A CBT-Based Psychoeducational Intervention for Suicide Survivors

Wittouck, Ciska; Autreve, Sara Van; Portzky, Gwendolyn; Heeringen, Kees van

doi:10.1027/0227-5910/a000252

Cited by 35 publications

(70 citation statements)

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“…In nine trials, the intervention was not cognitive behavioural therapy, [12][13][14][15][16][17][18][19][20] and one trial was not about previous suicide attempts although it had 'suicide survivors' in the title; it included relatives to people who had committed suicide. 21 The two remaining trials were included in our review. Our contacts to the investigators for ongoing trials did not yield additional trial results.…”

Section: Resultsmentioning

confidence: 99%

Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review

Gøtzsche

2017

J R Soc Med

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Objective: To study whether cognitive behavioural therapy decreases suicide attempts in people with previous suicide attempts. Design: Systematic review and meta-analysis. Setting: Randomised trials that compare cognitive behavioural therapy with treatment as usual. Participants: Patients who had engaged in any type of suicide attempt in the six months prior to trial entry resulting in presentation to clinical services. Main outcome measure: Suicide attempt. Results: We included ten trials, eight from Cochrane reviews and two from our updated searches (1241 patients, 219 of whom had at least one new suicide attempt). Cognitive behavioural therapy compared to treatment as usual reduced the risk of a new suicide attempt; risk ratio 0.47; 95% confidence interval 0.30-0.73; p ¼ 0.0009; I 2 ¼ 57%. Only seven suicides were reported (3 versus 4). One trial had an unusually large effect; if this trial is excluded, the risk ratio becomes 0.61 (0.46-0.80) and the heterogeneity in the results disappears (I 2 ¼ 0%). Conclusions: Cognitive behavioural therapy reduces not only repeated self-harm but also repeated suicide attempts. It should be the preferred treatment for all patients with depression.

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Section: Resultsmentioning

confidence: 99%

Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review

Gøtzsche

2017

J R Soc Med

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“…Four studies were conducted in the USA [52–55], one in the Netherlands [51], one in Canada [56], and one in Belgium [57]. …”

Section: Resultsmentioning

confidence: 99%

“…In four of the included studies, participants were recruited both through self- and professional referral [51–54], two used self-referral only [56,57], and one used researcher referral [55]. …”

Section: Resultsmentioning

confidence: 99%

Grief interventions for people bereaved by suicide: A systematic review

et al. 2017

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BackgroundAdaption to the loss of a loved one due to suicide can be complicated by feelings of guilt, shame, responsibility, rejection, and stigmatization. Therefore people bereaved by suicide have an increased risk for developing complicated grief which is related to negative physical and mental disorders and an increased risk for suicidal behavior. Grief interventions are needed for this vulnerable population. The aim of this systematic review was to provide an overview of the current state of evidence concerning the effectiveness of interventions that focus on grief for people bereaved by suicide.MethodsWe conducted a systematic literature search using PubMed, Web of Science, and PsycINFO for articles published up until November 2016. Relevant papers were identified and methodological quality was assessed by independent raters. A narrative synthesis was conducted.ResultsSeven intervention studies met the inclusion criteria. Two interventions were based on cognitive-behavioral approaches, four consisted of bereavement groups, and one utilized writing therapy. As five of the seven interventions were effective in reducing grief intensity on at least one outcome measure, there is some evidence that they are beneficial. Bereavement groups tend to be effective in lowering the intensity of uncomplicated grief, as are writing interventions in lowering suicide-specific aspects of grief. Cognitive-behavioral programs were helpful for a subpopulation of people who had high levels of suicidal ideation.LimitationOn average, methodological quality was low so the evidence for benefits is not robust. The stability of treatment effects could not be determined as follow-up assessments are rare. Generalizability is limited due to homogeneous enrollments of mainly female, white, middle-aged individuals.ConclusionsPeople bereaved by suicide are especially vulnerable to developing complicated grief. Therefore, grief therapies should be adapted to and evaluated in this population. Prevention of complicated grief may be successful in populations of high risk individuals.

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“…The importance of implementing long term studies to examine the efficacy of postvention support for suicide survivors is also essential, for example with individuals experiencing complicated grief (Wittouck, Van Autreve, Portzky, & Van Heeringen, 2014). Understandably, some suicide survivors may feel that they do not need to access interventions or share their problems with others, but they may use alternative methods of dealing with their emotions by self-medicating, overworking, alcohol or substance misuse (Grad, 2005).…”

Section: Postvention Services and Supportmentioning

confidence: 99%

Exploring the Complexities of Suicide Bereavement Research

Ali

2015

Procedia - Social and Behavioral Sciences

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Statistics indicate a projected increase in the number of suicides by those in receipt of mental health services in England. Research has also shown that the impact of suicide on individuals who have lost someone to suicide have an increased risk of poor physical and mental health, including a higher risk of suicidality. However, research within suicide bereavement is limited due to the lack of methodologically robust studies involving those bereaved through suicide. This paper will offer an overview of current debates in the suicide bereavement literature and discuss a forthcoming qualitative study that will examine the impact of suicide by those in receipt of mental health services on their families. The current research will utilise a constructivist grounded theory approach. Analysis of the data will include a process of coding and comparison, leading to theory generation. This study aims to contribute to knowledge of the impact of suicide on family members (where the deceased was in receipt of mental health services) and how to provide effective post-intervention support for these particular families.

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A CBT-Based Psychoeducational Intervention for Suicide Survivors

Abstract: The CBT-based psychoeducational intervention has no significant effect on the development of complicated grief reactions, depression, and suicide risk factors among suicide survivors. The intervention may, however, serve as supportive counseling for suicide survivors.

Cited by 35 publications

References 35 publications

Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review

Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review

Grief interventions for people bereaved by suicide: A systematic review

Exploring the Complexities of Suicide Bereavement Research

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