An exploratory randomised trial of a simple, brief psychological intervention to reduce subsequent suicidal ideation and behaviour in patients admitted to hospital for self-harm
| Autor: | Richard Rowe, Christopher J. Armitage, Rory C. O'Connor, Wirda Abdul Rahim |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Coping (psychology) Adolescent Psychological intervention Poison control Suicide Attempted Intention Suicide prevention Suicidal Ideation Young Adult 03 medical and health sciences 0302 clinical medicine Adaptation Psychological Outcome Assessment Health Care Injury prevention medicine Humans 030212 general & internal medicine Psychiatry Suicidal ideation Inpatients Suicide attempt Implementation intention Middle Aged 030227 psychiatry Psychiatry and Mental health Psychotherapy Brief Female medicine.symptom Psychology Follow-Up Studies Clinical psychology |
| Zdroj: | British Journal of Psychiatry. 208:470-476 |
| ISSN: | 1472-1465 0007-1250 |
| Popis: | BackgroundImplementation intentions link triggers for self-harm with coping skills and appear to create an automatic tendency to invoke coping responses when faced with a triggering situation.AimsTo test the effectiveness of implementation intentions in reducing suicidal ideation and behaviour in a high-risk group.MethodTwo hundred and twenty-six patients who had self-harmed were randomised to: (a) forming implementation intentions with a ‘volitional help sheet’; (b) self-generating implementation intentions without help; or (c) thinking about triggers and coping, but not forming implementation intentions. We measured self-reported suicidal ideation and behaviour, threats of suicide and likelihood of future suicide attempt at baseline and then again at the 3-month follow-up.ResultsAll suicide-related outcome measures were significantly lower at follow-up among patients forming implementation intentions compared with those in the control condition (ds>0.35). The volitional help sheet resulted in fewer suicide threats (d = 0.59) and lowered the likelihood of future suicide attempts (d = 0.29) compared with patients who self-generated implementation intentions.ConclusionsImplementation intention-based interventions, particularly when supported by a volitional help sheet, show promise in reducing future suicidal ideation and behaviour. |
| Databáze: | OpenAIRE |
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