Changes in problem-solving appraisal after cognitive therapy for the prevention of suicide

M. Ghahramanlou-Holloway, S. S. Bhar, G. K. Brown, C. Olsen, A. T. Beck

    Research output: Contribution to journalArticlepeer-review


    Background Cognitive therapy has been found to be effective in decreasing the recurrence of suicide attempts. A theoretical aim of cognitive therapy is to improve problem-solving skills so that suicide no longer remains the only available option. This study examined the differential rate of change in problem-solving appraisal following suicide attempts among individuals who participated in a randomized controlled trial for the prevention of suicide.Method Changes in problem-solving appraisal from pre-to 6-months post-treatment in individuals with a recent suicide attempt, randomized to either cognitive therapy (n=60) or a control condition (n=60), were assessed by using the Social Problem-Solving Inventory-Revised, Short Form.Results Improvements in problem-solving appraisal were similarly observed for both groups within the 6-month follow-up. However, during this period, individuals assigned to the cognitive therapy condition demonstrated a significantly faster rate of improvement in negative problem orientation and impulsivity/ carelessness. More specifically, individuals receiving cognitive therapy were significantly less likely to report a negative view toward life problems and impulsive/carelessness problem-solving style.Conclusions Cognitive therapy for the prevention of suicide provides rapid changes within 6 months on negative problem orientation and impulsivity/carelessness problem-solving style. Given that individuals are at the greatest risk for suicide within 6 months of their last suicide attempt, the current study demonstrates that a brief cognitive intervention produces a rapid rate of improvement in two important domains of problem-solving appraisal during this sensitive period. © 2012 Cambridge University Press.
    Original languageEnglish
    Pages (from-to)1185-1193
    Number of pages8
    JournalPsychological Medicine
    Issue number6
    Publication statusPublished - Jun 2012


    • Attempts
    • Cognitive therapy
    • Prevention
    • Problem solving
    • Suicide


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