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Randomized Controlled Trial
. 2017 Mar 1;14(3):243.
doi: 10.3390/ijerph14030243.

A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide

Konrad Michel  1 , Ladislav Valach  2 , Anja Gysin-Maillart  3
Affiliations
Randomized Controlled Trial

A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide

Konrad Michel et al. Int J Environ Res Public Health. .

Abstract

This paper presents a model of suicidal behaviour based on suicide as a goal-directed action, and its implications. An action theoretical model has guided the authors in the development of a brief therapy for individuals who attempt suicide (ASSIP-Attempted Suicide Short Intervention Program). Key elements are an early therapeutic alliance, narrative interviewing, psychoeducation, a joint case conceptualization, safety planning, and regular letters over 24 months. In a randomized controlled trial, ASSIP was highly effective in reducing the risk of suicide reattempts. The therapeutic elements in this treatment are described and possible implications for future directions in clinical suicide prevention discussed.

Keywords: action theory; attempted suicide; narrative interview; psychotherapy; suicide; suicide prevention.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The treatment model of ASSIP, illustrating that safety strategies can switch off the suicidal mode at various stages in the development of the suicidal mode.
See this image and copyright information in PMC

References

    1. Maris R. Pathways to Suicide: A Survey of Self-Destructive Behaviors. The Johns Hopkins University Press; Baltimore, MD, USA: 1981.
    1. Durkheim E. Le suicide: Etude de Sociologie (Suicide: A Sociological Study) Félix Alcan; Paris, France: 1897.
    1. Mann J.J., McBride P.A., Brown R.P., Linnoila M., Leon A.C., DeMeo M., Mieczkowski T., Myers J.E., Stanley M. Relationship between central and peripheral serotonin indexes in depressed and suicidal psychiatric inpatients. Arch. Gen. Psychiatry. 1992;49:442–446. - PubMed
    1. Rihmer Z. Suicide risk in mood disorders. Curr. Opin. Psychiatry. 2007;20:17–22. doi: 10.1097/YCO.0b013e3280106868. - DOI - PubMed
    1. Borges G., Nock M.K., Haro Abad J.M., Hwang I., Sampson N.A., Alonso J., Andrade L.H., Angermeyer M.C., Beautrais A., Bromet E., et al. Twelve-month prevalence of and risk factors for suicide attempts in the world health organization world mental health surveys. J. Clin. Psychiatry. 2010;71:1617–1628. doi: 10.4088/JCP.08m04967blu. - DOI - PMC - PubMed

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