Method of levels therapy for first‐episode psychosis: The feasibility randomized controlled Next Level trial

Griffiths, Robert; Mansell, Warren; Carey, Timothy A.; Edge, Dawn; Emsley, Richard; Tai, Sara

doi:10.1002/jclp.22820

Cited by 9 publications

(2 citation statements)

References 38 publications

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“…Lastly, clinicians may wish to use structured risk assessments, such as ratings of reasons to die and reasons for living in CAMS (Jobes, 2006), or interventions such as the SPI, in addition to MOL. We do not believe this is necessary for therapeutic change to occur, since MOL aims to target a core process of therapeutic change (Griffiths et al, 2019a), thereby reducing distress and decreasing suicidality. However, some clinicians may prefer to do this or it may be necessary to meet the requirements of their service.…”

Section: Discussionmentioning

confidence: 99%

The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness

et al. 2021

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ObjectivesThis paper aims to identify potential areas for refinement in existing theoretical models of suicide, and introduce a new integrative theoretical framework for understanding suicide, that could inform such refinements.MethodsLiterature on existing theoretical models of suicide and how they contribute to understanding psychological processes involved in suicide was evaluated in a narrative review. This involved identifying psychological processes associated with suicide. Current understanding of these processes is discussed, and suggestions for integration of the existing literature are offered.ResultsExisting approaches to understanding suicide have advanced the current knowledge of suicide in various ways. They have guided valuable research in the following areas: motivations for suicide and the psychological distress which influences suicide attempts; ambivalence about suicide; suicidal individuals’ focus of attention; and ways in which individuals who contemplate suicide differ from individuals who attempt suicide. We outline a new theoretical framework as a means to integrating all of these concepts into the three principles of control, conflict, and awareness. Within this framework, suicide is regarded as occurring due to a long standing conflict between an individual’s personal goals, culminating in an episode of acute loss of control. The new framework posits that the individual then strives to regain control through the means of suicide because of a narrowed awareness of consequences of their actions on other valued goals. This psychological mechanism of limited awareness is posited to be the common pathway by which individuals make a suicide attempt, regardless of which risk factors are present.ConclusionThis article introduces a theoretical framework that generates several hypotheses for future research, and focuses on psychological processes occurring during immediate crisis. One of the key hypotheses resulting from our predictions on how individuals progress from contemplating to attempting suicide will be tested in an ongoing program of research: Individuals who attempt suicide have a significantly reduced awareness of consequences of suicide, which would negatively impact on their important life goals, values, principles, or ideals, compared to individuals who contemplate suicide. Therapy guided by the new framework may be more flexible, immediate, and client-focused than other therapies for suicidal individuals.

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Section: Discussionmentioning

confidence: 99%

The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness

et al. 2021

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“…Numerous clinical trials [13][14][15] have tested treatments (pharmaceutical treatment, psychotherapy, physical activity) for FEP, as well as departments or clinics specifically for FEP or early intervention programs. The latter have demonstrated their superiority over standard treatment in terms of effectiveness of care [16] and reduction of mortality [2,17].…”

Section: Introductionmentioning

confidence: 99%

The Lived Experience of First-Episode Psychosis: A Systematic Review and Metasynthesis of Qualitative Studies

et al. 2020

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Both research and care have focused on first episodes of psychosis (FEPs) as a way to address the issue of early stages of schizophrenia and to reduce the duration of untreated psychosis. The objective of this study was to explore specifically the lived experience of FEP from the point of view of patients and their families by applying a metasynthetic approach, including a systematic review of the literature and analyses of qualitative studies on the subject. This metasynthesis follows thematic synthesis procedures. Four databases were systematically searched for qualitative studies reporting FEP from the patient or family’s perspective. Article quality was assessed with the Critical Appraisal Skills Program. Thematic analysis was used to identify key themes and synthesize them. Thirty-eight articles were included, covering data from 554 participants (378 patients and 176 relatives). Three themes emerged from the analyses: (1) When and how does a FEP start? (2) What are its negative and positive aspects? (3) How do patients and families recount FEPs? Our results found important discrepancies between the experiences of patients and those of their families, especially regarding positive aspects. In light of the confusion reported by patients and notable in our results, we also discuss the gap between the name, FEP, and the lived experience of patients and family members in order to explore its practical implications.

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Cognitive behavioural therapy added to standard care for first-episode and recent-onset psychosis

Mayer,

Corcoran,

Kennedy

et al. 2024

Cochrane Database of Systematic Reviews

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Method of levels therapy for first‐episode psychosis: The feasibility randomized controlled Next Level trial

Cited by 9 publications

References 38 publications

The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness

The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness

The Lived Experience of First-Episode Psychosis: A Systematic Review and Metasynthesis of Qualitative Studies

Cognitive behavioural therapy added to standard care for first-episode and recent-onset psychosis

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