Therapeutic Alliance and Change in Suicidal Ideation during Treatment in Integrated Primary Care Settings

Bryan, Craig J.; Corso, Kent A.; Corso, Meghan L.; Kanzler, Kathryn E.; Ray-Sannerud, Bobbie; Morrow, Chad E.

doi:10.1080/13811118.2013.722055

Cited by 36 publications

(26 citation statements)

References 24 publications

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“…The suicidal patients in this review addressed the vital importance of the therapeutic relationship in helping patients both feel safe and be safe. These findings are consistent with those of studies highlighting the therapeutic alliance in effective suicidal patient assessments and management [45–47] and studies identifying the staff–patient relationship as important to patients’ feelings of safety [44, 48, 49]. Poor staff-patient relationships were found to play key roles in preventable suicides and were attributed to poor communication and relationship quality [50].…”

Section: Discussionsupporting

confidence: 83%

Suicidal patients’ experiences regarding their safety during psychiatric in-patient care: a systematic review of qualitative studies

Berg

Rørtveit

Aase

2017

BMC Health Serv Res

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BackgroundIn-patient suicide prevention is a high priority in many countries, but its practice remains poorly understood. Patients in a suicidal crisis who receive psychiatric care can provide valuable insight into understanding and improving patient safety. The aim of this paper was therefore to summarize the qualitative literature regarding suicidal patients’ in-patient care experiences. The following question guided the review: How can we describe suicidal patients’ experiences regarding safety during psychiatric in-patient care?MethodsSystematic searches were conducted in the MEDLINE, Academic Search Premier, CINAHL, SOCINDEX and PsycINFO databases, identifying 20 qualitative studies on suicidal patients and their psychiatric in-patient care experiences. These studies were systematically reviewed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, synthesized via thematic analysis and subjected to quality appraisals.ResultsPatients described safety as “feeling safe”, and three components, i.e., connection, protection and control, were vital to their experiences of safety. Fulfilling these needs was essential to patients recovering from suicidal crises, feeling safe during encounters with health care professionals and feeling safe from suicidal impulses. Unmet needs for connection, protection and control left patients feeling unsafe and increased their suicidal behaviour.ConclusionOur review addresses the importance of adopting a wider perspective of patient safety than considering safety solely in technical and physical terms. Safety for the suicidal patient is highly dependent on patients’ perceptions of their psychological safety and the fulfilment of their needs. The three patient-identified factors mentioned above – connection, protection and control – should be considered an integral part of patient safety practices and should form the basis of future efforts to understand the safety of suicidal patients during psychiatric in-patient care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2023-8) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 83%

Suicidal patients’ experiences regarding their safety during psychiatric in-patient care: a systematic review of qualitative studies

Berg

Rørtveit

Aase

2017

BMC Health Serv Res

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“…Benefits from therapy, at least from the perspective of girls in our study, seem to derive from a trusted, empathetic relationship between the therapist and adolescent. Our findings compliment the results of previous studies of treatment post–suicide attempt, which support the moderating effect of a strong therapeutic alliance in reducing suicidal ideation (Bryan et al, 2012; Gysin-Maillart, Soravia, Gemperli, & Michel, 2017; Long, Manktelow, & Tracey, 2015).…”

Section: Discussionsupporting

confidence: 91%

Trajectories of Well-Being Among Latina Adolescents Who Attempt Suicide: A Longitudinal Qualitative Analysis

et al. 2019

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Significant research questions persist regarding the short- and long-term outcomes of Latina adolescents who attempt suicide. To address these limitations, we utilize an ecodevelopmental framework to identify potential factors that shape differential outcomes following a suicide attempt. Through an exploratory, longitudinal, qualitative research design, we investigate two research questions: How do trajectories of well-being vary among Latina teens after a suicide attempt? What risk and protective factors might contribute to different trajectories? We conducted qualitative interviews with 17 Latina participants living in predominantly low-income households in New York City. Interviews took place within the 6 months following their suicide attempts, and again, 12 months later. Analysis revealed three distinct trajectories after a suicide attempt: resilience, tenuous growth, and chronic stress. Our findings elucidate potential factors that contribute to resilience following a suicide attempt and underscore the importance of prevention and intervention programs that foster adolescents’ connectivity across ecodevelopmental contexts.

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“…Bryan et al (2012) used the Therapeutic Bond Scale to assess patient-rated evaluation of the treatment relationship, but found no association with the one suicide related item in the Behavior Health Measure-20 as outcome measure. In an earlier study we had reported that in a single assessment interview with patients who had attempted suicide, patient-rated therapeutic alliance measured with the Penn Helping Alliance Questionnaire HAq (Alexander & Luborsky, 1986) was increased when the interviewer used a narrative interviewing technique (Michel et al, 2004), based on a model of suicidal behavior as a goal-directed action (Michel & Valach, 1997 This approach stands in contrast to the traditional medical model, in which suicidal behavior is usually seen as a symptom of psychiatric disorder.…”

mentioning

confidence: 99%

Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide

Gysin-Maillart¹,

Soravia²,

Gemperli³

et al. 2016

Archives of Suicide Research

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Therapeutic Alliance and Change in Suicidal Ideation during Treatment in Integrated Primary Care Settings

Cited by 36 publications

References 24 publications

Suicidal patients’ experiences regarding their safety during psychiatric in-patient care: a systematic review of qualitative studies

Suicidal patients’ experiences regarding their safety during psychiatric in-patient care: a systematic review of qualitative studies

Trajectories of Well-Being Among Latina Adolescents Who Attempt Suicide: A Longitudinal Qualitative Analysis

Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide

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