Managing Self-Harm Using Psychological Treatment ATMAN

Dr Shilpa Aggarwal is a Child and Adolescent psychiatrist and Wellcome Trust India Alliance Research Fellow with an extensive work experience in the field across India and Australia. She is a Member of Faculty of Health, School of Medicine at Deakin University, Australia. She has led various research programs in youth mental health since 2006 including: development of a context specific stress scale extensively used for stress research; systematic review of data on suicide and mental health issues in adolescents in India; systematic review of risk and protective factors in youth self-harm in low- and middle-income countries; and led a series of studies to develop the psychological intervention for youth self-harm (on which ATMAN treatment is based). She was selected for the prestigious editorial board development programme of the journal Lancet psychiatry in 2019 and was awarded the emerging leaders publication award in 2022 from the Centre of Research Excellence for Driving Global Investment in Adolescent Health for a publication that provided a comprehensive assessment of the association between poor mental health and early marriage using a unique longitudinal large dataset of a representative sample of girls in Uttar Pradesh and Bihar.

Professor Michael Berk is currently a NHMRC Senior Principal Research Fellow, and is Alfred Deakin Chair of Psychiatry at Deakin University and Barwon Health, where he heads the IMPACT Strategic Research Centre. He also is an Honorary Professorial Research Fellow in the Department of Psychiatry, the Florey Institute for Neuroscience and Mental Health and Orygen Youth Health at Melbourne University, as well as in the School of Public Health and Preventive Medicine at Monash University. Professor Berk is a world authority in psychiatry research, and in 2019 he received Victoria's highest scientific honour, the Victoria Prize for Science and Innovation. With over 900 published papers, he was listed by Thompson Reuters ISI as highly cited (2015- 2019). His major interests are in the discovery and implementation of novel therapies, and risk factors and prevention of psychiatric disorders.

The late Professor George Patton AO MBBS MD FRANZCP FRCPsych was a medically qualified epidemiologist with a clinical background in child and adolescent psychiatry. Professor Patton's research was based at the Royal Children's Hospital Centre for Adolescent Health, the University of Melbourne, and the Murdoch Children's Research Institute. Professor Patton was internationally recognised for his immense contributions to the field of adolescent health, both in Australia and internationally. With continuous funding from Australia's National Health and Medical Research Council for over two decades, for the five years until his death in late 2022, he was among the top 0.1% of cited researchers in the world across all fields of medicine and was the most highly cited of those working in adolescent health. Professor Patton's research and advocacy, including his leadership of the 2016 Lancet Commission on Adolescent Health and Wellbeing, helped shape global policies and priorities around adolescent health and wellbeing. From a field that he referred to as one that was characterised by 'benign neglect', Professor Patton's efforts helped position adolescent health, including mental health, to sit at the forefront of international health agendas. A generous research collaborator, supervisor and mentor to many, his most relevant studies to this book include national and international trials of community-based interventions, including the Gatehouse Project, a study that strongly showed the influence of school social environments on health and the scope of schools as a site for effective interventions; and the Victorian Adolescent Health Cohort Study, that has described the natural history of common mental disorder, self-harm, substance use from adolescence into adulthood.

Foreword.- Acknowledgemtnets.- 1. Background.- 2. ATMAN Intervention.- 3. Assessments.- 4. Understanding self-harm and starting ATMAN treatment.- 5. Developing a crisis plan.- 6. Problem-focussed coping: A problem solving approach.- 7. Emotion-focussed coping: Emotion regulation.- 8. Building secure relational networks.- 9. Open ended session.- 10. Involving family.- 11. Substance use.- 12. Boosting assertiveness skills.- 13. Summary.- Appendix A Pre-Intervention ATMAN Assessment.- Appendix B During-intervention ATMAN Assessment.- Appendix C Post-Intervention ATMAN Assessment.- Appendix D Handouts.- Appendix E Treatment Protocol.- Appendix F Suggested References.