@article{810b4d8ad8454e6893e519c858d87330,
title = "Implementing and Adapting the SAFETY Treatment for Suicidal Youth: The Incubator Model, Telehealth, and the Covid-19 Pandemic",
abstract = "The Safe Alternatives for Teens and Youth (SAFETY) treatment was developed to decrease the risk of repeat suicidal and self-harm behavior in youth presenting with elevated suicide risk. This paper uses case illustrations to demonstrate the SAFETY treatment, building upon the companion paper describing our “incubator” treatment development model and process (Asarnow et al., 2022). As illustrated in the second case illustration, the incubator model approach was particularly useful during the COVID-19 pandemic switch to telehealth. SAFETY specifically targets suicide and self-harm risk reduction using an individually tailored principle-guided approach, grounded in a case conceptualization that identifies cognitive-behavioral processes and reactions that contribute to increased suicide attempt risk and explains the youth's suicidal/self-harm behavior within the context of his or her broader social systems. The SAFETY treatment has been tested in two treatment development trials, and results support the efficacy of SAFETY for preventing suicide attempts in adolescents presenting with recent self-harm.",
keywords = "cognitive-behavioral therapy, self-harm, self-injury, suicide, treatment",
author = "Hughes, {Jennifer L.} and Asarnow, {Joan R.}",
note = "Funding Information: This work was supported by grants from the National Institute of Mental Health (R34 MH078082); the American Foundation for Suicide Prevention; and the UCLA in LA program at the University of California, Los Angeles; with additional support from the Center for Trauma- Informed Adolescent Suicide, Self-Harm, and Substance Abuse Treatment and Prevention (ASAP Center), a partner in the National Child Traumatic Stress Network, Center for Mental Health Services, Substance Abuse and Mental Health Administration (SAMHSA), U.S. Department of Health and Human Services (SM #080041). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or other funding agencies. Funding Information: This work was supported by grants from the National Institute of Mental Health (R34 MH078082); the American Foundation for Suicide Prevention; and the UCLA in LA program at the University of California, Los Angeles; with additional support from the Center for Trauma- Informed Adolescent Suicide, Self-Harm, and Substance Abuse Treatment and Prevention (ASAP Center), a partner in the National Child Traumatic Stress Network, Center for Mental Health Services, Substance Abuse and Mental Health Administration (SAMHSA), U.S. Department of Health and Human Services (SM #080041). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or other funding agencies. Publisher Copyright: {\textcopyright} 2022",
year = "2022",
month = feb,
doi = "10.1016/j.cbpra.2021.06.009",
language = "English (US)",
volume = "29",
pages = "198--213",
journal = "Cognitive and Behavioral Practice",
issn = "1077-7229",
publisher = "Elsevier Inc.",
number = "1",
}