The suicidal thoughts workbook: CBT skills to reduce emotional pain, increase hope, and prevent suicide

If you’re struggling with suicidal thoughts, please know that you are not alone and that you are worthy of help. Your life and well-being matter. When you’re suffering, life’s challenges can feel overwhelming and even insurmountable. This workbook is here to help you find relief and solutions when suicidal thoughts take over. Grounded in cognitive […]

Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving massed cognitive processing therapy for PTSD

Posttraumatic stress disorder (PTSD) is common among U.S. military veterans and is associated with increased risk of suicidal thoughts and behaviors. Crisis response planning (CRP), a brief safety planning-type intervention, has been shown to rapidly reduce suicidal ideation and suicide attempts in emergency and acute care settings. CRP’s effectiveness when combined with trauma-focused therapies remains unknown. In this […]

The cost-effectiveness of psychosocial interventions following self-harm in Australia

Background: Psychosocial interventions following self-harm in adults, in particular cognitive behavioral therapy (CBT), can be effective in lowering the risk of repeated self-harm. Aims: To evaluate the cost-effectiveness of CBT for reducing repeated self-harm in the Australian context. Method: The current study adopted the accessing cost-effectiveness (ACE) approach using return-on-investment (ROI) analysis. Uncertainty and sensitivity analyses (Sas) tested the robustness […]

Group brief cognitive behavioral therapy for suicide prevention compared to dialectal behavior therapy skills group for military service members: A study protocol of a randomized controlled trial

Background Suicide is a pressing matter for the military. Not only does it pose a health risk, but suicide also compromises operational readiness. Despite provision of suicide prevention clinical best practices, the Department of Defense suffers several challenges (e.g., clinician shortages) limiting the agency’s ability to effectively respond to service member suicide. Implementation of evidence-based […]

Expanding access to evidence-based psychotherapy in VA settings: Implementation of the brief cognitive behavioral therapy for depression program

Introduction: Evidence-based psychotherapies (EBPs) are effective for mental health conditions, but access to these services remains limited and rural Veterans are particularly underserved. Specialized implementation and dissemination programs are needed to improve access to known EBPs. Methods: The current project sought to improve access to a known EBP—brief Cognitive Behavioral Therapy for depression (Brief CBT). Diverse Veterans […]

Stepped-care versus therapist-guided, internet-based cognitive behaviour therapy for childhood and adolescent anxiety: A non-inferiority trial

Objective This preregistered randomized trial examined whether a stepped-care approach to internet-delivered cognitive behaviour therapy (ICBT-SC) is non-inferior to therapist-guided ICBT (ICBT-TG) for child and adolescent anxiety. Method Participants were 137 Australians, aged 8–17 years (56 male), with a primary anxiety disorder. This randomized, non-inferiority trial compared ICBT-SC to an evidence-based, ICBT-TG program with assessments conducted at baseline, 12 weeks and […]

Causes of suicide tendency in adolescents

This article describes the manifestations of destructive personality behavior, types of character accentuation and factors of their formation.

A culturally adapted manual‑assisted problem‑solving intervention (CMAP) for adults with a history of self‑harm: A multi‑centre randomised controlled trial

Background Self-harm is an important predictor of a suicide death. Culturally appropriate strategies for the prevention of self-harm and suicide are needed but the evidence is very limited from low- and middle-income countries (LMICs). This study aims to investigate the effectiveness of a culturally adapted manual-assisted problem-solving intervention (CMAP) for patients presenting after self-harm. Methods […]

A culturally adapted manual-assisted problem-solving intervention (CMAP) for adults with a history of self-harm: A multi-centre randomised controlled trial

Background: Self-harm is an important predictor of a suicide death. Culturally appropriate strategies for the prevention of self-harm and suicide are needed but the evidence is very limited from low- and middle-income countries (LMICs). This study aims to investigate the effectiveness of a culturally adapted manual-assisted problem-solving intervention (CMAP) for patients presenting after self-harm. Methods […]

Feasibility and acceptability on continuous identity cognitive therapy as a recovery-oriented suicide treatment for veterans: A study protocol

Background: Suicide is a leading cause of death among Veterans, with rates significantly higher than the general population. To address this issue, it is crucial to develop and implement more effective treatments for Veterans with suicidal thoughts and/or behaviors, particularly those in the post-acute suicidal episode (PASE) stage. The present study aims to establish the […]

The relationship between working alliance and treatment outcome in an internet-based grief therapy for people bereaved by suicide

Background Working alliance is an important component in the therapy process, however its’ role in bereavement interventions has rarely been studied. This study investigates the relationship between working alliance and treatment outcome, the change of working alliance throughout therapy and patient characteristics as predictors of working alliance. Methods Data from a randomized controlled trial including […]

Session-specific effects on suicidality in group therapy: No evidence for contagion

