A Prospective Examination of Perceived Burdensomeness and Thwarted Belongingness As Risk Factors for Suicide Ideation In Adult Outpatients Receiving Cognitive-Behavioral Therapy

2017 ◽  
Vol 73 (10) ◽  
pp. 1393-1402 ◽  
Author(s):  
Tobias Teismann ◽  
Heide Glaesmer ◽  
Ruth von Brachel ◽  
Paula Siegmann ◽  
Thomas Forkmann
Keyword(s):  
Risk Factors ◽  
Cognitive Behavioral Therapy ◽  
Suicide Ideation ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Risk Factors For Suicide

Personality disorder traits, risk factors, and suicide ideation among older adults

2015 ◽  
Vol 27 (11) ◽  
pp. 1785-1794 ◽  
Author(s):  
Danielle R. Jahn ◽  
Erin K. Poindexter ◽  
Kelly C. Cukrowicz
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Risk Factors For Suicide

ABSTRACTBackground:Personality disorder traits are relatively prevalent among older adults, and can be associated with complex and chronic difficulties, including suicide risk. However, there is a lack of research regarding personality disorders and suicide ideation in older adults. Depressive symptoms and hopelessness may be important to the relation between personality disorders and suicide risk. Additionally, variables from the interpersonal theory of suicide, perceived burdensomeness and thwarted belongingness, may be critical risk factors for suicide in this population. We hypothesized that perceived burdensomeness and thwarted belongingness, theory-based variables, would act as parallel mediators of the relation between personality disorder traits and suicide ideation, whereas depressive symptoms and hopelessness would not.Methods:The hypothesis was tested in a sample of 143 older adults recruited from a primary care setting. Participants completed self-report questionnaires of personality traits, suicide ideation, depressive symptoms, hopelessness, perceived burdensomeness, and thwarted belongingness.Results:Findings from a non-parametric bootstrapping procedure indicated that perceived burdensomeness, thwarted belongingness, and depressive symptoms mediated the relation between total personality disorder traits and suicide ideation. Hopelessness did not act as a mediator.Conclusions:These findings indicate that perceived burdensomeness, thwarted belongingness, and depressive symptoms are likely important risk factors for suicide ideation among older adults. Clinicians should be aware of these issues when assessing and treating suicide risk among older adults.

Transition from acute to chronic pain: where cells, systems and society meet

2020 ◽  
Vol 10 (6) ◽  
pp. 421-436
Author(s):  
Paul Glare ◽  
Sarah Overton ◽  
Karin Aubrey
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Chronic Pain ◽  
Cognitive Behavioral Therapy ◽  
Acute Pain ◽  
Tissue Damage ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Psychosocial Risk ◽  
Pain Chronification

Current treatments for chronic pain are often ineffective. At the same as searching for novel therapeutics, there is growing interest in preventing acute pain becoming chronic. While the field is still in its infancy, its knowledge base is increasingly expanding. Certainly, biomedical factors, for example, the type of tissue damage, are important but they are often not modifiable. Psychosocial risk factors (e.g., thoughts and beliefs about pain, mood, social support, workplace problems) are modifiable. There is an increasing body of research that cognitive behavioral therapy can prevent transition. Internet-based delivery of cognitive behavioral therapy improves access. Clinicians need to be aware that they may inadvertently promote pain chronification in their patients by what they say and do.

scholarly journals Combined transcranial magnetic stimulation and brief cognitive behavioral therapy for suicide: study protocol for a randomized controlled trial in veterans

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Melanie L. Bozzay ◽  
Jennifer M. Primack ◽  
Hannah R. Swearingen ◽  
Jennifer Barredo ◽  
Noah S. Philip
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Suicidal Ideation ◽  
Cognitive Behavioral Therapy ◽  
Magnetic Stimulation ◽  
Suicide Ideation ◽  
Psychiatric Symptoms ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Mixed Effect ◽  
Number Of Patients

