Problem-solving counseling as a therapeutic tool on youth suicidal behavior in the suburban population in Sri Lanka

Perera, Eranga; Kathriarachchi, S.T.

doi:10.4103/0019-5545.75558

Cited by 12 publications

(10 citation statements)

References 7 publications

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“…The majority employed a pre-test/post-case series study design (k = 11; 57·9%) [73], [74], [75], [76], [77], [78], [79], [80], [81], [82], [83]. Sixteen (84·2%) recruited participants from community mental health services or hospitals, including inpatient and emergency department settings [73], [74], [75], [76], [77], [78], [79], [80], [83], [84], [85], [86], [87], [88], [89], [90], [91]. Interventions included DBT, CBT, and brief contact interventions.…”

Section: Resultsmentioning

confidence: 99%

“…One study tested a brief contact intervention and reported no between-group differences [85]. A study of a problem solving intervention reported a reduction in the proportion of participants reporting suicide attempts in the treatment group compared to controls [87]. Finally, a study testing an intervention for American Indians reported reductions in suicidal ideation over time [82].…”

Section: Resultsmentioning

confidence: 99%

“…All but one [89] were either under-powered or the adequacy of the sample size could not be determined. Eight studies used a comparison group [84], [85], [86], [87], [88], [89], [90], [91]. Three assessed outcomes using interview-rated measures [87], [90], [91], and only one reported that outcome assessors were blinded to treatment allocation [91].…”

Section: Resultsmentioning

confidence: 99%

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What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis

et al. 2018

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Summary Background Young people require specific attention when it comes to suicide prevention, however efforts need to be based on robust evidence. Methods We conducted a systematic review and meta-analysis of all studies examining the impact of interventions that were specifically designed to reduce suicide-related behavior in young people. Findings Ninety-nine studies were identified, of which 52 were conducted in clinical settings, 31 in educational or workplace settings, and 15 in community settings. Around half were randomized controlled trials. Large scale interventions delivered in both clinical and educational settings appear to reduce self-harm and suicidal ideation post-intervention, and to a lesser extent at follow-up. In community settings, multi-faceted, place-based approaches seem to have an impact. Study quality was limited. Interpretation Overall whilst the number and range of studies is encouraging, gaps exist. Few studies were conducted in low-middle income countries or with demographic populations known to be at increased risk. Similarly, there was a lack of studies conducted in primary care, universities and workplaces. However, we identified that specific youth suicide-prevention interventions can reduce self-harm and suicidal ideation; these types of intervention need testing in high-quality studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis

et al. 2018

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“…Patients with a psychiatric diagnosis are at an increased risk of a repeat self-harm and appropriate management of mental illness is the cornerstone of any suicide prevention efforts. [22] Psychological therapies like problem solving therapy[23] and cognitive behavior therapy[23] have been found to be useful in reducing repetition rates of deliberate self-harm. The importance of psychological therapies is obtaining more recognition, but funding and recruitment issues continue to be major hurdles.…”

Section: Discussionmentioning

confidence: 99%

A survey of psychiatric services for people who attempt suicide in south India

Kumar

Tharayil

Kumar

et al. 2012

Indian J Psychiatry

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Background and Aims:Self-harm is a major public health problem in the southern parts of India. This survey was undertaken to assess the nature of psychiatric services available in hospitals attached to medical colleges for those who have attempted suicide.Materials and Methods:After reviewing the relevant literature, a questionnaire was prepared. We sent this questionnaire to 94 medical colleges in South India.Results:The response rate of the survey was 50%. Psychiatric assessment of suicide attempters in the casualty department are done by mental health professionals in 23 (66%) hospitals. Psychotropic medications are prescribed for appropriate patients in 33 (94%) hospitals, while talking therapies are available in 31 (89%) hospitals. Six (17%) centers have training sessions for casualty staff in mental health assessment of patients who have attempted suicide. A majority of hospitals have medical students posted in the psychiatry department.Conclusions:The services available for people who have attempted suicide appear to be patchy in south Indian teaching hospitals. Training of frontline staff in the assessment and management of people who have attempted suicide is extremely important.

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“…Published interventional research for prevention of non-fatal self-poisoning in the Sri Lankan context is limited. One study conducted among young people in an urban population in Sri Lanka suggested that problem-solving counseling may be an effective and culturally acceptable therapeutic tool in the secondary prevention of suicides, which improved coping skills in the target group [ 27 ]. Another pilot has suggested that vendor-based sales restriction in regions with high rates of self-poisoning has the potential to reduce access to pesticides for self-poisoning in the Sri Lankan context [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Study protocol: a pilot randomized controlled trial to evaluate the acceptability and feasibility of a counseling intervention, delivered by nurses, for those who have attempted self-poisoning in Sri Lanka

Silva

Dawson

Gawarammana

et al. 2018

Pilot Feasibility Stud

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BackgroundDeliberate self-harm in the form of non-fatal self-poisoning is a major public health problem in Sri Lanka. Previous work suggests that many nurses in Sri Lanka—particularly those who work in primary care in the medical treatment of persons who attempt self-poisoning—already approach their role in a holistic fashion and consider “advising” or “counseling” patients after self-poisoning to be a part of their nursing role. But there is no formal training given to such nurses at present nor has the efficacy or feasibility of such an intervention been assessed in Sri Lanka. The aims of this pilot study are to explore the potential efficacy, acceptability, and feasibility of carrying out a counseling intervention that could be delivered by nurses for persons who present to hospital for medical management of non-fatal self-poisoning.Methods/designThe study will be carried out at the Toxicology Unit of Teaching Hospital Peradeniya, Sri Lanka. A pilot randomized controlled trial will be carried out among participants admitted to Teaching Hospital Peradeniya for medical management of non-fatal self-poisoning. The primary objective of this study is to explore the acceptability and feasibility of a counseling intervention being delivered by nurses. The secondary objectives are to explore the efficacy of the intervention for the improvement of skills to cope with situations of acute emotional distress, and to reduce rates of anxiety, depression, and future repetition and suicidal ideation. A nurse’s experiences and attitudes regarding the acceptability and feasibility of implementing this intervention and participant experiences of the intervention and its effects will be explored via qualitative interviews and focus group discussions.DiscussionIt is anticipated that the findings of this pilot study will help determine and assess the acceptability and feasibility of this counseling intervention, as well as indicate the more useful aspects of this intervention in order to develop it for further exploration in a larger trial.Trial registrationSLCTR/2017/008 Registered on 21st March 2017

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Problem-solving counseling as a therapeutic tool on youth suicidal behavior in the suburban population in Sri Lanka

Cited by 12 publications

References 7 publications

What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis

What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis

A survey of psychiatric services for people who attempt suicide in south India

Study protocol: a pilot randomized controlled trial to evaluate the acceptability and feasibility of a counseling intervention, delivered by nurses, for those who have attempted self-poisoning in Sri Lanka

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