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[Treatment plan for female adolescents in the grip of chronic suicidality].

BACKGROUND
A psychological autopsy study (Mérelle e.a. 2020) demonstrates a subgroup of female adolescents with chronic suicidal behavior and severe internalizing problems.


AIM
To describe characteristics of the suicidal process and the challenges experienced in providing mental health care for this subgroup.


METHOD
A case description and review of literature.


RESULTS
The persistent suicidal threat and the following despair of the patient and its parents are forcing care providers into an impasse: the primary focus of treatment is to guarantee the patient's safety, whereby the treatment of underlying problems is underexposed. Based on expert knowledge we make recommendations including autonomy-promoting treatment policy, treating suicidality as a transdiagnostic phenomenon, creating a multidisciplinary network of care providers and making chronic suicidality tolerable for care providers.


CONCLUSION
We propose preliminary practical recommendations in our quest for optimal mental health care for chronic suicidal adolescents.