Objective Explicitly addressing suicidality in group therapy is often avoided due to the fear of contagion effects. However, there is some evidence that this fear is not valid. Therefore, the present study aims at contributing to this question by investigating the session-specific effects of two modules on suicidality that are part of the Metacognitive Training […]

A CBT-based psychoeducational intervention for suicide survivors: A cluster randomized controlled study

Background: Bereavement following suicide is associated with an increased vulnerability for depression, complicated grief, suicidal ideation, and suicide. There is, however, a paucity of studies of the effects of interventions in suicide survivors. Aims: This study therefore examined the effects of a cognitive behavioral therapy (CBT)-based psychoeducational intervention on depression, complicated grief, and suicide risk factors in […]

Panic disorder and suicidal behavior: A follow-up study of patients treated with cognitive therapy and SSRIs in Hungary

Background: Previous research has suggested that patients with panic disorder but no comorbid disorder are not at greater risk for suicidal behavior. Aims: The present study followed up patients with panic disorder in order to assess the frequency of their suicidal behavior. Methods: A sample of 281 outpatients with panic disorder, but without a comorbid psychiatric disorder, was […]

Engagement and retention of suicide attempters in clinical research: Challenges and solutions

Background High attrition rates in longitudinal research can limit study generalizability, threaten internal validity, and decrease statistical power. Research has demonstrated that there can be significant differences between participants who complete a research study and those who drop out prematurely, and that treatment outcomes may be dependent on retention in a treatment protocol. Aims The […]

Effectiveness of psychotherapy on prevention of suicidal re-attempts in psychiatric emergencies: A systematic review and network meta-analysis of randomized controlled trials

Objectives: We conducted a systematic review and network meta-analysis to evaluate the relative effects of psychological interventions for preventing suicide re-attempts in psychiatric emergencies. Methods: We searched PubMed, Embase, Cochrane, and PsycINFO from inception to December 1, 2022. Selection and data extraction were conducted independently by two reviewers based on prespecified criteria. We evaluated the efficacy of […]

Impact of residential PTSD treatment on suicide risk in veterans

Introduction In 2019, 17 veterans died by suicide every day. Various suicide prevention treatments have emerged, yet limited research has explored the impact of Post Traumatic Stress Disorder (PTSD) treatment on suicidal ideation and behaviors. Methods This study examines the impact of Cognitive Processing Therapy (CPT) on suicidal ideation among veterans in three residential PTSD […]

Acceptability of a novel suicide prevention psychological therapy for people who experience non-affective psychosis

Objectives Suicide is a leading cause of death worldwide. People experiencing psychosis are at increased risk of death by suicide. Talking therapies can alleviate suicidal thoughts, plans, and attempts. Therapies need to also be acceptable to recipients. The aim of this study was to investigate the views on psychological therapy for people experiencing psychosis and […]

Development and evaluation of culturally adapted CBT to improve community mental health services for Canadians of South Asian origin: Final report 2023

People of South Asian descent living in Canada are impacted by various social determinants of health that can negatively influence their mental health and may decrease their access to care. South Asians in Canada with major  depression are also 85 per cent less likely to seek treatment than other Canadians who experience the same illness.5 […]

Social group identification as a predictor of pretreatment suicidal ideation and intent in those receiving cCBT: Evidence from a Scottish primary are sample

Suicidal ideation and intent are strongly linked with suicidal attempts and completions; however, no study to date has explored the predictors of ideation and intent within a sample receiving computerized cognitive behavioral therapy (cCBT) as an intervention for mild to moderate depression. The current study investigates the impact of social group identification and socioeconomic deprivation, […]

Protocol for a randomised controlled trial evaluating the effectiveness of a CBT‑based smartphone application for improving mental health outcomes in adolescents: The MobiliseMe study

Background Depression is a leading cause of disability in adolescents, however few receive evidence-based treatment. Despite having the potential to overcome barriers to treatment uptake and adherence, there are very few CBT-based smartphone apps for adolescents. To address this gap, we developed ClearlyMe®, a self-guided CBT smartphone app for adolescent depression and anxiety. ClearlyMe® consists […]

Adolescent suicide attempt prevention: Predictors of response to a cognitive-behavioral family and youth centered intervention

Objective Suicide is a leading cause of adolescent death. Recent data support the efficacy of cognitive–behavioral treatments with strong family components for reducing suicide risk; however, not all youth benefit from current interventions. Identifying predictors of treatment response can inform treatment selection and optimize benefits. Method This study examines predictors of response to a DBT-informed […]

Brief cognitive-based psychosocial intervention and case management for suicide attempters discharged from the emergency department in Taipei, Taiwan: A randomized controlled study

Objective We examined the effectiveness of brief cognitive-based psychotherapy plus standard case management in the prevention of further suicide attempts, clinical severity, and treatment adherence in a randomized clinical trial compared with standard case management. Method Among five hundred and ninety-seven patients presenting with suicide attempts, 147 participants were included. They were randomized into two […]