Post-Admission Cognitive Therapy: A Brief Intervention for Psychiatric Inpatients Admitted After a Suicide Attempt

Ghahramanlou‐Holloway, Marjan; Cox, Daniel W.; Greene, Farrah N.

doi:10.1016/j.cbpra.2010.11.006

Cited by 64 publications

(34 citation statements)

References 51 publications

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“…Jobes, Comtois, Brenner, and Gutierrez (2011) report work currently taking place in Copenhagen testing a 1 to 3 session version of the CAMS framework for working with suicidal adolescent outpatients. In addition, Ghahramanlou-Holloway et al are currently examining a 5-session, inpatient version of Beck and associates’ protocol for suicidal inpatients (Ghahramanlou-Holloway et al, in press). …”

Section: Discussionmentioning

confidence: 99%

“…A recently developed protocol adapts the cognitive therapy intervention used in the Brown et al (2005) study to a brief stay inpatient setting (Ghahramanlou-Holloway, Cox, & Greene, in press). This intervention, Post Admission Cognitive Therapy (PACT), condenses the 10 outpatient sessions of the Brown et al (2005) protocol to six sessions of 60 to 90 minutes over three consecutive days.…”

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confidence: 99%

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Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

et al. 2012

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Patients hospitalized for psychiatric reasons exhibit significantly elevated risk of suicide, yet the research literature contains very few outcome studies of interventions designed for suicidal inpatients. This pilot study examined the inpatient feasibility and effectiveness of The Collaborative Assessment and Management of Suicidality (CAMS), a structured evidence-based method for risk assessment and treatment planning (Jobes, 2006). The study used an open-trial, case-focused design to assess an inpatient adaptation of CAMS, spread over a period averaging 51 days. The intervention was provided via individual therapy to a convenience sample of 20 patients (16 females and four males, average age 36.9) who were hospitalized with recent histories of suicidal ideation and behavior. Results showed statistically and clinically significant reductions in depression, hopelessness, suicide cognitions, and suicidal ideation, as well as improvement on factors considered “drivers” of suicidality. Treatment effect sizes were in the large range (Cohen’s d > .80) across several outcome measures, including suicidal ideation. Although these findings must be considered preliminary due to the lack of a randomized control group, they merit attention from clinicians working with patients at risk for suicide. This study also supports the feasibility of implementing a structured, suicide-specific intervention for at-risk patients in inpatient settings.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

et al. 2012

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“…A hope box is a physical representation of the patient's reasons for living that the patient creates and customizes with provider guidance. Specific items included in an individual's hope box necessarily vary from patient to patient but typically encompass a core of essential elements: reminders of previous successes, positive life experiences, existing coping resources, and current reasons for living (Ghahramanlou‐Holloway, Cox, & Greene, ). For example, a patient might store in a designated hope box items such as a favorite music CD, a worry stone, family photographs, letters, or reminders of accomplishments, and future aspirations.…”

Section: Introductionmentioning

confidence: 99%

A Virtual Hope Box Smartphone App as an Accessory to Therapy: Proof‐of‐Concept in a Clinical Sample of Veterans

Bush

Dobscha

Crumpton

et al. 2014

Suicide & Life Threat Behav

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A "Hope Box" is a therapeutic tool employed by clinicians with patients who are having difficulty coping with negative thoughts and stress, including patients who may be at risk of suicide or nonsuicidal self-harm. We conducted a proof-of-concept test of a "Virtual" Hope Box (VHB)-a smartphone app that delivers patient-tailored coping tools. Compared with a conventional hope box integrated into VA behavioral health treatment, high-risk patients and their clinicians used the VHB more regularly and found the VHB beneficial, useful, easy to set up, and said they were likely to use the VHB in the future and recommend the VHB to peers.

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“…Participants were recruited as part of a randomized controlled trial (RCT) examining the efficacy of Post‐Admission Cognitive Therapy (Ghahramanlou‐Holloway, Cox, & Greene, )—a brief cognitive behavioral intervention aimed at reducing subsequent suicide attempts among patients with a recent suicide‐related crisis. Eligible participants were approached by study personnel and guided through an informed consent procedure.…”

Section: Methodsmentioning

confidence: 99%

Lack of Emotional Awareness is Associated with Thwarted Belongingness and Acquired Capability for Suicide in a Military Psychiatric Inpatient Sample

Baer

LaCroix

Browne

et al. 2018

Suicide & Life Threat Behav

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Objective To examine potential links between facets of impulsivity and emotion dysregulation to components of the Interpersonal‐Psychological Theory of Suicide (thwarted belongingness, perceived burdensomeness, and acquired capability) among U.S. military personnel. Method The current study performed secondary data analysis from a randomized control trial testing the efficacy of a cognitive therapy for 134 service members (71.64% male, 68.66% Caucasian; mean age: 30.14) admitted to a psychiatric inpatient unit for a suicide‐related crisis. We utilized the Difficulties in Emotion Regulation Scale, the Barratt Impulsivity Scale, the Acquired Capability for Suicide Scale, and the Interpersonal Needs Questionnaire. Results All emotion dysregulation dimensions and one impulsivity facet (attentional) were positively correlated with perceived burdensomeness and thwarted belongingness. Lack of emotional awareness was positively associated with acquired capability. After controlling for depression, hopelessness, and demographic covariates, lack of emotional awareness was significantly associated with both thwarted belongingness and acquired capability, but not perceived burdensomeness, and impulsivity dimensions did not link to any variable of interest. Conclusions Findings imply that individuals with reduced emotional awareness may have difficulty cultivating interpersonal bonds and be more vulnerable to elevated acquired capability. Lack of emotional awareness may be a potential contributor to both suicidal desire and capability.

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Post-Admission Cognitive Therapy: A Brief Intervention for Psychiatric Inpatients Admitted After a Suicide Attempt

Cited by 64 publications

References 51 publications

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

A Virtual Hope Box Smartphone App as an Accessory to Therapy: Proof‐of‐Concept in a Clinical Sample of Veterans

Lack of Emotional Awareness is Associated with Thwarted Belongingness and Acquired Capability for Suicide in a Military Psychiatric Inpatient Sample

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