scholarly journals Attempted suicide short intervention program influences coping among patients with a history of attempted suicide

2020 ◽  
Vol 264 ◽  
pp. 393-399
Author(s):  
Anja Gysin-Maillart ◽  
Leila Soravia ◽  
Simon Schwab
Keyword(s):  
Intervention Program ◽  
Attempted Suicide ◽  
History Of ◽  
Short Intervention

Patients' Satisfaction With the Therapeutic Relationship and Therapeutic Outcome Is Related to Suicidal Ideation in the Attempted Suicide Short Intervention Program (ASSIP)

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 337-343 ◽  
Author(s):  
Mariann Ring ◽  
Anja Gysin-Maillart
Keyword(s):  
Suicidal Ideation ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Intervention Program ◽  
Attempted Suicide ◽  
Therapeutic Outcome ◽  
Control Group ◽  
Patients Satisfaction ◽  
Short Intervention

Abstract. Background: The therapeutic alliance may be a moderating factor of outcome in the Attempted Suicide Short Intervention Program (ASSIP). Aims: This study investigates the two components of the therapeutic alliance, patients' satisfaction with the therapeutic relationship and therapeutic outcome and their associations with suicidal ideation over time. Method: A total of 120 patients (55% female; mean age = 36 years) with a history of attempted suicide were randomly allocated to either the intervention group ( N = 60) or the control group ( N = 60). Patients' satisfaction with the therapeutic relationship and outcome were measured with the two subscales of the Helping Alliance Questionnaire. The Beck Scale of Suicide Ideation was used to measure suicidal ideation in this 24-month follow-up study. Results: The ASSIP group showed that patients' satisfaction with therapeutic relationship and outcome increased significantly from the first to the third session. Higher satisfaction with therapeutic outcome correlated significantly with lower suicidal ideation at follow-up. Conversely, the control group showed no significant results. Limitations: The collaborative approach adopted in the initial clinical interview of the control group could possibly have influenced the results of both scales. Conclusion: In particular, the component satisfaction with therapeutic outcome seems crucial to the subjectively perceived satisfaction of treatment and is associated with lower suicidal ideation over time. Thus, an enhanced understanding of components of the therapeutic alliance plays an important role in the development of interventions for suicidal patients.

scholarly journals Effectiveness of a nationwide aftercare program for suicide attempters

2012 ◽  
Vol 43 (7) ◽  
pp. 1447-1454 ◽  
Author(s):  
Y.-J. Pan ◽  
W.-H. Chang ◽  
M.-B. Lee ◽  
C.-H. Chen ◽  
S.-C. Liao ◽  
...  
Keyword(s):  
Large Scale ◽  
Intervention Program ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Time To Death ◽  
Aftercare Services ◽  
Factors Associated ◽  
Prolonged Duration ◽  
History Of ◽  
Using Data

BackgroundThe effectiveness of large-scale interventions to prevent suicide among persons who previously attempted suicide remains to be determined. The National Suicide Surveillance System (NSSS), launched in Taiwan in 2006, is a structured nationwide intervention program for people who survived their suicide attempts. This naturalistic study examined its effectiveness using data from the first 3 years of its operation.MethodEffectiveness of the NSSS aftercare services was examined using a logistic/proportional odds mixture model, with eventual suicide as the outcome of interest. As well, we examined time until death for those who died and factors associated with eventual suicide.ResultsReceipt of aftercare services was associated with reduced risk for subsequent suicide; for service recipients who eventually killed themselves, there was a prolonged duration between the index and fatal attempts. Elderly attempters were particularly prone to a shorter duration between the index and fatal attempts. Male gender, the lethality potential of the index attempt, and a history of having had a mental disorder also were associated with higher risk.ConclusionsThe structured aftercare program of the NSSS appears to decrease suicides and to delay time to death for those who remained susceptible to suicide.

scholarly journals A Lived Experience Co-Designed Study Protocol for a Randomised Control Trial: The Attempted Suicide Short Intervention Program (ASSIP) or Brief Cognitive Behavioural Therapy as Additional Interventions After a Suicide Attempt Compared to a Standard Suicide Prevention Pathway (SPP).

