[Guidelines and standards: managing the risk of suicide and self-harm among youths living in rehabilitation centres for young persons with adjustment problems]

S. Bernard, J. Brassard
Record ID 32018000880
Original Title: Guides et normes: la gestion du risque suicidaire et des comportements d'automutilation chez les jeunes hébergés en centre de réadaptation pour jeunes en difficulté d'adaptation , cadre de référence clinique
Authors' objectives: The purpose of this reference framework is to identify clinical guidelines for managing suicide risk and self-harming behaviours among these young people. These clinical guidelines are intended to support and better equip youth workers and managers in carrying out interventions in a rehabilitation centre setting. More specifically, the reference framework has been developed with a view to harmonizing practices while also ensuring that such practices are consistent with, and complement, the 2018 Protocole d’intervention en santé mentale ou en situation de risque suicidaire pour les jeunes en difficulté recevant des services en protection et en réadaptation ainsi que pour leur famille [intervention protocol in mental health or suicide risk situations for youth in difficulty receiving protective and rehabilitation services as well as for their families] issued by the Ministère de la Santé et des Services sociaux.
Authors' results and conclusions: Taken collectively, the work described here enabled us to identify four principles to guide interventions with youths at risk of suicide or exhibiting self-harming behaviours. These principles reiterate the importance of fostering and sustaining collaboration with young people, their families and other significant persons. Using a collaborative approach that builds on the strengths and agency of these youths is a particularly effective way to mobilize them. Better mutual understanding and greater collaboration promote a climate of trust which, in turn, helps forge a therapeutic alliance with young people. However, suicidal or self-harming behaviours can create a heavy emotional charge in youth workers and impact this alliance with young people and any interventions that are carried out. A reflective practice can help youth workers develop an awareness of such a risk and enable them to adjust their interventions accordingly.
Authors' methods: This work was guided by two main objectives: the first was to identify clinical and organizational practices that optimize suicide risk and self-harm management; the second objective focused on factors that facilitate, and barriers that hinder, the implementation of these practices. The reference framework was developed using a methodology based on the integration of scientific, contextual and experiential knowledge and on the triangulation of data from the literature and information provided by the individuals consulted. Documentary research was carried out to determine the clinical and management practices available to those youth workers and managers who work directly with young people living in rehabilitation centres. As part of this initiative, INESSS was supported by a working committee of representatives from various sectors. The committee was involved in the process, which led to the identification of four general intervention principles, a clinical intervention process and twelve clinical guidelines.
Project Status: Completed
Year Published: 2019
Requestor: Minister of Health
English language abstract: An English language summary is available
Publication Type: Other
Country: Canada
Province: Quebec
MeSH Terms
  • Suicide
  • Self-Injurious Behavior
  • Rehabilitation Centers
  • Adolescent
  • Risk Management
  • Suicide prevention
  • Adolescents
  • Rehabilitation centers
Organisation Name: Institut national d'excellence en sante et en services sociaux
Contact Address: L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name: demande@inesss.qc.ca
Contact Email: demande@inesss.qc.ca
Copyright: Gouvernement du Québec
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