Abstract Background At least 17 veterans die every day from suicide. Although existing treatments such as brief cognitive behavioral therapy (BCBT) have been found to reduce suicide attempts in military personnel, a number of patients go on to attempt suicide after completing therapy. Thus, finding ways to enhance treatment efficacy to reduce suicide is critical. Repetitive transcranial magnetic stimulation (TMS) is a noninvasive technique that can be used to stimulate brain regions that are impaired in suicidal patients, that has been successfully used to augment treatments for psychiatric disorders implicated in suicide. The goal of this study is to test whether augmenting BCBT with TMS in suicidal veterans reduces rates of suicidal ideation, attempts, and other deleterious treatment outcomes. Methods One hundred thirty veterans with a suicide plan or suicidal behavior in the prior 2 weeks will be recruited from inpatient and outpatient settings at the Providence VA Medical Center in the USA. Veterans will be randomly assigned to receive 30 daily sessions of active or sham TMS in concert with a 12-week BCBT protocol in a parallel group design. Veterans will complete interviews and questionnaires related to psychiatric symptoms, suicidal ideation and behavior, treatment utilization, and functioning during a baseline assessment prior to treatment, at treatment endpoint, and 6- and 12-month follow-ups. Primary analyses will use mixed effect regressions to examine effects of treatment condition on suicidal behaviors, improvements in psychosocial functioning, and psychiatric hospitalization. Similar models as well as exploratory latent growth curve analyses will examine mediators and moderators of treatment effects. Discussion This protocol provides a framework for designing multilayered treatment studies for suicide. When completed, this study will be the first clinical trial evaluating the efficacy of augmenting BCBT for suicide with TMS. The results of this trial will have implications for treatment of suicide ideation and behaviors and implementation of augmented treatment designs. If positive, results from this study can be rapidly implemented across the VA system and will have a direct and meaningful impact on veteran suicide. Trial registration This study was registered prior to participant enrollment with ClinicalTrials.gov NCT03952468. Registered on May 16, 2019. Trial sponsor contact Robert O’Brien (VA Health Services R&D), [email protected]

scholarly journals Initial Low Levels of Suicidal Ideation Still Improve After Cognitive Behavioral Therapy for Insomnia in Regular Psychiatric Care

2021 ◽  
Vol 12 ◽  
Author(s):  
Susanna Jernelöv ◽  
Erik Forsell ◽  
Viktor Kaldo ◽  
Kerstin Blom
Keyword(s):  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Cognitive Behavioral Therapy ◽  
Psychiatric Care ◽  
Suicide Ideation ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Depression Symptoms ◽  
Increased Risk ◽  
High Level

Insomnia disorder is highly prevalent, and has been identified as a risk factor for many psychiatric problems, including depression, suicide ideation and suicide death. Previous studies have found that cognitive behavioral therapy for insomnia (CBT-I) reduce depression and suicidal ideation in samples with high levels of suicidal ideation. This study aims to investigate associations of CBT-I with suicidal ideation in a sample of 522 patients primarily seeking internet-delivered treatment for insomnia in regular psychiatric care. The sample had high pretreatment insomnia severity levels and a relatively high level of comorbid depression symptoms. Suicidal ideation levels were relatively low pretreatment but still improved significantly after CBT-I. Contrary to previous findings, the strongest predictor of changes in suicidal ideation were improvements in depressive symptoms, rather than improvements in insomnia. We conclude that suicidal ideation may not be a major problem in these patients primarily seeking treatment for insomnia, despite comorbid depressive symptoms, but that suicidal ideation still improves following CBT-i. Considering the increased risk for patients with untreated insomnia to develop depression, this finding is of interest for prevention of suicidal ideation.

scholarly journals Reducing Suicide by Providing Cognitive Behavioral Therapy for Suicide Prevention

2020 ◽  
Author(s):  
◽  
Wendy Larkin
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Suicide Prevention ◽  
Hospital Readmission ◽  
Group Intervention ◽  
Suicide Ideation ◽  
Behavioral Therapy ◽  
Time Frame ◽  
Cognitive Behavioral ◽  
Fisher Exact Test ◽  
Treatment As Usual

Veteran suicide is a serious and persistent national problem, which demands an effective treatment intervention. This Evidence-Based Practice project (EBP) addressed the question: Do patients with a psychiatric in-patient diagnosis of suicide ideation, who after discharge self-elect outpatient Cognitive Behavioral Therapy-Suicide Prevention (CBT-SP) treatment over a 6-week time frame, reduce the likelihood of hospital readmission for suicidal ideation vs. patients who decline CBT-SP treatment and elect Treatment as Usual (TAU)? The literature is prolific in validating that CBT-SP is successful in determining the effectiveness of CBT-SP vs. TAU in reducing suicidal behaviors in adults. Hospital readmission data were collected on both the CBT-SP and the TAU groups. The CBT-SP group collected a further measure utilizing the Quality of Life (QOL) Scale pre and post CBT-SP group intervention. Demographic variables of age, sex, and homelessness were compared to assess variability between the two groups. The CBT-SP and the TAU groups were compared for rehospitalization utilizing the Fisher Exact Test, which was statistically significant.

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