Understanding suicide: Development and pilot evaluation of a
                        single-session inpatient psychoeducation group.

Gebhardt, Heather M.; Ammerman, Brooke A.; Carter, Sarah P.; Stanley, Ian H.

doi:10.1037/ser0000543

Cited by 6 publications

(5 citation statements)

References 28 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also see many suicide prevention efforts, including those found to be effective in reducing suicide rates (i.e., Caring Contacts; Luxton et al, 2013), center on bolstering social connection. Brief suicide intervention strategies, such as the Safety Planning Intervention (Stanley & Brown, 2012), also include identification of social supports as an active component, just as other suicide interventions highlight the incorporation of peer support (i.e., Gebhardt et al, 2021; Greden et al, 2010). However, as noted, given the limited research in this area, it will be important for future research to replicate these findings with varying study designs, and samples, to contribute to theory refinement and the suicide risk assessment process.…”

Section: Discussionmentioning

confidence: 99%

Comparing the role of perceived burdensomeness and thwarted belongingness in prospectively predicting active suicidal ideation

Jacobucci

McClure

Ammerman

2022

Suicide & Life Threat Behav

Self Cite

View full text Add to dashboard Cite

Objective The Interpersonal Theory of Suicide has been foundational in guiding current suicide literature. Despite recent research underscoring fluctuations of suicidal ideation within hours, there have been few studies examining the key constructs of perceived burdensomeness and thwarted belongingness within an intensive framework. Thus, the current study aimed to add cumulative knowledge regarding the within‐person relationship between perceived burdensomeness, thwarted belongingness, and active suicidal ideation as assessed within an ecological momentary assessment design. Method A final sample of 35 individuals with a past‐year history of suicidal thoughts or behaviors completed brief surveys four times per day for 30 days. Results Findings highlighted that the addition of covariates may offer small improvements in modeling subsequent suicidal ideation, while controlling for SI at the prior time. Further, both thwarted belongingness and perceived burdensomeness were associated with next timepoint suicidal ideation, and their interaction added little incremental value. Conclusion Findings demonstrate the potential importance of thwarted belongingness in predicting suicidal ideation. Further, results highlight that the main effects of thwarted belongingness and perceived burdensomeness, rather than their interaction, may be more important to consider in relation to active suicidal ideation.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparing the role of perceived burdensomeness and thwarted belongingness in prospectively predicting active suicidal ideation

Jacobucci

McClure

Ammerman

2022

Suicide & Life Threat Behav

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ward-Miller et al (2019) found that participants' scores on a 'Resourcefulness Scale' did not improve following a resourcefulness-related psychoeducation programme using puppets. Gebhardt et al (2022) found that a single-session suicide-focused group psychoeducation programme for veterans was feasible and acceptable. Forty-nine percent reported no change in distress, but participants 'learned useful information'.…”

Section: Clinical Methodological and Statistical Resultsmentioning

confidence: 97%

“…No statistically significant change to symptomatology Feasibility studies on short-stay inpatient wards -intervention may not be suited to this population Qualitative studies required to identify desired and expected outcomes. Possible quantitative studies, depending on the above 'Multicomponent Individual' interventions: suicide-specific No suicide contracts/safety agreements Evidence does not suggest that inpatient no-suicide contracts/safety agreements reduce the frequency of inpatient self-harm episodes (Potter et al, 2005) High-quality inpatient safety plans may be correlated with reduced likelihood of re-presentation to ED (Gebhardt et al, 2022) Qualitative data urgently needed to understand expected outcomes and usefulness of safety planning and no-suicide contracting on the inpatient ward, and whether/ how a reduction in self-harm on inpatient wards may be achieved. More, robust, quantitative studies required.…”

Section: Group' Interventions Art Therapymentioning

confidence: 99%

“…Specialised suicide-specific therapies Specialised interventions in ED are feasible (Dimeff et al, 2021;Rotheram-Borus et al, 2000;Wharff et al, 2019) May reduce hospitalisation rates (Wharff et al, 2019), agitation, reported suicidality, coping, readiness to go home (Dimeff et al, 2021) Good et al, 1999). Group psychoeducation is feasible (Gebhardt et al, 2022).…”

Section: Group' Interventions Art Therapymentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness of brief non-pharmacological interventions in emergency departments and psychiatric inpatient units for people in crisis: A systematic review and narrative synthesis

