Toward a cognitive therapy for suicidal individuals.

Ellis, Thomas E.

doi:10.1037/0735-7028.17.2.125

Cited by 23 publications

(11 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In keeping with a cognitive behavioral therapy perspective on depression and suicidal behavior (Beck, 1996; Beck et al, 1979, Brewin, 1996; Ellis, 1986, 1995; Weishaar & Beck, 1990), the findings of the present study may be interpreted as providing support for intervention strategies addressing both the hopelessness and the problem‐solving aspects of suicidality. Providing additional support to the helpfulness of problem‐solving interventions for suicidal individuals (Dixon et al, 1994; Linehan et al, 1987; McLeavey et al, 1994) are the findings of low self‐esteem and a low sense of self‐efficacy as a basis for problem‐solving difficulties, as well as the direct influence of interpersonal problem‐solving deficits on suicidal behavior.…”

Section: Discussionsupporting

confidence: 78%

Toward an Integrative Model of Suicide Attempt: A Cognitive Psychological Approach

Dieserud¹,

Røysamb²,

Ekeberg

et al. 2001

Suicide & Life Threat Behav

114

View full text Add to dashboard Cite

Applying a cognitive approach, the purpose of the present study was to expand previous research on stress-vulnerability models of depression and problem-solving deficits, as it relates to suicide attempt. Structural equation modelling, involving latent variables, was used to evaluate (a) whether low self-esteem, a low sense of self-efficacy, loneliness, and divorce constituted vulnerability factors for the development of depression; (b) whether hopelessness and suicidal ideation mediated the relationship between depression and suicide attempt; and (c) whether problem-solving deficits mediated the relationship between the vulnerability factors and suicide attempt, separate from depression/hopelessness. A total of 123 individuals, aged 18-75 years, participated in the study (72 suicide attempters and 51 psychiatric outpatients with no history of suicidal behavior). The results indicated a two path model of suicide attempt. The first path began with low self-esteem, loneliness, and separation or divorce, which advanced to depression, and was further mediated by hopelessness and suicidal ideation which led to suicide attempt. The second path developed from low self-esteem and a low sense of self-efficacy and advanced to suicide attempt, mediated by a negative appraisal of one's own problem-solving capacity, and poor interpersonal problem-solving skills. The importance of addressing both depression/hopelessness, and problem-solving deficits when working with suicide attempters is noted.

show abstract

Section: Discussionsupporting

confidence: 78%

Toward an Integrative Model of Suicide Attempt: A Cognitive Psychological Approach

Dieserud¹,

Røysamb²,

Ekeberg

et al. 2001

Suicide & Life Threat Behav

114

View full text Add to dashboard Cite

show abstract

“…The well documented vulnerabilities of suicidal individuals, such as rigid and dichotomous thinking, poor problem solving and hopelessness (Ellis 1986 …”

