A Novel Recovery-Based Suicide Prevention Program in Upstate New York

Thomas, Joan L.; Sperry, Susan D.; Shields, Rebecca J.; Gregory, Robert J.

doi:10.1176/appi.ps.202100162

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…A 47-question survey was utilized which graded responses to affective situations on a six-point Likert scale. On this scale, answers ranged from never (1) to always (5). The survey used was an adaptation from The Attitude to Personality Disorder Questionnaire (APDQ; 37 questions) with 10 additional questions included to expand the staff's attitude and knowledge.…”

Section: Study Measuresmentioning

confidence: 99%

“…BPD has been a subject of interest at academic facilities for several years. For example, dynamic deconstructive psychotherapy (DDP), a new evidence-based treatment model for the treatment of BPD, was created 5 7 In addition, the Upstate Psychiatry High-Risk Program, a program geared toward suicide prevention in high-risk populations including BPD patients, is nationally recognized with high success rates 5 …”

Section: Introductionmentioning

confidence: 99%

“…For example, dynamic deconstructive psychotherapy (DDP), a new evidence-based treatment model for the treatment of BPD, was created. [5][6][7] In addition, the Upstate Psychiatry High-Risk Program, a program geared toward suicide prevention in high-risk populations including BPD patients, is nationally recognized with high success rates. [5][6][7] These treatments rely on educated, responsible, and open-minded clinicians who are well-equipped to support and treat this patient demographic.…”

Section: Introductionmentioning

confidence: 99%

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Psychiatric providers’ attitudes toward patients with borderline personality disorder and possible ways to improve them

Ukwuoma,

Ajulu,

Wang

et al. 2023

CNS Spectr.

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Objective Tending to patients with a diagnosis of borderline personality disorder (BPD) is a challenging task for clinicians due to stigma and differences in opinion within the psychiatric community. Various symptoms of BPD including affective instability, mood reactivity, and extremes of idealization are associated with challenging emotions toward patients with BPD. This observational research study utilized an adaptation of the 37-question Attitude to Personality Disorder Questionnaire (APDQ) to assess the attitudes of clinicians toward patients with BPD. Methods This questionnaire was distributed to 139 clinicians including psychiatry attendings, psychiatry residents, registered nurses, nurse practitioners, social workers, recreation and art therapists, and psychologists who worked with patients diagnosed with BPD on an inpatient unit. Responses of participants were compared based on occupation, gender, and duration of years worked on an inpatient psychiatric unit. Results Results show that individuals employed in occupations under the “other health professionals” category had more positive transference (which included feelings of respect toward BPD patients along with feelings of closeness and warmth) toward patients with BPD, and nurses had an increased total score for lack of valid difficulties compared with other health professionals. When grouping by gender and duration of year spent working on an inpatient unit, there were no significant differences in the response toward patients with BPD in affective situations. Conclusion Clinical implications are discussed, as well as the need for training to help improve staff attitudes toward this patient population.

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Section: Study Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychiatric providers’ attitudes toward patients with borderline personality disorder and possible ways to improve them

Ukwuoma,

Ajulu,

Wang

et al. 2023

CNS Spectr.

View full text Add to dashboard Cite

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Dynamic Deconstructive Psychotherapy for Suicidal Adolescents: Effectiveness of Routine Care in an Outpatient Clinic

Shields,

Helfrich,

Gregory

2024

IJERPH

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Suicidal behavior and demand for services have been increasing in adolescents. Many of the current treatments are focused on symptom mitigation, crisis management, and safety planning; however, few are aimed at remediating underlying vulnerabilities that may be contributing to suicide risk. Dynamic Deconstructive Psychotherapy (DDP) has been found to be effective for suicidal adults but has never been studied for adolescents. The present study examined real-world outcomes of 65 suicidal adolescents, aged 13–17 years, receiving weekly DDP in an outpatient clinic. The primary outcome was change in suicide ideation from baseline to 6 months of treatment as assessed by the Suicide Ideation Subscale of the Columbia Suicide Severity Rating Scale. In intent-to-treat analyses, suicide ideation significantly decreased over the 6 months with a large treatment effect (d = 1.19). Secondary measures, such as suicide attempts, self-harm, depression, anxiety, disability, self-compassion, and inpatient utilization, also improved significantly. Among the 42 adolescents (65%) who completed at least 6 months of treatment, suicide attempts decreased by 84%. DDP may be effective in reducing suicide ideation and other risk factors in suicidal adolescents and may be cost-effective given reduced inpatient utilization. These initial promising findings warrant further research and development.

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A Novel Recovery-Based Suicide Prevention Program in Upstate New York

Cited by 2 publications

References 10 publications

Psychiatric providers’ attitudes toward patients with borderline personality disorder and possible ways to improve them

Psychiatric providers’ attitudes toward patients with borderline personality disorder and possible ways to improve them

Dynamic Deconstructive Psychotherapy for Suicidal Adolescents: Effectiveness of Routine Care in an Outpatient Clinic

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