Preliminary Effectiveness of Adjunct Mindfulness-Based Cognitive Therapy to Prevent Suicidal Behavior in Outpatients Who Are at Elevated Suicide Risk

Chesin, Megan; Sönmez, Cemile Ceren; Benjamin-Phillips, Christopher; Beeler, Brandon; Brodsky, Beth S.; Stanley, Bárbara

doi:10.1007/s12671-015-0405-8

Cited by 43 publications

(30 citation statements)

References 47 publications

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“…Importantly, the intervention was successful despite the already heightened levels of perceived burdensomeness and thwarted belongingness. These findings are consistent with research showing that state mindfulness administered as a preventative intervention buffers against deficits in persistence across time (Collins et al, 2016), and that mindfulness-based clinical interventions reduce risk for suicidality (Chesin et al, 2015;Forkmann et al, 2014). Here we provide experimental evidence that mindfulness interventions may reduce suicide risk in part by moderating the deleterious impact of heightened perceived burdensomeness and thwarted belongingness as predicted by the interpersonal theory of suicide.…”

Section: Discussionsupporting

confidence: 88%

A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk

et al. 2017

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According to the interpersonal theory of suicide, perceived burdensomeness and thwarted belongingness are proximal causal factors underlying suicidal desire. The current study examined whether a brief mindfulness intervention can attenuate the deleterious effects of these interpersonal factors on desire to escape, a potential antecedent to suicide risk. Participants (N = 92) completed a computerised team task designed to manipulate perceived burdensomeness and thwarted belongingness (high or low PB/TB) and were randomly assigned to one of four conditions: (1) low PB/TB without intervention, (2) high PB/TB without intervention, (3) high PB/TB with a brief mindfulness intervention administered at the halfway point, or (4) high PB/TB with a brief unfocused attention intervention administered at the halfway point. As expected, simultaneous induction of perceived burdensomeness and thwarted belongingness increased desire to escape in the initial stages of the task in all three high PB/TB conditions. However, the mindfulness intervention attenuated the effects of the interpersonal factors on desire to escape across the latter stages of the task relative to the unfocused attention intervention and the high PB/TB condition where no intervention was administered. Findings suggest that mindfulness interventions may protect against the type of interpersonal adversity causally implicated in suicidal desire.

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Section: Discussionsupporting

confidence: 88%

A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk

et al. 2017

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“…Regarding the reduction of suicide risk, Chesin et al () demonstrated that mindfulness‐based interventions can be utilized as an adjunct to safety planning interventions (Stanley & Brown, ). Importantly, safety planning should be a core component of any clinical effort that seeks to manage and reduce suicide risk (B. Stanley et al, 2018a; B. Stanley & Brown, ).…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, safety planning should be a core component of any clinical effort that seeks to manage and reduce suicide risk (B. Stanley et al, 2018a; B. Stanley & Brown, ). It is intriguing that mindfulness‐based practices may enhance the potency of a safety planning intervention (Chesin et al, ). For both PTSD and suicide risk, there is a pressing need for interventions to be tested among firefighters (Haugen, Evces, & Weiss, ).…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic stress disorder symptoms and mindfulness facets in relation to suicide risk among firefighters

et al. 2019

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Objective: Posttraumatic stress disorder (PTSD) symptoms are associated with increased suicide risk among firefighters. Few studies have examined modifiable factors, such as mindfulness facets, that might attenuate this association. This study examined the interactive effects of PTSD symptoms and mindfulness facets in relation to suicide risk among firefighters. Method: Overall, 831 career firefighters were assessed for PTSD symptoms, mindfulness facets, and suicide risk via the PTSD Checklist for DSM‐5, Five Facet Mindfulness Questionnaire, and Suicidal Behaviors Questionnaire—Revised, respectively. Results: Greater PTSD symptoms were associated with more severe suicide risk; however, higher levels of two specific mindfulness facets, acting with awareness and nonjudging of inner experience, attenuated this association. By contrast, higher levels of the observing facet of mindfulness potentiated the association between PTSD symptoms and suicide risk. Conclusions: Suicide prevention initiatives among firefighters, particularly those experiencing trauma‐related sequelae, might benefit from the inclusion of mindfulness‐based practices alongside frontline empirically‐supported approaches.

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“…To the extent that mindfulness-based strategies can enhance zest for life, this also might increase motivation to engage in treatment to assist in the pursuit of a life worth living (cf., Britton et al, 2011). Indeed, there is emerging evidence that mindfulness-based adjuncts to treatment are well received by suicidal individuals and enhance outcomes when used alongside more established interventions that include a structured risk management framework (Chesin et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Mind full of life: Does mindfulness confer resilience to suicide by increasing zest for life?

Collins

Stritzke

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et al. 2018

Journal of Affective Disorders

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Findings suggest that mindfulness protects against suicidal desire in conditions of heightened risk and adversity by enhancing one's orientation towards a life worth living. Theories of suicide should consider the dynamic interplay between risk and life-sustaining resilience, while clinicians treating suicidality could use mindfulness strategies to strengthen the desire to (re)engage with life, thereby complementing direct amelioration of suicide risk factors.

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Preliminary Effectiveness of Adjunct Mindfulness-Based Cognitive Therapy to Prevent Suicidal Behavior in Outpatients Who Are at Elevated Suicide Risk

Cited by 43 publications

References 47 publications

A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk

A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk

Posttraumatic stress disorder symptoms and mindfulness facets in relation to suicide risk among firefighters

Mind full of life: Does mindfulness confer resilience to suicide by increasing zest for life?

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