Evaluation of the benefit from milieu therapy of children and adolescents with self harm behavior

Objective: The aim of this study is to compare the benefits of mileu therapy of cases with self-harming behavior with or without suicidal attempt. Also, it is aimed to examine and compare the sociodemographic differences and psychiatric diagnoses. Method: In this study, 64 participant consisted in the group of people with delibrate self harm and suicide attempt and 67 participant consisted in the group of people with delibrate self harm. Individual and familial risk assessment, Clinical Outgoing Rating Scale (HoNOSCA-TR) and Child's Global Assessment Scale (CGAS) were used. Results: It was determined that there were more girls and high school students in the group with suicide attempt and delibrate self harm. Conduct disorder and schizophrenia were less in the group with suicide attempt and delibrate self harm; Major depressive disorder, borderline personality disorder and alcohol substance use were found to be higher in this group. The cutting was more in the group with suicide attempt and delibrate self harm, while punching was found to be less in this group. The duration of delibrate self harm was longer and the number of suicide attempts were higher in individuals with alcohol or substance abuse. It was found that HoNOSCA change was more with cutting. Conclusion: The changes in scale scores were found to be statistically significant; It was determined that there were differences between the groups in terms of gender, self-harm method and alcohol substance use; It was found that there is a difference between self-harm method and benefit from mileu therapy. Keywords: Delibrate self harm, suicide, HoNOSCA, CGAS