A behavior change model for internet interventions

Background The Internet has become a major component to health care and has important implications for the future of the health care system. One of the most notable aspects of the Web is its ability to provide efficient, interactive, and tailored content to the user. Given the wide reach and extensive capabilities of the Internet, […]

The healing potential of online, Art-DBT: Developing a program of rumination and non-suicidal self-injury reduction

Rationale in a nutshell 1. Rumination contributes to Non-suicidal self-injury (NSSI) 2. Targeting rumination in the context of Dialectical Behavioral Therapy (DBT) could significantly reduce NSSI (or prevent it) 3. Including AT may increase DBT adherence/enhance treatment with benefits unique to AT

Attachment and non-suicidal self-injury among young adolescents: The indirect role of behavioral problems

Non-suicidal self-injury (NSSI) often occurs before age 15, yet the majority of research on risk factors for this dangerous behavior has focused on samples of older participants. Insecure attachment has been previously identified as a risk factor for both NSSI and behavioral problems, and behavioral problems appear to be particularly associated with NSSI among young […]

Understanding adolescents’ experiences with depression and behavioral health treatment

Depressive disorders are prevalent psychiatric disorders that comprise a cluster of affective, somatic, and physical symptoms. From childhood to adolescence, prevalence rates for major depressive disorder increase to rates similar to adults.1 An epidemiological study showed that 11.4% of US adolescents experienced a major depressive episode within the last year. Adolescent depression is associated with substance […]

Suicide-related knowledge and confidence among behavioral health care staff in seven states

OBJECTIVE: Death by suicide is a serious and growing public health concern in the United States. This noncontrolled, naturalistic study examined professionals’ knowledge about suicide and confidence in working with suicidal individuals, comparing those who had received either of two gatekeeper trainings-Question, Persuade, and Refer (QPR) or Applied Suicide Intervention Skills Training (ASIST)-or other suicide-relevant […]

Changes in intensity of neurotic symptoms associated with reduction of suicidal ideation in patients who underwent psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders.

Aim. Analysis of associations between changes in the intensity of neurotic symptoms and reduction of suicidal ideation (SI) or lack of SI reduction, in patients who underwent a course of intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach in a day hospital. Material and method. Symptom Checklist KO“O” and Life Inventory completed by […]

Direct versus indirect psychosocial and behavioural interventions to prevent suicide and suicide attempts: A systematic review and meta-analysis.

Psychosocial and behavioural interventions that address suicidal thoughts and behaviour during treatment (direct interventions) might be more effective in preventing suicide and suicide attempts than indirect interventions that address symptoms associated with suicidal behaviour only (eg, hopelessness, depression, anxiety, quality of life). To test this hypothesis, we did a systematic review and meta-analysis of psychosocial […]

Borderline personality disorder diagnostic criteria as risk factors for suicidal behavior through the lens of the interpersonal theory of suicide.

Borderline personality disorder diagnostic criteria, particularly affective dysregulation and behavioral dysregulation, are avenues through which suicide risk is conferred, though pathways are not well understood. The interpersonal theory of suicide may help elucidate these associations. The current study examined indirect relationships between affective and behavioral dysregulation and suicidal ideation through perceived burdensomeness, thwarted belongingness, and […]

A structural test of the Integrated Motivational-Volitional model of suicidal behaviour.


Patterns and predictors of help-seeking contacts with health services and general practitioner detection of suicidality prior to suicide: a cohort analysis of suicides occurring over a two-year period


Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: Results of a randomized clinical trial with 2-year follow-up.

The authors evaluated the effectiveness of brief cognitive-behavioral therapy (CBT) for the prevention of suicide attempts in military personnel. Method: In a randomized controlled trial, active-duty Army soldiers at Fort Carson, Colo., who either attempted suicide or experienced suicidal ideation with intent, were randomly assigned to treatment as usual (N=76) or treatment as usual plus […]

The effectiveness of guided mourning for adults with complicated mourning.

