Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide

Gysin-Maillart, Anja; Soravia, Leila M.; Gemperli, Armin; Michel, Konrad

doi:10.1080/13811118.2016.1162242

Cited by 33 publications

(46 citation statements)

References 53 publications

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“…Benefits from therapy, at least from the perspective of girls in our study, seem to derive from a trusted, empathetic relationship between the therapist and adolescent. Our findings compliment the results of previous studies of treatment post–suicide attempt, which support the moderating effect of a strong therapeutic alliance in reducing suicidal ideation (Bryan et al, 2012; Gysin-Maillart, Soravia, Gemperli, & Michel, 2017; Long, Manktelow, & Tracey, 2015).…”

Section: Discussionsupporting

confidence: 91%

Trajectories of Well-Being Among Latina Adolescents Who Attempt Suicide: A Longitudinal Qualitative Analysis

et al. 2019

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Significant research questions persist regarding the short- and long-term outcomes of Latina adolescents who attempt suicide. To address these limitations, we utilize an ecodevelopmental framework to identify potential factors that shape differential outcomes following a suicide attempt. Through an exploratory, longitudinal, qualitative research design, we investigate two research questions: How do trajectories of well-being vary among Latina teens after a suicide attempt? What risk and protective factors might contribute to different trajectories? We conducted qualitative interviews with 17 Latina participants living in predominantly low-income households in New York City. Interviews took place within the 6 months following their suicide attempts, and again, 12 months later. Analysis revealed three distinct trajectories after a suicide attempt: resilience, tenuous growth, and chronic stress. Our findings elucidate potential factors that contribute to resilience following a suicide attempt and underscore the importance of prevention and intervention programs that foster adolescents’ connectivity across ecodevelopmental contexts.

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Section: Discussionsupporting

confidence: 91%

Trajectories of Well-Being Among Latina Adolescents Who Attempt Suicide: A Longitudinal Qualitative Analysis

et al. 2019

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“…In addition, the smaller trial involved more intensive psychological input with an emphasis on an early therapeutic alliance in face-to-face sessions along with follow-up contact by the same rather than different professionals. A better therapeutic alliance was associated with a lower rate of suicide attempts [ 28 ], suggesting that early engagement and therapeutic intervention soon after the ED attendance may be particularly beneficial.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of brief psychological interventions for suicidal presentations: a systematic review

et al. 2018

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BackgroundEvery year, more than 800,000 people worldwide die by suicide. The aim of this study was to conduct a systematic review of the effectiveness of brief psychological interventions in addressing suicidal thoughts and behaviour in healthcare settings.MethodsFollowing PRISMA guidelines, systematic searches were conducted in MEDLINE, CINAHL, EMBASE, the Cochrane Central Register of Controlled Trials and PsycINFO databases. A predefined search strategy was used. Two independent reviewers screened titles and abstracts followed by full texts against predefined inclusion criteria. Backward and forward citation tracking of included papers was conducted. Quality appraisal was conducted using the Cochrane Risk of Bias Tool for Randomized Controlled Trials and the CASP tool for randomised controlled trials. The small number and heterogeneity of studies did not allow for meta-analysis to be conducted. A narrative synthesis was conducted.ResultsFour controlled studies of brief psychological interventions were included, conducted in Switzerland, the U.S. and across low and middle-income countries. Three studies were conducted with adults and one with adolescents. All studies were judged to be at low risk of bias. All of the interventions were implemented with patients after attending emergency departments and involved 3412 participants. The main outcomes were suicide, suicide attempts, suicidal ideation, depression and hospitalization. The components of the interventions were early therapeutic engagement, information provision, safety planning and follow-up contact for at least 12 months. The interventions drew to, different degrees, on psychological theory and techniques. Two trials that measured suicidal ideation found no impact. Two studies showed fewer suicide attempts, one showed fewer suicides and one found an effect on depression.ConclusionsAlthough the evidence base is small, brief psychological interventions appear to be effective in reducing suicide and suicide attempts. All studies to date have been conducted with people who had attended the ED but the interventions could potentially be adopted for inpatient and other outpatient settings. Early engagement and therapeutic intervention based on psychological theories of suicidal behaviour, sustained in follow-up contacts, may be particularly beneficial.Trial registrationSystematic review registration: PROSPERO CRD42015025867.Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1663-5) contains supplementary material, which is available to authorized users.

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“…Vulnerability on the part of the doctor can be appreciated by the patient [16], and might help to create a therapeutic alliance. The alliance has been shown to be associated with better outcomes in a manualized therapeutic intervention for suicidal patients [17], but as of yet little is known about the therapeutic alliance in routine assessment situations.…”

Section: Discussionmentioning

confidence: 99%

Psychiatrists’ experiences of suicide assessment

2016

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BackgroundClinical guidelines for suicide prevention often stress the identification of risk and protective factors as well as the evaluation of suicidal intent. However, we know very little about what psychiatrists actually do when they make these assessments. The aim was to investigate psychiatrists’ own accounts of suicide assessment consultations, with a focus on their behaviors, attitudes and emotions.MethodSemi-structured in depth interviews were carried out with a purposive selection of 15 psychiatrists.ResultsThematic analysis revealed three main themes: understanding the patient in a precarious situation, understanding one’s own reactions, and understanding how the doctor-patient relationship impacted on risk assessment and management decisions. Emotional contact and credibility issues were common subthemes that arose when the respondents talked about trying to understand the patient. The psychiatrists stressed the semi-intuitive nature of their assessments. Problems related to the use of risk factor assessments and rating scales were apparent. Assessment consultations could evoke physical and emotional symptoms of anxiety, and concerns about responsibility could lead to repressive management decisions. In situations of mutual trust, however, the assessment consultation could kick-start a therapeutic process.ConclusionThis study highlights psychiatrists’ experiences in clinical suicide assessment situations. Findings have implications for professional development as well as for service delivery.

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Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide

Cited by 33 publications

References 53 publications

Trajectories of Well-Being Among Latina Adolescents Who Attempt Suicide: A Longitudinal Qualitative Analysis

Trajectories of Well-Being Among Latina Adolescents Who Attempt Suicide: A Longitudinal Qualitative Analysis

Effectiveness of brief psychological interventions for suicidal presentations: a systematic review

Psychiatrists’ experiences of suicide assessment

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