavior <b>Abstract:</b> The forthcoming German S3 guideline on managing suicidal behavior recommends the implementation of a safety plan for suicidal behavior in adolescents. To be effectively used in a future suicidal crisis, this safety plan should be completed together with the adolescent. This self-efficacy increasing plan includes, among other things, the identification of (early) warning signs of an impending suicidal crisis, a step-by-step list of individualized coping strategies, and - if these fail - specific contact information for supportive individuals, professional help resources, and the emergency number of the department for child and adolescent psychiatry. Originally developed for adults by Stanley and Brown, the safety plan has since been modified, expanded, and supplemented with youth-specific aspects (e. g., involvement of parents). After a brief overview of the evidence, this article describes the safety plan intervention in detail. We made a master version for adaptation and personal use, including detailed instructions, available online. First feedback from adolescents following the implementation of the safety plan has been positive, and the intervention is well-received. Therapists using the safety plan also find it helpful in treating suicidal behavior in adolescents. Future scientific studies will show whether this therapy component can reduce suicidal behavior in different subgroups.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"100-110"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Die Stiftung „Achtung!Kinderseele“ – erfolgreicher Einsatz der drei KJPP-Verbände für Prävention und Früherkennung.","authors":"Anne Reis, Renate Schepker","doi":"10.1024/1422-4917/a001064","DOIUrl":"https://doi.org/10.1024/1422-4917/a001064","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":"54 2","pages":"123-127"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suizide im Jugendalter: vorausgehende Inanspruchnahme psychiatrischer Hilfen und Chancen digitaler Präventionsangebote.","authors":"Daniel Radeloff","doi":"10.1024/1422-4917/a001055","DOIUrl":"10.1024/1422-4917/a001055","url":null,"abstract":"<p><p>Suicide Among Adolescents: Prior Use of Psychiatric Services and Opportunities Offered by Digital Prevention Programs <b>Abstract:</b> Suicide prevention in adolescence poses a challenge to society as a whole, in which child and adolescent psychiatry plays a central role in view of the high prevalence of mental disorders among suicides. But how often do adolescents actually seek psychiatric help before committing suicide? This review looks at contact rates with psychiatry and other institutions prior to suicide. It examines how nonlethal suicide attempts often precede suicide as a \"warning signal,\" and which individual and structural barriers prevent young people from seeking psychiatric help. Furthermore, it discusses whether messenger-based prevention programs reach those adolescents who do not seek psychiatric care. This review highlights existing gaps in care and identifies possible starting points for digital prevention strategies in practice.</p>","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"111-119"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annegret Brauer, Michael Kölch, Arnfried Heine, Gundolf Berg, Cordula Gimm
{"title":"Wie können wir die Versorgung von Kindern und Jugendlichen mit psychischen Erkrankungen bestmöglich steuern?","authors":"Annegret Brauer, Michael Kölch, Arnfried Heine, Gundolf Berg, Cordula Gimm","doi":"10.1024/1422-4917/a001057","DOIUrl":"10.1024/1422-4917/a001057","url":null,"abstract":"","PeriodicalId":54189,"journal":{"name":"Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie","volume":" ","pages":"53-60"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}