Effectiveness of an outpatient intervention targeting suicidal young adults: Preliminary results.

Abstract

This study evaluated the effectiveness of a time-limited, outpatient intervention targeting suicidal young adults. Participants (N = 264) were randomly assigned to either the experimental treatment or the control condition (i.e., treatment as usual). In addition to intake assessments, participants completed follow-ups at 1, 6, 12, 18, and 24 months. Both treatment and control participants evidenced significant improvement across all outcome measures throughout the follow-up period. Reductions were reported in suicidal ideation and behavior, associated symptomatology, and experienced stress, along with marked improvement in self-appraised problem-solving ability. Results also indicated that the experimental treatment was more effective than treatment as usual at retaining the highest risk participants. Available data demonstrate the efficacy of a time-limited, outpatient intervention for suicidal young adults. Implications of current findings for intervention with and treatment of this population are discussed.

Positive effects of Individual Cognitive Behavior Therapy for patients with unipolar mood disorders with suicidal ideation in Malaysia: A randomised controlled trial

“…This study also supports the results of Rudd et al, (1996), whereby ICBT were shown to be effective in treatment of depressive symptoms with suicidal ideation. Since this clinical trial was done among three major ethnic groups in Malaysia, it has additional contribution to the growing literature examining the treatment of depression and also suicidal behavior on Eastern ethnic and cultural groups since group cognitive behavior therapy was reported to be effective in the treatment of depression among Malay patients in Malaysia .…”

“…The findings of current study on improvement of suicide ideation symptoms using the ICBT, are consistent with previous findings (Rudd et al, 1996;Stanley et al, 2009), whereby ICBT reduces suicidal behavior among patients with suicide ideation. According to Brown et al, 2005, the usage of ICBT approach in preventing suicidal behavior can also significantly lower on measure of depressed mood and hopelessness.…”

“…The Modified Scale for Suicidal Ideation (MSSI) and Suicide Probability Scale (SPS) was used by Rudd et al, (1996) to measure suicide ideation and a significant improvement in suicide ideation symptoms were reported in their ICBT+TAU group.…”

“…Besides that, the burden also involves medical cost, which, include emergency transport, rehabilitation, hospital, pharmaceutical, ancillary, and related treatment cost, as well as funeral/coroner expenses for fatalities and administrative costs. The comprehensive review of the literature on suicidal behavior in Malaysia (Aishvarya et al, 2013;Aishvarya , et al, 2014) reported that to date there is no single psychological therapy was conducted in treating patients with suicidal behavior in Malaysia as compared to the West (Coon et al, 2004;Linehan et al, 1991;Rudd et al, 1996) which were found to be effective. So, it is worth to investigate the feasibility of ICBT for treatment of patients with mood disorders with suicidal behavior in Malaysia.…”

A comparison of specific positive future expectancies and global hopelessness as predictors of suicidal ideation in a prospective study of repeat self-harmers

“…The Suicide Probability Scale was included as it is a recognized predictor of suicide risk (e.g., Larzelere et al, 1996;Witte et al, 2005) and it has been shown to be sensitive to changes in suicidality (e.g., Rudd et al, 1996). To maximize follow-up, we made concerted efforts to contact all participants via post, email and telephone.…”