Will you agree to treat a suicidal adolescent? A comparative study among mental health professionals

Gvion, Yari; Rozett, H; Stern, Theodore A.

doi:10.1007/s00787-020-01581-w

Cited by 6 publications

(3 citation statements)

References 43 publications

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“…Asimismo, una psicóloga y dos practicantes de psicología afirmaron que tienen acercamiento a la religión, y solo una de las practicantes mencionadas manifiesta apoyarse en su familia. Gvion et al (2020) refieren que es mayor la probabilidad de que un terapeuta decida tratar a un paciente si se considera con las competencias necesarias y si dispone de las herramientas requeridas. A partir de esto, se destaca que un medio de contención emergente en este grupo de profesionales de la salud es obtener más información sobre el tema del suicidio, sintiéndose más capacitados y seguros a la hora de abordarlo.…”

Section: Discussionunclassified

Impacto emocional y conductual en profesionales de la salud que trataron a pacientes con comportamiento suicida en Antioquia

Hernández¹,

Sánchez²,

Mira³

et al. 2022

Psicoespacios

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El objetivo del texto es identificar el impacto emocional y conductual en profesionales de la salud que trataron a pacientes con comportamiento suicida en Antioquia. Como metodología, se realiza una investigación formativa a través de un diseño cualitativo, desde un paradigma interpretativo con enfoque fenomenológico, y se analizan los datos utilizando la triangulación. La población de estudio se contacta por mediación virtual: se cuenta con un total de 14 entrevistados, entre ellos profesionales de la salud de primer y segundo nivel de atención y practicantes de psicología. Para la recolección de la información se emplea el consentimiento informado y la entrevista semiestructurada mediante la plataforma de Google Forms. En cuanto al impacto emocional, se encuentra que los aspectos más frecuentes y nombrados por los profesionales son tristeza, preocupación, miedo, sensación de frustración, en algunos casos satisfacción, en otros impotencia, por lo que se concluye entonces que surgen diferentes emociones al a tratar pacientes con comportamiento suicida, además de la presencia de ansiedad. Se evidencia un contraste con relación a estudios previos en otros países donde se nombraba la remisión y por ello la evitación como principal solución en el abordaje de pacientes con comportamiento suicida, a diferencia de los entrevistados, para los que la remisión es el último recurso, debido a la mayor sensibilización, formación y capacitación frente al tema. Se identifica como principal hallazgo que, cada vez más, los profesionales de la salud y psicosociales refieren la importancia del cuidado personal para poder tramitar el impacto emocional, cognitivo y conductual al tratar el comportamiento suicida.

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Section: Discussionunclassified

Impacto emocional y conductual en profesionales de la salud que trataron a pacientes con comportamiento suicida en Antioquia

Hernández¹,

Sánchez²,

Mira³

et al. 2022

Psicoespacios

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“…Previous research on this topic has especially dealt with therapists’ emotional responses towards “suicidal patients”. For example, a study with suicidal adolescents has shown that due to therapists' countertransference and due to trait-like suicidal ideation, therapists are unwilling to treat those patients at risk for suicide [ 47 ]. In patients with BPD it was suggested that the history of suicide attempts was associated with a worse general level of personality organization [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Therapists’ emotional state after sessions in which suicidality is addressed: need for improved management of suicidal tendencies in patients with borderline personality pathology

et al. 2021

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Introduction Patient suicidality is a frequently experienced topic for psychotherapists. Especially adolescents with borderline personality pathology (BPP) often exhibit suicidal tendencies. Previous research which examined therapists’ countertransference towards suicidal patients suggested that therapists are negatively affected and distressed by them. We hypothesize that this emotional response of the therapists is related to specific sessions in which suicidality came up as a topic. Accordingly, the objective of this study consists in examining therapists’ emotional state on a session level of analysis. Methods The sample consisted of N = 21 adolescents (age 13–19 years) with BPD or subthreshold BPD. Therapists’ emotional states were measured in n = 418 sessions using the Session Evaluation Questionnaire. Principal component analysis was used to reduce dimensionality of the therapist response. The emotional states were compared depending on whether suicidality has been addressed in the session (SS) or not (NSS). Results Two components could be identified. Firstly, therapists were more aroused, excited, afraid, angry and uncertain after SS than after NSS. Secondly, therapists were more aroused, excited, definite and pleased after SS than after NSS. Discussion: Suicidality does not always have to be a burden for therapists: Both a “distress” and an “eustress” component occur in this context from which the latter is supposed to help clinicians master a difficult situation. Since countertransference feelings are often not fully conscious, it is necessary to do research on therapists’ emotional states after sessions in which suicidality is addressed. This is crucial to both prevent the therapeutic process from being endangered and preserve clinicians’ mental health. Clinical implications and limitations are discussed.

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“…Indeed, there exists a shortage of mental health providers with appropriate training in evidence-based interventions for adolescent suicide, especially when suicidal thoughts and behaviors are related to traumatic stress (Cook et al, 2014; Courtois & Gold, 2009; Ko et al, 2008; Layne et al, 2011). Many clinicians report low levels of perceived competence with regard to effectively addressing adolescent suicidal thoughts and behaviors and a higher likelihood of referring these patients out compared to nonsuicidal patients (Gvion et al, 2020). This is further complicated by the fact that most health care providers receive minimal, if any, training in traumatic stress or trauma-informed approaches (Cook et al, 2014; Courtois, & Gold, 2009; Layne et al, 2011).…”

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confidence: 99%

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers’ perspectives.

Inscoe¹,

Donisch²,

Cheek³

et al. 2022

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Research shows elevated rates of trauma exposure and traumatic stress among youth with suicidal thoughts and behaviors, underscoring the need for a trauma-informed approach to suicide prevention and intervention. The purpose of this study was to identify, from the perspective of caregivers, clinical practices that are sensitive to the needs of youth with co-occurring traumatic stress and suicidal thoughts and behaviors, as well as common barriers to receiving care. Method: Qualitative interviews were conducted with 13 caregivers of youth with trauma histories and comorbid suicidal thoughts and/ or behaviors. Interviews were analyzed using a grounded theory approach. Results: Qualitative analysis of interviews revealed themes related to the need for caregiver involvement in treatment, the impact of therapist and relationship characteristics such as authenticity and genuineness, and the importance of provider education about trauma. Common barriers included difficulties navigating the mental health system and cost. Conclusions: Findings provide guidance on how mental health providers can effectively recognize and respond to traumatic stress among youth presenting with suicidal thoughts and behaviors. System-level issues related to accessibility also are discussed. Clinical Impact StatementWhen asked about suicide prevention practices that are sensitive to the needs of youth and families who have experienced trauma, caregivers of youth with co-occurring traumatic stress and suicidal thoughts/behaviors emphasized the importance of (a) caregiver involvement and acknowledging caregiver distress; (b) clinician authenticity, genuineness, and warmth; and (c) clinician knowledge about trauma and the impact of traumatic stress on suicide risk. Caregivers also emphasized the need for more direct support around mental health care navigation.

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Will you agree to treat a suicidal adolescent? A comparative study among mental health professionals

Cited by 6 publications

References 43 publications

Impacto emocional y conductual en profesionales de la salud que trataron a pacientes con comportamiento suicida en Antioquia

Impacto emocional y conductual en profesionales de la salud que trataron a pacientes con comportamiento suicida en Antioquia

Therapists’ emotional state after sessions in which suicidality is addressed: need for improved management of suicidal tendencies in patients with borderline personality pathology

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers’ perspectives.

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