2021 ◽  
Author(s):  
Nicolas JC Stapelberg ◽  
Candice Bowman ◽  
Sabine Woerwag-Mehta ◽  
Sarah Walker ◽  
Angela Davis ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Attempt ◽  
Suicide Prevention ◽  
Cognitive Behavioural Therapy ◽  
Intervention Program ◽  
Attempted Suicide ◽  
Behavioural Therapy ◽  
Psychological Interventions ◽  
Cognitive Behavioural ◽  
Short Intervention

Abstract Background Despite being preventable, suicide is a leading cause of death and a major global public health problem. For every death by suicide, many more suicide attempts are undertaken, and this presents as a critical risk factor for suicide. Currently there are limited treatment options with limited underpinning research for those who present to Emergency Departments with suicidal behaviour. The aim of this study is to assess if adding one of two structured suicide specific psychological interventions (Attempted Suicide Short Intervention Program [ASSIP] or Brief Cognitive Behavioural Therapy [CBT] for Suicide Prevention) to a standardised clinical care approach (Suicide Prevention Pathway [SPP]) improves outcomes for consumers presenting to a Mental Health Service with a suicide attempt. Methods This is a randomised controlled trial with blinding of those assessing the outcomes. People who attempt suicide or experience suicidality after a suicide attempt, present to the Gold Coast Mental Health and Specialist Services, are placed on the Suicide Prevention Pathway (SPP) and meet the eligibility criteria, are offered the opportunity to participate. A total of 411 participants will be recruited for the study, with 137 allocated to each cohort (participants are randomised to SPP, ASSIP + SPP, or CBT + SPP). The primary outcomes of this study are re-presentation to hospital with suicide attempt and/or suicidal ideations. Death by suicide rates will also be examined. Self-reported level of suicidality, depression, anxiety, stress, resilience, problem-solving skills, self- and therapist-reported level of therapeutic engagement are also being examined. Psychometric data are collected at baseline, end of interventions, 6,12, and 24 months. Discussion This project will move both ASSIP and Brief CBT from efficacy to effectiveness research, with clear aims of assessing the addition of two structured psychological interventions to treatment as usual, providing a cost-benefit analysis of the interventions, thus delivering outcomes providing a clear pathway for rapid translation of successful interventions. Trials registration : NCT04072666 - Registered on 28th August 2019 on Clinical Trials US Gov (https://www.clinicaltrials.gov/ct2/show/NCT04072666?term=NCT04072666&draw=2&rank=1) and ANZCTR (https://www.anzctr.org.au/TrialSearch.aspx)

Sudden Onset of Stuttering

1982 ◽  
Vol 47 (3) ◽  
pp. 301-304 ◽  
Author(s):  
Jon L. Deal
Keyword(s):  
Psychological Distress ◽  
Suicide Attempt ◽  
Auditory Feedback ◽  
Intervention Program ◽  
Attempted Suicide ◽  
Sudden Onset ◽  
Social Responses ◽  
Delayed Auditory Feedback ◽  
Speech Evaluation ◽  
History Of

This report describes a 28-year-old male who suddenly began to stutter after an attempted suicide. The patient had a history of one prior stuttering episode lasting approximately one week, also following a suicide attempt. The speech evaluation documented that the patient stuttered on automatic overlearned social responses, during choral reading, during singing, while under the influence of white noise, and during an initial trial of delayed auditory feedback (DAF). In addition, the patient produced stuttering-like repetitions while merely miming speech. He did not demonstrate secondary stuttering symptoms and his nonfluencies were almost exclusively repetitions of initial or stressed syllables. An intervention program using DAF was initiated and in approximately one month the frequency of stuttering had markedly decreased. The behaviors exhibited by this patient are considered to characterize stuttering of sudden onset in adults due to significant psychological distress.

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