Efficacy of Brief Telephone Psychotherapy with Callers to a Suicide Hotline

Rhee, Wayne K.; Merbaum, Michael; Strube, Michael; Self, Susan M.

doi:10.1521/suli.2005.35.3.317

Cited by 31 publications

(21 citation statements)

References 17 publications

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“…Intervention completion rates were lower in our study relative to some other trials of webbased treatments for depression 26 but not of other telephone-based services. 3 The reasons for this are unclear. The current trial was a true effectiveness trial employing a volunteer workforce for recruitment and call back, and hence might be expected to be associated with greater recruitment and adherence problems relative to the more controlled environment of an efficacy study.…”

Section: Discussionmentioning

confidence: 99%

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The effect of a web-based depression intervention on suicide ideation: secondary outcome from a randomised controlled trial in a helpline

et al. 2013

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ObjectivesThe effect of web-based interventions for depression on suicide ideation in callers to helplines is not known. The aim of this study was to determine if web-based Cognitive Behaviour Therapy (CBT) with and without telephone support is effective in reducing suicide ideation in callers to a helpline compared with treatment as usual (TAU). A secondary aim was to examine the factors that predict change in suicide ideation. Putative predictors included level of baseline depression, suicide behaviour, baseline anxiety and type of intervention.DesignRandomised controlled trial.SettingLifeline, Australia's 24 h telephone counselling service participants: 155 callers to a national helpline service with moderate-to-high psychological distress.InterventionsParticipants were recruited and randomised to receive either 6 weeks of internet CBT plus weekly telephone follow-up; internet CBT only; weekly telephone follow-up only or a wait-list TAU control group.Primary and secondary outcome measuresSuicidal ideation was measured using four items from the 28-item General Health Questionnaire. Predictors of change in ideation were tested using logistic regression analysis.ResultsRegardless of the intervention condition, participants showed significant reductions in suicidal ideation over 12 months (p<0.001). Higher baseline suicidal behaviour decreased the odds of remission of suicidal ideation at postintervention (OR 0.409, p<0.001). However, change in depression over the course of the interventions was associated with improvement in suicide ideation (OR 1.165, p<0.001).ConclusionsSuicide ideation declines with and without proactive intervention. Improvements in depression are associated with the resolution of suicide ideation. Specific interventions focusing on suicide ideation should be further investigated.Trial registrationControlled-Trials.comISRCTN93903959.

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Section: Discussionmentioning

confidence: 99%

“…Author affiliations 1 School of Medicine, The Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia 2 Centre for Mental Health Research, Australian National University, Canberra, Australian Capital Territory, Australia 3 Orygen Youth Health, University of Melbourne, Melbourne, Victoria, Australia…”

Section: Discussionmentioning

confidence: 99%

The effect of a web-based depression intervention on suicide ideation: secondary outcome from a randomised controlled trial in a helpline

et al. 2013

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“…One study focused on mildly depressed college students [22] and found that one session of SFBT was as effective as one session of interpersonal therapy with a significant decrease in depressive symptoms. Other studies on SFBT with adult populations showed that SFBT was related to a reduction of depressive symptoms over time, and comparable outcomes to short-term psychodynamic therapy [23], past-focused treatment [24], common factors therapy [25], and a treatment based on the Hazeldon model in a group of substance abusers [26]. None of these studies were about Web-based interventions.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Web-Based Solution-Focused Brief Chat Treatment for Depressed Adolescents and Young Adults: Randomized Controlled Trial

