A Collaborative Approach to Working with the Suicidal Mind

Jobes, David A.; Piehl, Brian M.; Chalker, Samantha A.

doi:10.1007/978-3-319-47976-7_11

Cited by 17 publications

(77 citation statements)

References 30 publications

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“…This study provides a new perspective into the common processes underlying evidence‐based suicide prevention interventions. Interventions and assessment were consistent with formulation, dimensional and biopsychosocial approaches to treating psychopathology and suicidality (Cuthbert & Insel, 2013, 2013; Hofmann & Hayes, 2019; Jobes, Piehl, & Chalker, 2018; Kotov et al, 2017; Ruggero et al, 2019). However, as well as identifying common themes in the way psychotherapy is provided for suicidal young people, this study highlighted the nuanced application of evidence‐based interventions.…”

Section: Discussionmentioning

confidence: 93%

Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences

Janackovski

Deane

Hains

2020

Clin Psychology and Psychoth

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The study explored psychologists' experiences in delivering short‐term psychotherapy for suicidal adolescents and sought to clarify how these experiences fit with empirically supported interventions and the interpersonal psychological theory of suicide. Semistructured interviews were conducted with 12 psychologists' who provided short‐term psychotherapy in a suicide prevention programme for youth (12‐ to 25‐year‐olds). Interview transcripts were analysed using interpretative phenomenological analysis. Three superordinate themes were identified: (i) understand the experience and context of the suicidality and the importance of a formulation‐based approach to engagement and individualized treatment planning; (ii) involve broad support systems, and in particular families, to help the young person reduce feelings of burdensomeness and increase safety, connectedness and belonging; and (iii) improve affect regulation and reflective functioning, important not only for the young person but also for the support system to maximize the positive impact of supports via emotional coregulation and effective problem‐solving. Interventions and approaches as well as the potential underlying processes of change being targeted are discussed in light of these findings. As an example, the development of a suicide safety plan was an intervention that traversed these themes. When used as a process tool, it helped foster a collaborative, formulation, dimensional and biopsychosocial approach to treat psychopathology and suicidality and extended beyond the therapist–client dyad. Moreover, treatment needs to be extended beyond the therapist–client dyad to allow therapists to facilitate a systemic treatment response, as this was seen as a major component of interventions for suicidal youth.

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Section: Discussionmentioning

confidence: 93%

Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences

Janackovski

Deane

Hains

2020

Clin Psychology and Psychoth

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“…Including “wish to live” among assessed items would allow for this ambivalence to be calculated and measured. Furthermore, identifying and leveraging one’s wish to live and one’s reasons for living has also been shown to have therapeutic benefits (Bryan et al, 2018; Jobes, 2016). Therefore, in addition to providing assessment information regarding ambivalence, discussing a patient’s wish to live and their reasons for living may itself be a suicide-prevention measure and may be an important clinical practice to include for therapeutic risk management.…”

Section: Discussionmentioning

confidence: 99%

Optimizing the Beck Scale for Suicide Ideation: An Item Response Theory Approach Among U.S. Military Personnel

2022

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The Beck Scale for Suicide Ideation (BSS) is one of the most used and empirically supported suicide risk assessment measures for behavioral health clinicians and researchers. However, the 19-item BSS is a relatively long measure and can take 5 to 10 minutes to administer. This study used Item Response Theory (IRT) techniques across two samples of mostly U.S. military service members to first identify ( n1 = 1,899) and then validate ( n2 = 757) an optimized set of the most informative BSS items. Results indicated that Items 1, 2, 4, 6, and 15 provided a similar-shaped test information curve across the same range of the latent trait as the full-length BSS and showed reliable item functioning across participant characteristics. The sum score of these five items showed a linear score linkage with the full-scale score, ρ > 0.87, and was equally as sensitive as the full scale for prospectively predicting near-term suicidal behavior at 74% with a cut score ≥1 (equivalent to full-scale score ≥6). Results are consistent with those from civilian samples. In time- or length-limited assessments, using these five BSS items may improve administration efficiency over the full BSS, while maintaining classification sensitivity. This study suggests that summing Items 1, 2, 4, 6, and 15 of the Beck Scale for Suicide Ideation (BSS) is an acceptable approach for shortening the full-length measure.

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“…Patients who used their SPTIs three or more times reported reductions in the severity of their suicidal thoughts. Although Jobes (2016) presented no data, he opined that most patients appeared to appreciate their stabilization plans and used them appropriately.…”

Section: What Are Sptis?mentioning

confidence: 99%

“…Fortunately, collaboratively developed plans designed to ensure patient safety can reduce suicide attempts (Ferguson et al, 2021; Nuij et al, 2021), even though the terminology and exact composition of these plans may vary. For example, they have been called crisis response plans (Bryan & Rudd, 2018), safety plans (Stanley et al, 2018), stabilization plans (Jobes, 2016), or empowerment plans (Weinstein et al, 2021). Nonetheless, these interventions have sufficient similarities in goals, techniques, and psychological processes that Nuij et al (2021) subsumed them under the single category of SPTIs.…”

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confidence: 99%

The essentials of creating effective safety planning-type interventions for suicidal patients.

Knapp¹

2023

Practice Innovations

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Safety planning type interventions (SPTIs) reduce suicide attempts as either stand-alone interventions or as part of a more comprehensive treatment. They now represent the standard of care when working with suicidal patients. This article reviews the goals of SPTIs, their effectiveness, rationale, legal and risk management implications, composition, and how to use them effectively. Effective SPTIs are created collaboratively, rely extensively on patient input, disrupt patients’ suicidal thinking, and increase the patients’ connections with others, sense of personal autonomy, and belief in their ability to cope with suicidal thoughts.

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A Collaborative Approach to Working with the Suicidal Mind

Cited by 17 publications

References 30 publications

Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences

Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences

Optimizing the Beck Scale for Suicide Ideation: An Item Response Theory Approach Among U.S. Military Personnel

The essentials of creating effective safety planning-type interventions for suicidal patients.

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