The Mediating Role of Coping Self-Efficacy in Hope Box Use and Suicidal Ideation Severity

Abstract

In this study, we examined the indirect effect of the Virtual Hope Box (VHB) smartphone application on suicidal ideation, mediated through coping self-efficacy. A total of 117 veterans with suicidal ideation completed measures on coping self-efficacy and suicidal ideation at baseline and weeks 3, 6, and 12. Participants were randomly assigned to either the VHB or enhanced treatment as usual (eTAU) condition. Parallel process growth curve modeling (-0.20 [95% CI = -0.44, 0.00]) and auto-regressive modeling (-0.12 [95% CI = -0.35, -0.01]) revealed that a higher rate of change in coping self-efficacy in the VHB group was associated with a decrease in suicidal ideation severity, as compared to the eTAU group. Findings suggest that coping self-efficacy may be one mechanism by which the VHB operates to help reduce suicidal ideation. More broadly, the role of coping self-efficacy in reducing suicidal ideation is worthy of future study.

General Self-Efficacy in Association With Insomnia Symptoms and Suicidal Ideation Among Chinese Community-Based Population

“…15 Our study further contributes to the existing knowledge in that previously relatively little was understood regarding general self-efficacy in association with both insomnia symptoms and suicidal ideation. There were other literature focusing on the specific aspect of self-efficacy such as health self-efficacy 23 and coping self-efficacy, 24 but their role in explaining mechanism of suicidal ideation still requires targeted research in the future.…”

Study protocol for a multisite randomized controlled trial of an internet and mobile‐based intervention for preventing and reducing perinatal depressive symptoms

“…The CSES asks “when things aren't going well for you, how confident are you that you can,” with items such as “talk positively to yourself,” “get emotional support,” and similar, with three subscales: problem‐focused coping, stop unpleasant thoughts/emotions, and get support from family and friends. Change scores are associated with reduced distress and enhanced well‐being over time in several studies of app‐based interventions (Bush et al, 2017; Jallo et al, 2017; Silva Almodovar et al, 2018; Wright, 2018) and a mediator of decreased distress (Denneson et al, 2018). Second, the Breastfeeding Self‐Efficacy Scale—Short Form is a 14‐item instrument that measures a mother's confidence in her ability to breastfeed her new baby (Dennis, 2003); this will only be given to postpartum women who have chosen to breastfeed.…”

Psychotherapie suizidaler Patienten

“…Eine Hope Box, d. h. eine Schachtel, ein Koffer oder eine Tasche, die mit Gegenständen angefüllt wird, welche an persönliche Gründe für das Weiterleben erinnern, kann erstellt werden, um Gründe, die für das Weiterleben sprechen einprägsam und außerhalb der Therapiesitzung sinnlich erfahrbar zu repräsentieren (Beispiele unter Hope-box.pdf (papyrus-uk.org); [16]). Zudem lassen sich Strategien der kognitiven Infragestellung nutzen, um erste Distanz zu wichtigen Suizidmotiven ("Ich bin eine Last für andere.…”