Refining Suicide Prevention: a Narrative Review on Advances in Psychotherapeutic Tools

Curr Psychiatry Rep. 2018 Mar 8;20(2):14. doi: 10.1007/s11920-018-0876-0.

Abstract

Purpose of review: Since psychotherapies for suicide prevention are receiving increasing attention, our purpose was to evaluate the related literature [meta-analyses and reviews on their effect on suicidal outcomes (A), perspective reviews concerning specific socio-demographic and clinical features (B), original studies with particular interest (C)] published over the last 3 years.

Recent findings: (A) Across different diagnoses, particularly, efficacious psychotherapies were cognitive behavioral therapy-based ones and interventions directly addressing suicidal thoughts and behaviors during the treatment. When the focus was restricted to specific diagnoses, results were different: for example, in borderline patients, dialectical behavior therapy and psychodynamic psychotherapies were the only efficacious interventions. (B) Family therapies for adolescents and treatments for elderly depressed patients with disability/cognitive impairment should be further developed. (C) General long-term effects seem to be present, but specific interventions and treatment duration should be considered. Results indicated the presence of a number of promising interventions.

Keywords: Psychological treatment; Psychotherapy; Suicidal ideation; Suicide; Suicide attempt.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Borderline Personality Disorder / psychology
  • Cognitive Behavioral Therapy / methods
  • Cognitive Dysfunction / psychology
  • Dialectical Behavior Therapy / methods
  • Family Therapy
  • Humans
  • Psychotherapy / methods*
  • Psychotherapy, Psychodynamic / methods
  • Suicidal Ideation*
  • Suicide / psychology
  • Suicide Prevention*