Abstract:
BACKGROUND:The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies to improve suicide prevention. METHODS:We conducted a randomized controlled trial comparing a 7-week acceptance and commitment therapy (ACT) versus relaxation group, as adjunct to treatment as usual for adult outpatients suffering from a current suicidal behavior disorder. The primary outcome was the rate of change in the Columbia Suicide Severity Rating Scale suicidal ideation subscore (adding severity and intensity subscores). Secondary outcomes were the rates of change for depressive symptomatology, psychological pain, anxiety, hopelessness, anger, quality of life, and therapeutic processes. Assessments were performed in the 2 weeks preceding the beginning of the treatment (pretreatment assessment), and within 1 week (posttherapy assessment) and 3 months (follow-up assessment) after therapy completion. RESULTS:Forty adults were included and randomized. The rate of change in ACT for suicidal ideation at the posttherapy assessment was higher than in the relaxation group (β [SE] = -1.88 [0.34] vs. -0.79 [0.37], respectively; p = 0.03). ACT effectiveness remained stable at the 3-month follow-up. We found a similar pattern of change for depressive symptomatology and anxiety, psychological pain, hopelessness, anger, and quality of life. Therapeutic processes improved more in the ACT group than in the relaxation group. Treatment adherence was high in the ACT group, all participants reported satisfaction with the program. CONCLUSIONS:Through its effectiveness in reducing suicidal ideation and improving the clinical dimensions associated with suicidal risk in patients suffering from a suicidal behavior disorder, ACT could be developed as an adjunctive strategy in programs for suicide prevention.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Ducasse D,Jaussent I,Arpon-Brand V,Vienot M,Laglaoui C,Béziat S,Calati R,Carrière I,Guillaume S,Courtet P,Olié Edoi
10.1159/000488715subject
Has Abstractpub_date
2018-01-01 00:00:00pages
211-222issue
4eissn
0033-3190issn
1423-0348pii
000488715journal_volume
87pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. METHODS:We investigated psychological f...
journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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