TY - JOUR
T1 - The cognitive behavioural prevention of suicide in psychosis: A clinical trial
AU - Tarrier, Nicholas
AU - Kelly, James
AU - Maqsood, Sehar
AU - Snelson, Natasha
AU - Maxwell, Janet
AU - Law, Heather
AU - Dunn, Graham
AU - Gooding, Patricia
PY - 2014
Y1 - 2014
N2 - Background: Suicide behaviour in psychosis is a significant clinical and social problem. There is a dearth of evidence for psychological interventions designed to reduce suicide risk in this population. Aims: To evaluate a novel, manualised, cognitive behavioural treatment protocol (CBSPp) based upon an empirically validated theoretical model. Methods: A randomly controlled trial with independent and masked allocated and assessment of CBSPp with TAU (n = 25, 24 sessions) compared to TAU alone (n = 24) using standardised assessments. Measures of suicide probability, and suicidal ideation were the primary outcomes and measures of hopelessness, depression, psychotic symptoms, functioning, and self-esteem were the secondary outcomes, assessed at 4 and 6. months follow-up. Results: The CBSPp group improved differentially to the TAU group on two out of three primary outcome measures of suicidal ideation and suicide probability, and on secondary outcomes of hopelessness related to suicide probability, depression, some psychotic symptoms and self-esteem. Conclusions: CBSPp is a feasible intervention which has the potential to reduce proxy measures of suicide in psychotic patients. © 2014 Elsevier B.V.
AB - Background: Suicide behaviour in psychosis is a significant clinical and social problem. There is a dearth of evidence for psychological interventions designed to reduce suicide risk in this population. Aims: To evaluate a novel, manualised, cognitive behavioural treatment protocol (CBSPp) based upon an empirically validated theoretical model. Methods: A randomly controlled trial with independent and masked allocated and assessment of CBSPp with TAU (n = 25, 24 sessions) compared to TAU alone (n = 24) using standardised assessments. Measures of suicide probability, and suicidal ideation were the primary outcomes and measures of hopelessness, depression, psychotic symptoms, functioning, and self-esteem were the secondary outcomes, assessed at 4 and 6. months follow-up. Results: The CBSPp group improved differentially to the TAU group on two out of three primary outcome measures of suicidal ideation and suicide probability, and on secondary outcomes of hopelessness related to suicide probability, depression, some psychotic symptoms and self-esteem. Conclusions: CBSPp is a feasible intervention which has the potential to reduce proxy measures of suicide in psychotic patients. © 2014 Elsevier B.V.
KW - CBT
KW - Psychological intervention
KW - Psychosis
KW - Schizophrenia
KW - Suicide
U2 - 10.1016/j.schres.2014.04.029
DO - 10.1016/j.schres.2014.04.029
M3 - Article
SN - 0920-9964
VL - 156
SP - 204
EP - 210
JO - Schizophrenia Research
JF - Schizophrenia Research
IS - 2-3
ER -
