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: Sampurna Chakraborty, Diya Chatterjee, Susmita Halder
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Telangana Journal of Psychiatry
Subjects:
Online Access:https://journals.lww.com/10.4103/tjp.tjp_19_24
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author Sampurna Chakraborty
Diya Chatterjee
Susmita Halder
author_facet Sampurna Chakraborty
Diya Chatterjee
Susmita Halder
author_sort Sampurna Chakraborty
collection DOAJ
description 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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spelling doaj-art-e8c0406952e14794b0bbb52f2174e8bb2025-01-07T10:02:21ZengWolters Kluwer Medknow PublicationsTelangana Journal of Psychiatry2772-87062455-85592024-12-0110218819210.4103/tjp.tjp_19_24Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnosesSampurna ChakrabortyDiya ChatterjeeSusmita HalderMental 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.https://journals.lww.com/10.4103/tjp.tjp_19_24psychiatric disorderspsychological interventionssuicidal behaviorsuicidal ideationsuicide
spellingShingle Sampurna Chakraborty
Diya Chatterjee
Susmita Halder
Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
Telangana Journal of Psychiatry
psychiatric disorders
psychological interventions
suicidal behavior
suicidal ideation
suicide
title Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
title_full Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
title_fullStr Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
title_full_unstemmed Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
title_short Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
title_sort effectiveness of cognitive behavior therapy based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
topic psychiatric disorders
psychological interventions
suicidal behavior
suicidal ideation
suicide
url https://journals.lww.com/10.4103/tjp.tjp_19_24
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AT diyachatterjee effectivenessofcognitivebehaviortherapybasedeclecticapproachintreatingsuicidalthoughtsandbehaviorsacrosspsychiatricdiagnoses
AT susmitahalder effectivenessofcognitivebehaviortherapybasedeclecticapproachintreatingsuicidalthoughtsandbehaviorsacrosspsychiatricdiagnoses