Therapy factors in treating severely ill psychiatric patients

Modestin, Jiří; Schwarzenbach, F.; Würmle, Othmar

doi:10.1111/j.2044-8341.1992.tb01694.x

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…Modestin, Schwarzenbach, and Wurmle () found that therapists of clients who committed suicide tended to have less professional experience. Although their study lacked statistical power, Davidson et al.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 1. Quantitative outcome and process studies

Winter

Bradshaw

Bunn

et al. 2013

Couns and Psychother Res

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Scope of review: The paper reports a meta‐review of 15 previous systematic reviews and meta‐analyses of the literature concerning the outcome of counselling and psychotherapy with people at risk of suicide; a meta‐analysis of 67 outcome studies in this area; and a narrative review of 17 studies of the therapeutic process. Publication time span: The literature reviewed was published between 1981 and 2008. Publication origin: The majority of the literature reviewed was by authors from the USA or the UK, but there were also authors from other European countries, Australia, Canada, India, and Sri Lanka. Findings: There is evidence of the effectiveness of dialectical behaviour therapy, cognitive‐behavioural therapy, and problem solving therapy, but also for other forms of therapy. Therapist and client variables, as well as the therapeutic relationship, appear to be related to treatment outcome. Conclusions: People at risk of suicide should have access to psychological interventions, including, but not necessarily limited to, those within the cognitive‐behavioural spectrum. Therapies for which there have been promising findings, but which are under‐researched, should be a research priority.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 1. Quantitative outcome and process studies

Winter

Bradshaw

Bunn

et al. 2013

Couns and Psychother Res

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show abstract

“…Of the 7 depressive patients in both samples, only 3 in the suicide group and 2 in the control group had antidepressant medication. Modestin et al (23) studied severely ill discharged inpatients, most of whom had major depression, and found that the patients who later committed suicide were less frequently treated with psychotropic medication. Some clinicians are reluctant to use a potentially dangerous antidepressant for suicidal patients because of the risk of selfpoisoning.…”

Section: Psychopharmacotherapy and Suicide Riskmentioning

confidence: 99%

Effect of psychopharmacotherapy on suicide risk in psychiatric inpatients

Taiminen

1993

Acta Psychiatr Scand

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A retrospective analysis of the psychopharmacotherapy of 25 inpatients who had committed suicide and the same number of matched control subjects was carried out comparing the quality and doses of medication. Two statistically significant differences between the groups considering the medication were found. The suicide group had lower neuroleptic doses and they more often used benzodiazepine medication than the control group. The presence of depression was documented in the hospital charts more frequently in the suicides, but no differences were observed between the groups in the amount of antidepressant medication used.

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“…Several studies have reported a correlation between shorter lengths of stay and higher suicide risk postdischarge (Desai, Dausey, & Rosenheck, 2005;Modestin & Schwartzenbach, 1992;Modestin, Schwarzenbach, & Wurmle, 1992;Qin & Nordentoft, 2005). On the other hand, Ho (2003) found a correlation between shorter lengths of stay and lower risk.…”

mentioning

confidence: 92%