Kramer¹,

Conijn²,

Oijevaar³

et al. 2014

J Med Internet Res

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BackgroundUp to 9% of young people suffer from depression. Unfortunately, many in need of help remain untreated. The Internet offers anonymous ways to help depressed youth, especially those who are reluctant to search for help because of fear of stigma.ObjectiveOur goal was to evaluate the effectiveness of an individual chat treatment based on Solution-Focused Brief Therapy (SFBT) to young individuals aged 12-22 years with depressive symptoms by comparing it to a waiting list control group.MethodsFor this study, 263 young people with depressive symptoms were randomized to the Web-based SFBT intervention, PratenOnline, or to a waiting list control condition. The chat treatment was delivered by trained professionals. Groups were compared on depressive complaints as measured by the Center for Epidemiologic Studies Depression Scale (CES-D) after 9 weeks and 4.5 months. For the chat group only, changes in depressive symptoms at 7.5 months after baseline were explored.ResultsThe experimental SFBT condition (n=131) showed significantly greater improvement than the waiting list condition (n=132) in depressive symptoms at 9 weeks and 4.5 months on the CES-D, with a small between group effect size at 9 weeks (d=0.18, 95% CI -0.10 to 0.47) and a large effect size at 4.5 months (d=0.79, 95% CI 0.45-1.08). The percentage of participants showing a reliable and clinically significant change in depression was significantly larger for the SFBT intervention at 4.5 months only (28.2% vs 11.4% for the waiting list, P<.001, number needed to treat=6). At 7.5 months, the SFBT group showed further improvements. However, results have to be considered carefully because of high attrition rates.ConclusionsThe Web-based SFBT chat intervention of PratenOnline was more effective than a waiting list control group in reducing depressive symptoms, and effects were larger at follow-up then at post-treatment. More studies are needed to find out if outcomes will be replicated, especially for those younger than 18 year old.Trial RegistrationNetherlands Trial Register: NTR 1696; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1696 (Archived by WebCite at http://www.webcitation.org/6DspeYWrJ).

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“…in a comprehensive literature review Corcoran and Pillai (2009) found that solution-focused approaches were effective for a wide range of therapeutic situations including marriage counselling (Zimmerman, Prest, & Wetzel, 1997), suicide prevention interventions (Rhee, Merbaum, Strube, & Self, 2005), criminal offending (Lindforss & Magnusson, 1997), and with caregivers of people with chronic schizophrenia (eakes, Walsh, Markowksi, Cain, & Swanson, 1997). other reviews of solution-focused counselling and therapeutic interventions have found solution-focused approaches to be effective in relation to enhancing parenting skills and dealing with anxiety, stress, and depression (e.g., Kim, 2008;Stams, Dekovic, Buist, & de Vries, 2006).…”

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confidence: 99%

Making Positive Change: A Randomized Study Comparing Solution-Focused vs. Problem-Focused Coaching Questions

Grant¹

2012

Journal of Systemic Therapies

100

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This study compared the effects of problem-focused and solution-focused coaching questions on positive and negative affect, self-efficacy, goal approach, and action planning. A total of 225 participants were randomly assigned to either a problem-focused or solution-focused coaching condition. All participants described a real-life problem that they wanted to solve and set a goal to solve that problem. They then completed a set of measures that assessed levels of positive and negative affect, self-efficacy, and goal attainment. In the problem-focused coaching condition 108 participants then responded to a number of problem-focused coaching questions and then completed a second set of measures. The 117 participants in a solutionfocused coaching session completed a mirror image of the problem-focused condition, responding to solution-focused questions including the "Miracle Question." Both the problem-focused and the solution-focused coaching conditions were effective at enhancing goal approach. However, the solutionfocused group had significantly greater increases in goal approach compared to the problem-focused group. Problem-focused questions did not impact on positive or negative affect or self-efficacy. In contrast the solution-focused approach significantly increased positive affect, decreased negative affect, and increased self-efficacy. In addition, the solution-focused group generated significantly more actions steps to help them reach their goal. Although real-life coaching conversations are not solely solution-focused or solely problem-focused, agents of change should aim for a solution-focused theme in their work if they wish to conduct effective goal-focused sessions.Solution-focused approaches are strength-based approaches that emphasize people's resilience, strengths, and resources and how these can be utilized in the pursuit of goals and the enactment of purposeful positive change (grant, 2011). originating in the counselling and therapeutic fields from anthony M.

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Efficacy of Brief Telephone Psychotherapy with Callers to a Suicide Hotline

Cited by 31 publications

References 17 publications

The effect of a web-based depression intervention on suicide ideation: secondary outcome from a randomised controlled trial in a helpline

The effect of a web-based depression intervention on suicide ideation: secondary outcome from a randomised controlled trial in a helpline

Effectiveness of a Web-Based Solution-Focused Brief Chat Treatment for Depressed Adolescents and Young Adults: Randomized Controlled Trial

Making Positive Change: A Randomized Study Comparing Solution-Focused vs. Problem-Focused Coaching Questions

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