[An effective method of therapy in suicide prevention: problem solving training in the clinical population]

Abstract

Introduction: The low level of problem solving skills is among the main cognitive factors of suicide vulnerability. Problem solving training (PST), a short, structured form of therapy for in- and out-patients, was developed for the improvement of problem solving skills. The Hungarian adaptation and initial results of PST are presented in this pilot study.

Methods: Thirty-four participants between age 18 and 60 with previous suicide attempt, major or recurrent depression in their psychiatric history were assigned to out-patient PST groups. Training lasted for eight weeks, one session per week. Participant's level of depression, anxiety, hopelessness, coping styles and problem solving skills were assessed at the beginning and at the end of the training.

Results: Post PST assessments showed a significant decrease of level of depression and hopelessness (t=3,029, p<0,001 - t=2,291 p<0,05), an increase of problem analysing and goal orientation scores (p<0,05), while emotion centered coping scores indicated significant decrease (p<0,001).

Conclusions: Our results show that the PST can be an efficient, user friendly method in suicide prevention in out- and in-patients. For the more accurate assessment of the efficacy of PST control group studies, and the follow-up of the participants will be needed in the future.