Guided mourning can be effective in helping an adult move through the mourning process. It is, however, imperative that the practitioner understands the mourning process and what has prevented the bereaved from moving forward through the process. Given how common grief and mourning are in the human experience, there is surprisingly little research on what […]

Cognitive behavioural prevention of suicide in psychosis: A treatment manual.

This practical and informative text lays out the product of a number of years of clinical research into suicide behaviour and its prevention. While the focus is on non-affective psychosis and the schizophrenia-spectrum disorders, the mechanisms underlying suicide behaviour in this group may well underlie or at least influence suicide behaviour in other disorders. The […]

Affective and behavioral paths toward the acquired capacity for suicide.

Suicide is a major public health concern and, as such, research that elucidates potential mechanisms contributing to suicide risk is highly important. Along these lines, prior research has linked high levels of distress tolerance with elevations in a specific component of suicide risk: the acquired capability for suicide. The following two studies aimed to examine […]

The effect of cognitive behavior therapy on decision making in adolescents who self-harm: A pilot study.

Research shows poor decision making in adolescents who self-harm and a positive correlation between decision-making abilities and duration since last self-harm episode. This exploratory study investigated whether decision making in self-harming adolescents could be improved through treatment with a novel cognitive behavior therapy (CBT). It also investigated whether improvement in decision making following treatment was […]

Adapting Dialectical Behavior Therapy to Help Suicidal Adolescents

This article reviews evidence supporting the efficacy of dialectical behaviour therapy for suicidal adolescents & describes principles of outpatient dialectical behaviour therapy for these patients as developed by Miller et al. (18 refs.) JA Contact us for a copy of this article, or view online at http://lindnercenterofhope.org/wp-content/uploads/2014/06/2Art_WiredRisks.pdf

The Classic Systems of Psychotherapy and Suicidal Behavior (IN: Assessment, Treatment, and Prevention of Suicidal Behavior, edited by R I Yufit & D Lester)

This chapter describes various types of psychotherapy & their application with suicidal patients. Psychoanalysis, cognitive therapy, transactional analysis, behaviour therapy are discussed in detail while primal therapy, gestalt therapy, reality therapy, person-centered therapy, & existential therapy are briefly reviewed. (62 refs.)

Cognitive-Behavioral Therapy With Suicidal Patients (IN: Assessment, Treatment, and Prevention of Suicidal Behavior, edited by R I Yufit & D Lester)

The goals of this chapter are: to review research on cognitive factors associated with suicidal risk, & to discuss evidence for the efficacy of cognitive-behavioural interventions for treating suicidal patients. Outcome studies have focused on the use of problem-solving strategies leading to a call for research on the effectiveness of other cognitive-behavioural strategies, including those […]

Dialectical Behavior Therapy (IN: Assessment, Treatment, and Prevention of Suicidal Behavior, edited by R I Yufit & D Lester)

This chapter reviews the basic principles of dialectical behaviour therapy, explores its applications to suicidal clients, & examines the reasons for its popularity. (25 refs.)

Family Therapy With Suicidal Adolescents

The opening chapter of this book explores why suicide is such a Pandora’s box for therapists. The second chapter examines the scope of adolescent suicide & explores an integrated model of how suicidal etiology develops. Chapter 3 describes the nature of adolescent suicide. Chapter 4 discusses factors that create suicide ideation & actions. Chapter 5 […]

Engaging Suicidal Youth in Outpatient Treatment: Theoretical and Empirical Underpinnings

The treatment engagement literature for suicidal youth has largely focused on identifying empirical correlates of attendance & testing interventions to increase compliance. In an effort to promote the use of theory in this field, this article employs Staudt’s (2007) conceptual model of the treatment engagement process to both organize the empirical literature & to explain […]

Dialectical Behavior Therapy in Clinical Practice: Applications Across Disorders and Settings


Cognitive Behavioural and Rational Emotive Management of Suicide (IN: Suicide: Strategies and Interventions for Reduction and Prevention, ed. by S Palmer)