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

2020 ◽  
Author(s):  
◽  
Wendy Larkin

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.

2021 ◽  
pp. 106648072110057
Author(s):  
Kelli Anderson

This article proposes a conceptual group approach using trauma-based cognitive behavioral therapy for children involved in high conflict custody disputes. Traditionally, interventions for this population have focused on repairing the relationship between parent and child and less on addressing the traumatic symptoms with which the child is suffering. The proposed intervention focuses solely on the needs of the child and provides an outline for seven sessions during which the PRACTICE model of trauma-focused cognitive behavioral therapy is used. Additionally, ethical implications and directions for future research are discussed.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Katarzyna Sitko ◽  
Bridgette M Bewick ◽  
David Owens ◽  
Ciara Masterson

Abstract Published research shows small-to-medium effects of Cognitive Behavioral Therapy for Psychosis (CBTp) on reducing psychotic symptoms. Given the on-going development of CBTp interventions, the aim of this systematic review is to examine whether the effectiveness of CBTp has changed across time. MEDLINE, EMBASE, PsycINFO, and CENTRAL were searched for randomized controlled trials examining CBTp interventions targeting positive and/or negative symptoms vs treatment as usual. Four meta-analyses were carried out to examine the effectiveness of CBTp for: positive symptoms; delusions; hallucinations; and negative symptoms. Four meta-regressions examined whether the effectiveness of CBTp changed across time for these groups of symptoms. A total of 28 studies (n = 2698) yielded a pooled g of −0.24 (95% confidence interval [CI] −0.32, −0.16, P < .001) favoring CBTp for positive symptoms, with nonsignificant heterogeneity (Q = 26.87, P = .47; I2 =0%); 13 studies (n = 890) yielded a pooled g of −0.36 (95% CI −0.59, −0.13, P = .002) for delusions, with substantial heterogeneity (Q = 31.99, P = .001; I2 =62%); 16 studies (n = 849) yielded a pooled g of −0.26 (95% CI −0.42, −0.11, P < .001) for hallucinations, with nonsignificant heterogeneity (Q = 18.10, P = .26; I2 =17%); 19 studies (n = 1761) yielded a pooled g of −0.22 (95% CI −0.33, −0.12, P < .001) for negative symptoms, with nonsignificant heterogeneity (Q = 20.32, P = .32, I2 =11%). Meta-regressions indicated a significant effect of year on the effectiveness of CBTp only for delusions (F[1, 11] = 5.99, P = .032; R2 = 0.594); methodological quality did not effect this finding. Findings indicate small-to-medium effects of CBTp for psychotic symptoms, with increasing effectiveness across time for delusions.


2016 ◽  
Vol 24 (3) ◽  
pp. 144-163 ◽  
Author(s):  
A.B. Kholmogorova

The article presents the data on suicide incidence in Russian Federation. The author discusses the necessity of developing prevention programs and carrying out complex team-based specialist work to ensure safe environment at schools. It is noted that prevention and postvention methods should be scientifically grounded. History of development of a special psychotherapeutic cognitive-behavioral protocol for suicide prevention and postvention is presented. The author examines the problem of diathesis (predisposition) to suicidal behavior and formulates the main principles of cognitive-behavioral psychotherapy of patients predisposed to suicidal behavior. Key stages of cognitive-behavioral therapy of suicidal behavior, techniques and approaches to working with such clients are described. Various targets that should be taken into account during crisis interventions are discussed. The article presents empirical research data of the effectiveness of cognitive psychotherapy of suicidal behavior and the results of the empirical study of factors of suicidal behavior in students based on multi-factor psychosocial model of affective spectrum disorders. It is emphasized that individual psychotherapy should be combined with other methods of suicide prevention and postvention. Perspectives of further development of methods of working with suicidal behavior are outlined.


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