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Cognitive-Behavioural Problem Solving in the Treatment of Patients who Repeatedly Attempt Suicide a Controlled Trial

Published online by Cambridge University Press:  02 January 2018

Paul M. Salkovskis ,
Chris Atha  and
David Storer
Paul M. Salkovskis*
Affiliation:
University of Oxford Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX
Chris Atha
Affiliation:
Department of Liaison Psychiatry, The General Infirmary at Leeds, Great George Street, Leeds
David Storer
Affiliation:
Department of Liaison Psychiatry, The General Infirmary at Leeds, Great George Street, Leeds
*
∗Correspondence
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Abstract

In a controlled trial, 20 patients at high risk of repeated suicide attempts were randomly allocated to either cognitive-behavioural problem solving or a ‘treatment-as-usual’ control condition. The group practising problem solving improved significantly more than controls on ratings of depression, hopelessness, suicidal ideation and target problems at the end of treatment and at follow-up of up to one year, and there was evidence of an effect on the rates of repetition over the six months after treatment.

Type
Papers
Information
The British Journal of Psychiatry , Volume 157 , Issue 6 , December 1990 , pp. 871 - 876
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Atha, C., Salkovskis, P. M. & Storer, D. (1989) Research in action: clinical implications for treatment in accident and emergency. Nursing Times, 85, 45–47.Google Scholar
Bancroft, J. (1986) Crisis intervention. In An Introduction to the Psychotherapies (2nd edn) (ed. S. Bloch). Oxford: Oxford University Press.Google Scholar
Beck, A. T., Ward, C. H., Mendelsohn, M., et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Beck, A. T., Schuyler, D. & Herman, I. (1974a) Development of suicide intent scales. In The Prediction of Suicide (eds A. T. Beck, H. L. P. Resnick & J. Lettieri). Bowie, Maryland: Charles Press.Google Scholar
Beck, A. T., Weissman, A., Lester, D., et al (1974b) The measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology, 42, 861–865.CrossRefGoogle ScholarPubMed
Beck, A. T., Kovacs, M. & Weissman, A. (1979) Assessment of suicidal intention: the scale for suicidal ideation. Journal of Consulting and Clinical Psychology, 47, 343–352.CrossRefGoogle Scholar
Beck, A. T., Steer, R. A., Kovacs, M., et al (1985) Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142, 559–563.Google ScholarPubMed
Buglass, D. & Horton, J. (1974) A scale for predicting subsequent suicidal behaviour. British Journal of Psychiatry, 124, 573–578.CrossRefGoogle ScholarPubMed
Chowdhury, N., Hicks, R. C. & Kreitman, N. (1973) Evaluation of an aftercare service for parasuicide (attempted suicide patients). Social Psychiatry, 8, 67–81.Google Scholar
Department of Health and Social Security (1984) The Management of Deliberate Self Harm (1HN [84] 25). London: HMSO.Google Scholar
Dixon, W. J., Brown, M. B., Engelman, L., et al (1983) BMDP Statistical Software. Berkeley: University of California Press.Google Scholar
Linehan, M. M., Camper, P., Chiles, J. A., et al (1987) Interpersonal problem solving and parasuicide. Cognitive Therapy and Research, 11, 1–12.Google Scholar
Gibbons, J. S., Butler, P., Urwin, P., et al (1978) Evaluation of a social work service for self-poisoning patients. British Journal of Psychiatry, 133, 111–118.CrossRefGoogle ScholarPubMed
Hawton, K. (1989) Controlled studies of psychosocial intervention following attempted suicide. In Current Research in Suicide and Parasuicide (eds N. Kreitman & S. D. Platt). Edinburgh: Edinburgh University Press.Google Scholar
Hawton, K., Bancroft, J., Catalan, J., et al (1981) Domiciliary and outpatient treatment of self-poisoning patients by medical and nonmedical staff. Psychological Medicine, 11, 169–177.CrossRefGoogle Scholar
Hawton, K., & Catalan, J. (1987) Attempted Suicide: A Practical Guide to its Nature and Management (2nd edn). Oxford: Oxford University Press.Google Scholar
Hawton, K., McKeown, S., Day, A., et al (1987) Evaluation of outpatient counselling compared with general practitioner care following overdoses. Psychological Medicine, 17, 751–761.Google Scholar
Hawton, K., & Kirk, J. W. (1989) Problem solving. In Cognitive-Behavioural Treatment of Adult Psychological Disorders: A Practical Guide (eds K. Hawton, P. M. Salkovskis, J. W. Kirk, et al). Oxford: Oxford University Press.Google Scholar
McNair, D. M. & Lorr, M. (1964) An analysis of mood states in neurotics. Journal of Abnormal and Social Psychology, 69, 620–627.CrossRefGoogle Scholar
Morgan, H. G. (1979) Death Wishes. Chicester: Wiley.Google Scholar
Mulhall, D. (1977) Personal Questionnaire Rapid Scaling Technique (manual). Windsor: National Foundation for Education Research.Google Scholar
Salkovskis, P. M., Atha, C. & Storer, D. (1989) Research in accident and emergency: starting to look at the problem. Nursing Times, 85, 50–52.Google Scholar
Schotte, D. E. & Clum, G. A. (1987) Problem solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55, 49–54.CrossRefGoogle ScholarPubMed
Teasdale, J. D., Fennell, M. J. V., Hibbert, G. A., et al (1984) Cognitive therapy for major depressive disorder in primary care. British Journal of Psychiatry, 144, 400–406.CrossRefGoogle ScholarPubMed
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