Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
Mental illness is a risk factor for suicide; however, evidence suggests that treating suicidal ideation as a secondary phenomenon when focusing on the primary mental illness may result in poorer treatment outcomes. Different psychotherapy modalities have been found effective in reducing suicidal ris...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Telangana Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/tjp.tjp_19_24 |
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| Summary: | Mental illness is a risk factor for suicide; however, evidence suggests that treating suicidal ideation as a secondary phenomenon when focusing on the primary mental illness may result in poorer treatment outcomes. Different psychotherapy modalities have been found effective in reducing suicidal risk when it has been tailored to focus on suicidal cognitions and behaviors separate from the management of the psychiatric complaints. The current study focuses on thirteen cases with a diverse spectrum of psychiatric disorders and a wide age range with unique individual suicidal cognitions’ and behaviors’ presentations. The intervention was systematically used to target the suicidal cognitions specifically for better treatment outcomes. Patients reported high suicidal ideation, measured on the Beck Scale for Suicide Ideation (BSS) and special score index of Suicide Constellation (S-CON) on The Rorschach – A Comprehensive System by John E. Exner. Intervention on the patients focused on identifying perceived unsolvable problems and tailoring the therapy as per their suicidal ideation, emotional pain, and problem-solving skills and deficits. Individually tailored therapy was found to reduce suicidal ideation on postintervention BSS scores and the S-CON index for most patients. The findings of the case series may help understand the need for identifying the individual factors and motivating components of suicidal ideation and thereafter how conceptualizing and modifying and tailoring therapeutic techniques accordingly may lead to better treatment outcomes. |
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| ISSN: | 2772-8706 2455-8559 |