Cognitive behavioral therapy for suicide prevention (CBT‐SP): Implications for meeting standard of care expectations with suicidal patients

2019 ◽  
Vol 37 (3) ◽  
pp. 247-258
Author(s):  
Craig J. Bryan
2016 ◽  
Vol 24 (3) ◽  
pp. 144-163 ◽  
Author(s):  
A.B. Kholmogorova

The article presents the data on suicide incidence in Russian Federation. The author discusses the necessity of developing prevention programs and carrying out complex team-based specialist work to ensure safe environment at schools. It is noted that prevention and postvention methods should be scientifically grounded. History of development of a special psychotherapeutic cognitive-behavioral protocol for suicide prevention and postvention is presented. The author examines the problem of diathesis (predisposition) to suicidal behavior and formulates the main principles of cognitive-behavioral psychotherapy of patients predisposed to suicidal behavior. Key stages of cognitive-behavioral therapy of suicidal behavior, techniques and approaches to working with such clients are described. Various targets that should be taken into account during crisis interventions are discussed. The article presents empirical research data of the effectiveness of cognitive psychotherapy of suicidal behavior and the results of the empirical study of factors of suicidal behavior in students based on multi-factor psychosocial model of affective spectrum disorders. It is emphasized that individual psychotherapy should be combined with other methods of suicide prevention and postvention. Perspectives of further development of methods of working with suicidal behavior are outlined.


2021 ◽  
Author(s):  
Yoichi Seki ◽  
Ryo Takemura ◽  
Chihiro Sutoh ◽  
Remi Noguchi ◽  
Yoko Okamoto ◽  
...  

BACKGROUND Background: Given the difficulty in accessing cognitive behavioral therapy, pharmacotherapy remains the standard of care for panic disorder (PD). OBJECTIVE Objectives: This study aimed to determine the effectiveness of videoconference-based cognitive behavioral therapy (VCBT) for patients who remain symptomatic after primary pharmacotherapy as an adjunct to usual care (UC) when compared with UC alone. METHODS Methods: This prospective, randomized, open-label endpoint trial enrolled 30 patients with PD who did not respond to primary pharmacotherapy, including antidepressants and anxiolytics, after ≥8 weeks of therapy, who underwent VCBT (n=15) or UC (n=15) between November 2017 and March 2020 at Chiba University Hospital in Chiba, Japan. They were evaluated at screening, week 0 (baseline), week 8 (mid-intervention), and week 16 (post-intervention). The primary outcome was the change in the PD Severity Scale (PDSS) score at week 16 from baseline. RESULTS Results: After 16 weeks, the adjusted mean changes in the PDSS score from baseline were −7.92 and 0.75 in the VCBT and UC groups, respectively, with a between-group difference of −8.67 (95% CI: −11.80 to −5.54, P<.0001). A higher proportion of patients in the VCBT group responded to treatment (≥40% reduction in the PDSS score at week 16) and experienced remission (PDSS score <8 points at week 8) than those in the UC group (P<.0001). CONCLUSIONS Conclusions: Our results suggest that VCBT is an effective treatment adjunct to UC in patients with PD who remain symptomatic following primary pharmacotherapy and improves PD symptoms in these patients. CLINICALTRIAL Trial Registration: University Hospital Medical Information Network Clinical Trials Registry UMIN000029987; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000034247.


2020 ◽  
pp. 104973152097475
Author(s):  
Michelle Scott

Purpose: To evaluate the integration of cognitive behavioral therapy (CBT) for depression and suicide prevention (CBT-SP) into social work practice with youth after a 2-day training and 3 months of group consultation. Method: A purposive sample of 22 clinical social workers completed a one-group pre–post and 3-month follow-up assessment to evaluate knowledge of CBT and CBT-SP, utilization, and barriers to utilization of CBT treatment and skills. Results: Knowledge of CBT and CBT-SP skills improved following training. All trainees integrated at least one new skill into practice and increased use of prior skills. No trainees integrated the full-manualized CBT-SP intervention into practice. Participation in group consultation increased the likelihood of integrating CBT-SP skills into practice for males and trainees with more practice experience. Discussion: The findings support the importance of training clinicians in common element skills of CBT and CBT-SP rather than only focusing upon integrating full-manualized treatments into social work practice.


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