Section: Discussionmentioning

confidence: 99%

Suicidal behaviour, social networks and psychiatric diagnosis

Hart

Williams

Davidson

1988

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Summary. The aim of this investigation was to examine the relationship between social network deficits and the occurrence of suicidal behaviour, and to describe the short-term interpersonal consequences of a suicidal attempt. Two questionnaires, concerned with the extent and self-perceived adequacy of social network, formed the basis of a structured interview. Fifty-two suicide attempters were interviewed within 48 hours of their attempt, and again six weeks later, and undertook a weekly self-rating task. A group of 52 non-suicidal individuals of comparable age, sex, social class, and marital and employment status underwent the same interview programme. The results indicate that the social networks of suicide attempters are impaired relative to non-suicidal individuals, and that improvement in the social network following an attempt is limited to attempters with no formal psychiatric disorder, and to measures of perceived adequacy and satisfaction. The findings add support to the importance of psychiatric assessment of the nature and the adequacy of the social network in relation to suicidal individuals.Theoretical and research evidence indicates a relationship between disrupted social networks and the occurrence of suicidal behaviour. The behaviour has been variously attributed to increasing social isolation (Jacobs and Teicher 1967), to disturbances in close relationships (e.g. Richman 1970, 1972), and to the impairment of interpersonal communication (e.g. Fawcett et al. 1969).A process of progressive social isolation from meaningful relationships has been detailed by Jacobs and Teicher (1967) in the life histories of adolescent suicide attempters. A history of chaotic and excessively mobile family life, repeated rejection experiences (Shrut 1968), and closed family systems which prevent the potentially suicidal member from making outside contacts (Rosenbaum and Richman 1970) has been documented by clinical studies. Information on home sharing, interpersonal relationships, and occupational and social activity indicates that suicide attempters have poor contacts with family, friends, and the wider community, and that a great many are without any form of personal contact (Bille-Brahe and Wang 1985).Existing relationships are also impaired. Clinical interviews with suicide attempters and their relatives reveal an almost universal pattern of family involvement in the pressures that initiate the suicidal act (Rosenbaum and Richman 1972). Assessment of communication patterns indicates that the quality of interpersonal communication between spouses deteriorates as the degree of suicidal behaviour in one partner increases (Bonnar and McGee 1977). Chronically disrupted relationships, marital isolation, and distorted communication all characterise the high risk attempter (Fawcett et al. 1969).Consideration has also been given to the importance of social network variables consequent to the act. Follow-up studies of attempters have noted the frequency of the attempter's desire to effect some interpersonal change via suici...

show abstract

“…It is possible that the deficits are related to cognitive rigidity, intensifying a propensity to resist alternative interpretations about self and environment (Ellis, 1986;Levenson & Neuringer, 1971). When problem-solving deficits combine with impulsivity, suicidal behaviors become especially lifethreatening, independent of levels of depression and hopelessness (Arffa, 1983;Patsiokas, Clum, & Luscomb, 1979;Spirito et al, 1989;Williams, Davidson, & Montgomery, 1980).…”

Section: Self-esteem and Cognitive Factorsmentioning

confidence: 99%

“…Many group members experienced initial difficulties hearing and accepting positive feedback because of their low levels of self-esteem and as an outcome of their cognitive distortions. They tended to validate and incorporate negative information about themselves and to reject positive information as untrue (Ellis, 1986;Levenson & Neuringer, 1971). Usually mid-way through the sequence of sessions, the ''Accepting Positive Feedback'' activity was employed to strengthen group members' abilities to offer and accept positive assessments.…”

Section: Accepting Positive Feedbackmentioning

confidence: 99%

Time-Limited Cognitive-Behavioral Group Interventions with Suicidal Adolescents

Rittner

Smyth

2000

Social Work With Groups

View full text Add to dashboard Cite

Suicide is the third leading cause of death in adolescents in the United States--following accidents and homicide. This paper reports on group based activities using a cognitive-behavioral therapy (CBT) framework targeted at variables most highly correlated with suicidal ideation and behaviors, including problems associated with self-esteem, cognitive rigidity, social skills deficits, and substance use. Instead of focusing exclusively on treatment of depressive symptoms, this paper presents a series of structured group activities applicable to time-limited groups and designed to increase self-esteem, reduce negative thinking, enhance coping abilities, delimit substance use, and reintroduce the ability to seek and enjoy pleasurable activities with peers. The activities are derived from experiences with adolescents in treatment and are devised to foster rapid group stage development for use in time-limited groups.

show abstract

Toward a cognitive therapy for suicidal individuals.

Cited by 23 publications

References 34 publications

Toward an Integrative Model of Suicide Attempt: A Cognitive Psychological Approach

Toward an Integrative Model of Suicide Attempt: A Cognitive Psychological Approach

Suicidal behaviour, social networks and psychiatric diagnosis

Time-Limited Cognitive-Behavioral Group Interventions with Suicidal Adolescents

Contact Info

Product

Resources

About