The relationship between therapeutic alliance and patient's suicidal thoughts, self-harming behaviours and suicide attempts: A systematic review
| Autor: | Laura Wainwright, Gillian Haddock, Katherine Berry, Charlotte Dunster-Page |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty medicine.medical_treatment MEDLINE Suicide Attempted CINAHL Interpersonal communication Suicidal Ideation Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans 0501 psychology and cognitive sciences Psychiatry Suicidal ideation Cognitive Behavioral Therapy 05 social sciences Middle Aged Mental health 030227 psychiatry Psychotherapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Alliance Cognitive therapy Female medicine.symptom Psychology Self-Injurious Behavior Qualitative research Clinical psychology |
| Zdroj: | Journal of Affective Disorders. 223:165-174 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2017.07.040 |
| Popis: | Background Suicidality is a common concern for people with mental health problems. The interpersonal nature of suicidality suggests that therapeutic alliance may be important when working clinically with suicidal patients. This paper is a systematic review of studies investigating the association between alliance and treatment outcome relating to suicidal ideation and behaviours. Methods Systematic searches of PsychINFO, MEDLINE, AMED, EMBASE, Web of Science and CINAHL were completed using words that captured the concepts of alliance and suicidality. Eligible studies: involved participants aged 18-years-old or over; used a validated measure of therapeutic alliance; and reported associations between alliance and suicidality. Abstracts, qualitative studies and articles not written in English were excluded. Results Twelve studies were included. Findings indicated that alliance is associated with suicidality. Alliance was related to suicidality in eleven of the papers. Self-harming behaviours had the strongest association with patient-rated alliance. Suicide attempts had the weakest association, possibly due to the infrequency of suicide attempts in the studies reviewed. Limitations The twelve studies were heterogeneous in terms of the measure of alliance used, method of assessing suicidality, clinical setting and professional-type. This variability limited the degree to which findings could be synthesised. Conclusion Therapists, care-coordinators and mental health teams should recognise the importance of building a strong therapeutic alliance with suicidal patients. Researchers should use consistent methods of measuring alliance and assessing suicidality in future studies. Clinicians and researchers should note that suicidal thoughts, self-harm and suicide attempts may be related to alliance in different ways and therefore should be assessed as separate constructs. |
| Databáze: | OpenAIRE |
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