Inadequate Response to Therapy as a Predictor of Suicide

Katherine K. Dahlsgaard · Aaron Tim Beck · Gregory K. Brown

81 citations0/0 files storedSuicide and Life-Threatening Behavior

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Suicide and Self-Harm Studies Psychotherapy Techniques and Applications Personality Disorders and Psychopathology

Abstract

The role of response to cognitive therapy as a predictor of suicide was investigated by comparing 17 outpatients with mood disorders who committed suicide with 17 matched patients who did not commit suicide. The suiciders attended significantly fewer sessions of cognitive therapy and dropped out of therapy more frequently: 88% of the suiciders, compared to 53% of the controls, were rated by their therapists as requiring more treatment at termination. They also had higher levels of hopelessness at the termination of therapy. The results suggest that premature termination of therapy and inadequate response to treatment have unfavorable prognostic significance for eventual suicide.

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References

1979Assessment of suicidal intention: The Scale for Suicide Ideation.1980Cognitive Therapy in Depression 1985Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation 1990Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients 1993A meta-analysis of psychotherapy dropout.1990Time-related predictors of suicide in major affective disorder 1983Prediction of Suicide in Psychiatric Patients 1970Suicide and Primary Affective Disorders

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2015Suicide attempts in a longitudinal sample of adolescents followed through adulthood: Evidence of escalation.

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