Family Centered Brief Intensive Treatment: A Pilot Study of an Outpatient Treatment for Acute Suicidal Ideation

Anastasia, Trena T.; Humphries-Wadsworth, Terresa; Pepper, Carolyn M.; Pearson, Timothy

doi:10.1111/sltb.12114

Cited by 12 publications

(15 citation statements)

References 15 publications

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“…In fact, these actions have proved to be effective within the mental health field at large [ 33 ]. In a recent pilot study on family-centered brief intensive treatment, positive improvements for persons with acute suicide risk were found when the family was involved [ 34 ]. Tremblay [ 35 ] also advocates the involvement of the parents of young suicidal persons or suicide attempters in suicide prevention or intervention, together with the training of professionals, not only on the technical aspects of suicidal patient care but also on the collaboration and communication with a patient’s significant others.…”

Section: Discussionmentioning

confidence: 99%

Help-Seeking in Suicidal Situations: Paramount and yet Challenging. Interactions between Significant Others of Suicidal Persons and Health Care Providers

Dransart

Guerry

2017

JCM

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Significant others are often crucial for suicidal persons or suicide attempters’ access to care, yet little is known about their efforts to seek help. This article presents the findings of a qualitative pilot study carried out in Switzerland on the help-seeking process of 18 significant others, their perception of the care received by their loved one, and the interactions and collaboration they experienced with professionals. Most significant others repeatedly sought out support for their loved one and themselves. The help-seeking process seemed mostly difficult, was seldom successful on the first attempt, and was filled with multiple difficulties, such as availability and continuity of care and cooperation issues with professionals. Two-thirds of participants were not satisfied with the care provided to their loved ones and half of them faced challenges in their cooperation with professionals, i.e., poor sharing of information or not being acknowledged as partners or supported by professionals. Based on their experience, providing education about suicidal crises and care programs to significant others might lighten their burden and improve their cooperation with professionals, who in turn may benefit from training in communication issues and specific methods of cooperation with significant others in suicidal situations.

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Section: Discussionmentioning

confidence: 99%

Help-Seeking in Suicidal Situations: Paramount and yet Challenging. Interactions between Significant Others of Suicidal Persons and Health Care Providers

Dransart

Guerry

2017

JCM

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“…Overall, 50% of the articles examined brief interventions, ranging from one to five sessions (Harrington et al, 1998), three interventions were 12 weeks (Diamond et al, 2010; Spirito et al, 2015; Weinstein et al, 2018), and another intervention was 16 weeks (Diamond et al, 2019). A total of 12% of the included articles had a variable number of sessions in the interventions with one ranging from 3 to 15 sessions (Asarnow et al, 2017) and another meeting three times a week for a maximum of 15 weeks (Anastasia et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…These four treatments (e.g., 90% of studies that met inclusion criteria) included parents or legal guardians as the family member involved in care. The last treatment modality identified in this review was family-centered brief intensive treatment (Anastasia et al, 2015), which included a family member or supportive other of the patient’s choice. See Table B1 in the Appendix for a more detailed description of these interventions and their outcome details.…”

Section: Resultsmentioning

confidence: 99%

“…Thus, a major gap in literature involves treatment toward adult populations separated from the prototypical environment of a nuclear family. Only one article covered participants across the lifespan (Anastasia et al, 2015). Because more than 90% of the participants were adolescents, with the participating family members typically as parents or guardians, this is a limitation within this area of study.…”

Section: Discussionmentioning

confidence: 99%

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Family Treatments for Individuals at Risk for Suicide

Sullivan

Spears

Mitchell

et al. 2023

Crisis

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Abstract. Background: This PRISMA scoping review explored worldwide research on family-based treatments for suicide prevention. Research on this topic highlights the importance of facilitating familial understanding of a suicidal individual. Aim: The review sought evidence of outcomes of trials in which both the patient and family member in the intervention arm attended the same sessions at which suicide was openly discussed. Method: To explore this topic, the authors searched for randomized and nonrandomized controlled trials using Medline (Ovid), PsycINFO (Ovid), Social Services Abstracts (EBSCO), and Web of Science on July 8, 2020. Results: Ten different studies were included that spanned five treatment modalities. Specifically, of the interventions in these 10 articles, 40% employed some sort of cognitive-behavioral therapy, 20% examined attachment-based family therapy, 20% used family-based crisis intervention, and the remaining 20% were distinct interventions from one another. Additionally, several of these articles demonstrated rigorous study methodology and many of the articles reported significant improvements in suicidal ideation or behaviors. Conclusion: Several important research gaps were identified. While this approach has been largely understudied, and to date has been primarily researched in adolescent populations, family interventions have great potential for treatment and prevention of suicidality.

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“…At the same time, a crisis can bring together all parties involved in the care of the loved one in one location. A recent pilot study of family-centered brief intensive treatment for individuals with acute suicide risk has demonstrated positive improvements for clients compared to treatment when family is not involved (Anastasia, Humphries-Wadsworth, Pepper, & Pearson, 2014). Therefore, a crisis may be an opportunity for increased communication, education, and understanding between the family, the client, and providers with the potential to increase collaborative opportunities for involvement in suicide prevention efforts.…”

Section: Barriers To Family Involvement In Caring For the Suicidal Clientmentioning

confidence: 99%

An Empowerment Approach to Family Caregiver Involvement in Suicide Prevention

2015

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Family members are often intimately involved in the suicidal crisis of a loved one but receive few resources and little support from the mental health community. As a result, these families can experience significant feelings of caregiver burden and powerlessness. This review outlines the experience of caring for a loved one at suicide risk, including potential barriers to involvement, risk and protective factors, and impact on the caregiver. One way to facilitate a caregiver’s sense of self-efficacy when working with a suicidal client is to implement an empowerment-based family approach in treatment planning. In this piece, we propose an existing caregiver empowerment model, Creativity, Optimism, Planning and Expert information (COPE), that can be applied to any existing suicide prevention model to assist families in the treatment of clients who are at risk for suicide.

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Family Centered Brief Intensive Treatment: A Pilot Study of an Outpatient Treatment for Acute Suicidal Ideation

Cited by 12 publications

References 15 publications

Help-Seeking in Suicidal Situations: Paramount and yet Challenging. Interactions between Significant Others of Suicidal Persons and Health Care Providers

Help-Seeking in Suicidal Situations: Paramount and yet Challenging. Interactions between Significant Others of Suicidal Persons and Health Care Providers

Family Treatments for Individuals at Risk for Suicide

An Empowerment Approach to Family Caregiver Involvement in Suicide Prevention

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