Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial

Ducasse, Déborah; Jaussent, Isabelle; Arpon-Brand, Véronique; Vienot, Marina; Laglaoui, Camelia; Béziat, S.; Calati, Raffaella; Carrière, Isabelle; Guillaume, Sébastien; Courtet, Philippe; Olié, Émilie

doi:10.1159/000488715

Cited by 67 publications

(53 citation statements)

References 49 publications

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“…An issue that is not sufficiently appreciated is also the experience of mental pain that many suicidal patients may present. ACT was found to significantly reduce suicidal ideation as well as mental pain compared to relaxation in adult suicidal patients.…”

Section: Applicationsmentioning

confidence: 91%

The pursuit of euthymia

2020

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Psychiatrists often consider the positive characteristics displayed by a patient in their clinical judgment, yet current assessment and treatment strategies are shifted on the side of psychological dysfunction. Euthymia is a transdiagnostic construct referring to the presence of positive affects and psychological well‐being, i.e., balance and integration of psychic forces (flexibility), a unifying outlook on life which guides actions and feelings for shaping future accordingly (consistency), and resistance to stress (resilience and tolerance to anxiety or frustration). There is increasing evidence that the evaluation of euthymia and its components has major clinical implications. Specific instruments (clinical interviews and questionnaires) may be included in a clinimetric assessment strategy encompassing macro‐analysis and staging. The pursuit of euthymia cannot be conceived as a therapeutic intervention for specific mental disorders, but as a transdiagnostic strategy to be incorporated in an individualized therapeutic plan. A number of psychotherapeutic techniques aiming to enhance positive affects and psychological well‐being (such as well‐being therapy, mindfulness‐based cognitive therapy, and acceptance and commitment therapy) have been developed and validated in randomized controlled clinical trials. The findings indicate that flourishing and resilience can be promoted by specific interventions leading to a positive evaluation of one's self, a sense of continuing growth and development, the belief that life is purposeful and meaningful, satisfaction with one's relations with others, the capacity to manage effectively one's life, and a sense of self‐determination.

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Section: Applicationsmentioning

confidence: 91%

The pursuit of euthymia

2020

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“…This process of experiential avoidance may participate in suicidal behaviors (Ducasse et al, 2018b). Expressing gratitude is known to promote positive mind-sets and to reduce stress levels (Emmons & McCullough, 2003).…”

Section: Ta B L E 3 Changes In Psychological Measures Between Pre Joumentioning

confidence: 99%

Gratitude diary for the management of suicidal inpatients: A randomized controlled trial

et al. 2019

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Background:The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies. Methods:We conducted a randomized controlled trial based on a 7-day add-on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was betweengroup differences for mean change of current psychological pain, between the beginning and the end of the 7-day intervention. We measured between-group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7-day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion. Results: Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between-group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between-group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between-group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P < 10 −3 ).Participants found the intervention to be more useful than the food diary. Conclusions:Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients. K E Y W O R D Sgratitude, positive psychology, randomized controlled trial, suicidal crisis

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“…Furthermore, SB could be considered the most extreme expression of experiential avoidance. Thus, similarly to Acceptance and Commitment Therapy ( 9 ), psilocybin might be useful in SB by promoting acceptance. Moreover, psilocybin increases inner peace, patience and good humor/play, interpersonal gaze, and compassion ( 7 ).…”

Section: Neuropsychological Pathways Implicated In Sb On Which Psilocmentioning

confidence: 99%