{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:44:35Z","timestamp":1785789875832,"version":"3.56.0"},"reference-count":12,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jaacap.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Academy of Child &amp; Adolescent Psychiatry"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.jaac.2026.04.010","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T07:01:06Z","timestamp":1777359666000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effective Treatment of Adolescents With Suicidal and Self-Harming Behaviors: What Are the Knowledge Gaps?"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2813-0045","authenticated-orcid":false,"given":"Lars","family":"Mehlum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1257-1906","authenticated-orcid":false,"given":"Iselin S.","family":"Dibaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jaac.2026.04.010_bib1","first-page":"209","article-title":"Practitioner Review: treatment for suicidal and self-harming adolescents\u2014advances in suicide prevention care","volume":"21","author":"Asarnow","year":"2023","journal-title":"Focus (Am Psychiatr Publ)"},{"issue":"3","key":"10.1016\/j.jaac.2026.04.010_bib2","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1080\/15374416.2019.1591281","article-title":"Evidence base update of psychosocial treatments for self-injurious thoughts and behaviors in youth","volume":"48","author":"Glenn","year":"2019","journal-title":"J Clin Child Adolesc Psychol"},{"issue":"1","key":"10.1016\/j.jaac.2026.04.010_bib3","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1111\/jcpp.14052","article-title":"Practitioner Review: Treatments for young people who self-harm\u2014challenges and recommendations for research and clinical practice","volume":"66","author":"Witt","year":"2025","journal-title":"J Child Psychol Psychiatry"},{"issue":"10","key":"10.1016\/j.jaac.2026.04.010_bib4","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1111\/jcpp.13077","article-title":"Long term effectiveness of dialectical behavior therapy versus enhanced usual care for adolescents with self-harming and suicidal behavior","volume":"60","author":"Mehlum","year":"2019","journal-title":"J Child Psychol Psychiatry"},{"issue":"1","key":"10.1016\/j.jaac.2026.04.010_bib5","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1207\/s15324796abm3001_8","article-title":"A strategy for optimizing and evaluating behavioral interventions","volume":"30","author":"Collins","year":"2005","journal-title":"Ann Behav Med"},{"issue":"10","key":"10.1016\/j.jaac.2026.04.010_bib6","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1002\/sim.2022","article-title":"An experimental design for the development of adaptive treatment strategies","volume":"24","author":"Murphy","year":"2005","journal-title":"Stat Med"},{"issue":"10","key":"10.1016\/j.jaac.2026.04.010_bib7","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1111\/jcpp.13099","article-title":"Predictors and moderators of recurring self-harm in adolescents participating in a comparative treatment trial of psychological interventions","volume":"60","author":"Adrian","year":"2019","journal-title":"J Child Psychol Psychiatry"},{"issue":"9","key":"10.1016\/j.jaac.2026.04.010_bib8","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/j.jaac.2022.01.010","article-title":"Trajectories of treatment response and nonresponse in youth at high risk for suicide","volume":"61","author":"Berk","year":"2022","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"5","key":"10.1016\/j.jaac.2026.04.010_bib9","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1093\/scan\/nsw183","article-title":"Pain-mediated affect regulation is reduced after dialectical behavior therapy in borderline personality disorder: a longitudinal fMRI study","volume":"12","author":"Niedtfeld","year":"2017","journal-title":"Soc Cogn Affect Neurosci"},{"issue":"2","key":"10.1016\/j.jaac.2026.04.010_bib10","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1007\/s00787-024-02503-w","article-title":"The iceberg model of suicidal ideation and behaviour in Danish adolescents: integration of national registry and self-reported data within a national birth cohort","volume":"34","author":"Danielsen","year":"2025","journal-title":"Eur Child Adolesc Psychiatry"},{"issue":"1","key":"10.1016\/j.jaac.2026.04.010_bib11","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s40479-024-00249-0","article-title":"Psychotropic medication use among adolescents participating in three randomized trials of DBT","volume":"11","author":"Mehlum","year":"2024","journal-title":"Borderline Personal Disord Emot Dysregul"},{"issue":"5","key":"10.1016\/j.jaac.2026.04.010_bib12","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1007\/s00787-025-02659-z","article-title":"Psychopharmacotherapy for adolescents with self-harming behavior in the absence of documented effect","volume":"34","author":"Neupane","year":"2025","journal-title":"Eur Child Adolesc Psychiatry"}],"container-title":["Journal of the American Academy of Child &amp; Adolescent Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890856726001978?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890856726001978?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:44:31Z","timestamp":1785786271000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0890856726001978"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":12,"alternative-id":["S0890856726001978"],"URL":"https:\/\/doi.org\/10.1016\/j.jaac.2026.04.010","relation":{},"ISSN":["0890-8567"],"issn-type":[{"value":"0890-8567","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effective Treatment of Adolescents With Suicidal and Self-Harming Behaviors: What Are the Knowledge Gaps?","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Academy of Child & Adolescent Psychiatry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaac.2026.04.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a92026 American Academy of Child and Adolescent Psychiatry","name":"copyright","label":"Copyright"}]}}