Cognitive-Behavioral Therapy for Suicide Prevention (CBT-SP): Treatment Model, Feasibility, and Acceptability

Stanley, Bárbara; Brown, Gregory K.; Brent, David A.; Wells, Karen C.; Poling, Kim; Curry, John F.; Kennard, Betsy D.; Wagner, Ann E.; Cwik, Mary; Klomek, Anat Brunstein; Goldstein, Tina R.; Vitiello, Benedetto; Barnett, Shannon; Daniel, Stephanie S.; Hughes, Jennifer L.

doi:10.1097/chi.0b013e3181b5dbfe

Cited by 329 publications

(243 citation statements)

References 25 publications

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“…Taken together, these results indicate that negative thoughts and interpretations about the present and future events constitute central and unique cognitive content in adolescent depression, in line with cognitive specificity hypothesis ). This supports the clinical evidence that modifying attributional style and hopelessness in CBT prevents and reduces adolescent depression, as well as other important depression-related symptoms such as suicidality (Brent et al 1998;Voelz et al 2003;Stanley et al 2009). However, our findings also imply that targeting attributional style and hopelessness may not be as effective in reducing adolescent anxiety symptoms.…”

Section: Cognitive Specificitysupporting

confidence: 79%

A longitudinal twin and sibling study of the hopelessness theory of depression in adolescence and young adulthood

et al. 2016

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Background. Maladaptive cognitive biases such as negative attributional style and hopelessness have been implicated in the development and maintenance of depression. According to the hopelessness theory of depression, hopelessness mediates the association between attributional style and depression. The aetiological processes underpinning this influential theory remain unknown. The current study investigated genetic and environmental influences on hopelessness and its concurrent and longitudinal associations with attributional style and depression across adolescence and emerging adulthood. Furthermore, given high co-morbidity between depression and anxiety, the study investigated whether these maladaptive cognitions constitute transdiagnostic cognitive content common to both internalizing symptoms.Method. A total of 2619 twins/siblings reported attributional style (mean age 15 and 17 years), hopelessness (mean age 17 years), and depression and anxiety symptoms (mean age 17 and 20 years).Results. Partial correlations revealed that attributional style and hopelessness were uniquely associated with depression but not anxiety symptoms. Hopelessness partially mediated the relationship between attributional style and depression. Hopelessness was moderately heritable (A = 0.37, 95% confidence interval 0.28-0.47), with remaining variance accounted for by non-shared environmental influences. Independent pathway models indicated that a set of common genetic influences largely accounted for the association between attributional style, hopelessness and depression symptoms, both concurrently and across development. Conclusions.The results provide novel evidence that associations between attributional style, hopelessness and depression symptoms are largely due to shared genetic liability, suggesting developmentally stable biological pathways underpinning the hopelessness theory of depression. Both attributional style and hopelessness constituted unique cognitive content in depression. The results inform molecular genetics research and cognitive treatment approaches.

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Section: Cognitive Specificitysupporting

confidence: 79%

A longitudinal twin and sibling study of the hopelessness theory of depression in adolescence and young adulthood

et al. 2016

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“…The findings of current study on improvement of suicide ideation symptoms using the ICBT, are consistent with previous findings (Rudd et al, 1996;Stanley et al, 2009), whereby ICBT reduces suicidal behavior among patients with suicide ideation. According to Brown et al, 2005, the usage of ICBT approach in preventing suicidal behavior can also significantly lower on measure of depressed mood and hopelessness.…”

Section: Measures Of Suicide Ideation Symptomssupporting

confidence: 92%

Positive effects of Individual Cognitive Behavior Therapy for patients with unipolar mood disorders with suicidal ideation in Malaysia: A randomised controlled trial

Sinniah

Oei

Maniam

et al. 2017

Psychiatry Research

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The aim of this study was to investigate the effectiveness of Individual Cognitive Behavior Therapy (ICBT) in treating patients with mood disorders with suicidal ideation. A total of 69 patients (48 females, 21 males) with the diagnoses above were randomly allocated to either the group of Treatment As Usual (TAU) + ICBT (n=33) or the TAU group (n=36). All participants completed the Beck Depression Inventory (BDI), Beck Scale for Suicide Ideation (BSS), Positive and Negative Suicide Ideation Inventory (PANSI), Beck Hopelessness Scale (BHS), and Depression Anxiety Stress Scale-21 (DASS-21).These questionnaires were administered at pretreatment, midway through treatment (week 4), post-treatment (week 8), and at follow-ups after three months (week 20) and six months (week 32). Factorial ANOVA results showed that the TAU+ICBT patients improved significantly and at faster rate as compared to the TAU group, which showed improvement only from pre to mid treatment on DASS-D and BHS-T measures. The effect size (Cohen's d), for the TAU+ICBT group showed large effect (1.47) for depressive symptoms and suicidal ideation (1.00). These findings suggest that ICBT used in addition to the TAU, was effective in enhancing treatment outcome of patients with unipolar mood disorders as well as, reducing risk for suicide behavior.

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“…Existing interventions for suicidal patients (e.g., cognitive behavioral therapy [5,6] and dialectical behavior therapy [7,8]) typically target negative emotions and cognitions. However, positive cognitions and emotions also appear to be important in reducing suicide risk, and reducing negative emotions may not automatically increase positive psychological states.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and utility of positive psychology exercises for suicidal inpatients

Huffman

DuBois

Healy

et al. 2014

General Hospital Psychiatry

136

107

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Objective: The objective was to assess the feasibility and acceptability of nine positive psychology exercises delivered to patients hospitalized for suicidal thoughts or behaviors, and to secondarily explore the relative impact of the exercises. Method: Participants admitted to a psychiatric unit for suicidal ideation or behavior completed daily positive psychology exercises while hospitalized. Likert-scale ratings of efficacy (optimism, hopelessness, perceived utility) and ease of completion were consolidated and compared across exercises using mixed models accounting for age, missing data and exercise order. Overall effects of exercise on efficacy and ease were also examined using mixed models. Results: Fifty-two (85.3%) of 61 participants completed at least one exercise, and 189/213 (88.7%) assigned exercises were completed. There were overall effects of exercise on efficacy (χ 2 =19.39; P=.013) but not ease of completion (χ 2 =11.64; P=.17), accounting for age, order and skipped exercises. Effect (Cohen's d) of exercise on both optimism and hopelessness was moderate for the majority of exercises. Exercises related to gratitude and personal strengths ranked highest. Both gratitude exercises had efficacy scores that were significantly (P=.001) greater than the lowest-ranked exercise (forgiveness). Conclusion: In this exploratory project, positive psychology exercises delivered to suicidal inpatients were feasible and associated with short-term gains in clinically relevant outcomes.

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Cognitive-Behavioral Therapy for Suicide Prevention (CBT-SP): Treatment Model, Feasibility, and Acceptability

Cited by 329 publications

References 25 publications

A longitudinal twin and sibling study of the hopelessness theory of depression in adolescence and young adulthood

A longitudinal twin and sibling study of the hopelessness theory of depression in adolescence and young adulthood

Positive effects of Individual Cognitive Behavior Therapy for patients with unipolar mood disorders with suicidal ideation in Malaysia: A randomised controlled trial

Feasibility and utility of positive psychology exercises for suicidal inpatients

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