Reminder-Focused Positive Psychiatry: Suicide Prevention Among Youths With Comorbid Posttraumatic Stress Disorder and Suicidality
Autor: | Ahmadi, Naser, Pynoos, Robert, Leuchter, Andrew, Kopelowicz, Alex |
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Rok vydání: | 2022 |
Předmět: |
emergency room
Suicide Prevention Adolescent Clinical Sciences Aftercare Suicidal Ideation Stress Disorders Post-Traumatic Clinical Research Behavioral and Social Science Psychology Humans Child Stress Disorders Pediatric Psychiatry Prevention General Medicine Post-Traumatic Stress Disorder (PTSD) Serious Mental Illness Anxiety Disorders Patient Discharge Brain Disorders Reminder-focused positive psychiatry Suicide Clinical Psychology Mental Health Good Health and Well Being Post-Traumatic Posttraumatic Stress Disorder see Trauma- and Stressor-Related Disorders Cognitive Sciences brief emergency room youth intervention |
Zdroj: | American journal of psychotherapy, vol 75, iss 3 |
ISSN: | 2575-6559 0002-9564 |
DOI: | 10.1176/appi.psychotherapy.20200061 |
Popis: | ObjectiveThis study aimed to investigate the effect of brief reminder-focused positive psychiatry and suicide prevention (RFPP-S) on suicidal ideation, posttraumatic stress disorder (PTSD) symptoms, and clinical outcomes among youths with PTSD treated in psychiatric emergency rooms.MethodsThis study included youths with PTSD and suicidality who received either RFPP-S (N=50) or treatment as usual (N=150). The Columbia Suicide Severity Rating Scale (C-SSRS), Clinician-Administered PTSD Scale for children and adolescents, University of California, Los Angeles Trauma Reminder Inventory, Patient Health Questionnaire-9, Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment Scale, and positive psychiatry test batteries were administered at baseline, on day 2, and 1 week and 1 month after discharge.ResultsOn day 2, the RFPP-S group showed a greater reduction in PTSD symptoms (55%) and reactivity to trauma and loss reminders (80%) compared with the control group (10% for both) (p=0.001). A significantly greater reduction in C-SSRS score for RFPP-S (80%), compared with treatment as usual (15%), was noted (p=0.001), and RFPP-S showed more rapid stabilization (mean±SD=2.0±0.5 days) and enhanced postdischarge follow-up (100%) compared with treatment as usual (5.0±2.0 days and 50%, respectively) (p |
Databáze: | OpenAIRE |
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