Huber,

Milton,

Brewer

et al. 2023

Aust N Z J Psychiatry

View full text Add to dashboard Cite

Objective: Heterogeneous brief non-pharmacological interventions and guidelines exist to treat the burgeoning presentations to both emergency department and inpatient settings, for those in a crisis of mental ill-health. We systematically reviewed the literature to create a taxonomy of these brief non-pharmacological interventions, and review their evaluation methods and effectiveness. Method: We conducted a systematic review across Cochrane, CINAHL, DARE, Embase, MEDLINE, PsycINFO databases. Studies meeting quality criteria, using Joanna Briggs Institute tools, were eligible. Interventions were categorised, and outcomes synthesised. Results: Thirty-nine studies were included: 8 randomised controlled trials, 17 quasi-experimental, 11 qualitative studies, and 3 file audits. Taxonomy produced six coherent intervention types: Skills-focussed, Environment-focussed, Special Observation, Psychoeducation, Multicomponent Group and Multicomponent Individual. Despite this, a broad and inconsistent range of outcome measures reflected different outcome priorities and prevented systematic comparison of different types of intervention or meta-analysis. Few brief non-pharmacological interventions had consistent evidential support: sensory modulation rooms consistently improved distress in inpatient settings. Short admissions may reduce suicide attempts and readmission, if accompanied by psychotherapy. Suicide-specific interventions in emergency departments may improve depressive symptoms, but not suicide attempt rates. There was evidence that brief non-pharmacological interventions did not reduce incidence of self-harm on inpatient wards. We found no evidence for frequently used interventions such as no-suicide contracting, special observation or inpatient self-harm interventions. Conclusion: Categorising brief non-pharmacological interventions is feasible, but an evidence base for many is severely limited if not missing. Even when there is evidence, the inconsistency in outcomes often precludes clinicians from making inferences, although some interventions show promise.

show abstract

“…Veterans participating in the intervention group saw an 81% reduction in suicidal ideation. Finally, Gebhardt et al [ 30 ] developed a single-session psychoeducation group addressing suicide risk for veterans on a psychiatric unit. The study found that veterans’ acceptability of the group was high, and veterans were more hopeful and motivated to learn new skills to cope with suicidal thoughts and behaviors in a group setting.…”

Section: Introductionmentioning

confidence: 99%

Group brief cognitive behavioral therapy for suicide prevention compared to dialectal behavior therapy skills group for military service members: a study protocol of a randomized controlled trial

Baker,

Grover,

Gunn

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

Background Suicide is a pressing matter for the military. Not only does it pose a health risk, but suicide also compromises operational readiness. Despite provision of suicide prevention clinical best practices, the Department of Defense suffers several challenges (e.g., clinician shortages) limiting the agency’s ability to effectively respond to service member suicide. Implementation of evidence-based suicide-specific group therapy is a possible solution to service member well-being needs and system challenges. Service members can also gain coping skills useful beyond managing suicidal thoughts and behaviors. Methods This 2-arm non-inferiority randomized controlled trial compares a group therapy format of Brief Cognitive Behavioral Therapy (i.e., G-BCBT) with Dialectical Behavior Therapy (DBT) Skills Group. Both therapies are delivered in-person at a United States Naval Medical Center. Participants (N = 136) are active-duty service members with recent suicidal thoughts or suicidal behavior. Evaluation features electronically delivered questionnaires at baseline, after each treatment session, and at 3- and 6-month follow-up. Discussion The primary outcome concerns G-BCBT impacts on suicidal ideation. Secondary outcomes of interest are suicide attempt, psychological distress (e.g., symptoms of depression, anxiety), and self-regulatory skills (e.g., emotion regulation). We also examine self-regulatory skills as treatment moderators. Clinical trial strengths and limitations are reviewed. Trial registration This study was registered at Clinicaltrials.gov (protocol NCT05401838).

show abstract

Understanding suicide: Development and pilot evaluation of a single-session inpatient psychoeducation group.

Cited by 6 publications

References 28 publications

Comparing the role of perceived burdensomeness and thwarted belongingness in prospectively predicting active suicidal ideation

Comparing the role of perceived burdensomeness and thwarted belongingness in prospectively predicting active suicidal ideation

The effectiveness of brief non-pharmacological interventions in emergency departments and psychiatric inpatient units for people in crisis: A systematic review and narrative synthesis

Group brief cognitive behavioral therapy for suicide prevention compared to dialectal behavior therapy skills group for military service members: a study protocol of a randomized controlled trial

Contact Info

Product

Resources

About