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Cognitive-Behavioural Problem Solving in the Treatment of Patients who Repeatedly Attempt Suicide a Controlled Trial

Paul Martin Salkovskis · Chris Atha · David Storer

335 citations0/0 files storedThe British Journal of Psychiatry

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Suicide and Self-Harm Studies Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Problem Solving Skills Development

Abstract

In a controlled trial, 20 patients at high risk of repeated suicide attempts were randomly allocated to either cognitive-behavioural problem solving or a 'treatment-as-usual' control condition. The group practising problem solving improved significantly more than controls on ratings of depression, hopelessness, suicidal ideation and target problems at the end of treatment and at follow-up of up to one year, and there was evidence of an effect on the rates of repetition over the six months after treatment.

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References

1961An Inventory for Measuring Depression 1974The measurement of pessimism: The Hopelessness Scale.1979Assessment of suicidal intention: The Scale for Suicide Ideation.1985Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation 1964An analysis of mood in neurotics.1987Problem-solving skills in suicidal psychiatric patients.

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2004History of Multiple Suicide Attempts as a Behavioral Marker of Severe Psychopathology 2016Psychosocial interventions for self-harm in adults 2007The Relationship Between Self-injurious Behavior and Suicide in a Young Adult Population 2006Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study 1999Manual-assisted cognitive-behaviour therapy (MACT): a randomized controlled trial of a brief intervention with bibliotherapy in the treatment of recurrent deliberate self-harm 2007Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups.

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