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DOI: 10.1055/a-1748-5635
Psychotherapie suizidaler Patienten
Psychotherapy of suicidal patients
ZUSAMMENFASSUNG
Der Psychotherapie suizidaler Patienten kommt unter den individuumszentrierten Ansätzen zur Suizidprävention besondere Bedeutung bei. Als effektiv erwiesen haben sich vor allem die kognitive Verhaltenstherapie (KVT) und die dialektisch-behaviorale Therapie (DBT). Vor diesem Hintergrund werden in diesem CME-Beitrag zentrale Interventionen zur Risikoabschätzung und Krisenintervention, zur Aufarbeitung suizidfördernder Faktoren und zur Rückfallprävention praxisnah dargestellt.
ABSTRACT
Psychotherapy of suicidal patients is of particular importance among the individual-centered approaches to suicide prevention. Cognitive-behavioral therapy (CBT) and dialectical-behavioral therapy (DBT) have proven to have significant effects. Against this background, this CME article presents key interventions for risk assessment and crisis intervention, for addressing suicide-promoting factors, and for relapse prevention in a practical manner.
Schlüsselwörter
Suizidalität - Krisenintervention - kognitive Verhaltenstherapie - RückfallpräventionPublication History
Article published online:
04 April 2022
© 2022. Thieme. All rights reserved.
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Literatur
- 1 Gibb SJ, Beautrais AL, Fergusson DM. Mortality and further suicidal behaviour after an index suicide attempt: A 10-year study.. Aust N Z J Psychiatry 2005; 39: 95-100
- 2 BÄK, KBV, AWMF Nationale VersorgungsLeitlinie Unipolare Depression 2022 www.awmf.org/leitlinien/detail/ll/nvl-005.html
- 3 Teismann T, Gysin-Maillart A. Psychotherapie nach einem Suizidversuch – Evidenzlage und Bewertung.. Bundesgesundheitsbl 2022; 65: 40-46
- 4 Witt KG, Hetrick SE, Rajaram G. et al Psychosocial interventions for self-harm in adults.. Cochrane Database Syst Rev 2021: CD013668
- 5 Meerwijk EL, Parekh A, Oquendo MA. et al Direct and indirect psychosocial and behavioral interventions to prevent suicide and suicide attempt: a systematic review and meta-analysis.. Lancet Psychiat 2016; 03: 544-554
- 6 Bryan CJ, Rudd MD. Brief cognitive-behavioral therapy for suicide prevention.. New York: Guilford Press; 2018
- 7 Wenzel A, Brown G, Beck AT. Cognitive therapy for suicidal patients: scientific and clinical applications.. Washington, DC: APA; 2009
- 8 DeCou CR, Schumann ME. On the iatrogenic risk of assessing suicidality: a meta-analysis.. Suicide Life-Threat 2018; 48: 531-543
- 9 Hom M A, Albury EA, Gomez MM. et al Suicide attempt survivors’ experiences with mental health care services: A mixed methods study.. Prof Psychol 2020; 51: 172-183
- 10 Jobes DA. Suizidalität im Fokus.. Köln: Psychiatrie-Verlag; 2021
- 11 Forkmann T, Teismann T, Glaesmer H. Diagnostik von Suizidalität.. Göttingen: Hogrefe; 2016
- 12 Gysin-Maillart A. Kurztherapie nach Suizidversuch. ASSIP.. Göttingen: Hogrefe; 2021
- 13 Linehan M. Dialektisch-Behaviorale Therapie der Borderline-Persönlichkeitsstörung.. München: CIP-Medien; 1996
- 14 Harris KM, McLean JP, Sheffield J. et al The internal suicide debate hypothesis: exploring the life versus death struggle.. Suicide Life-Threat 2010; 40: 181-192
- 15 Britton P, Patrick H, Wenzel A. et al Integrating motivational interviewing and self-determination theory with cognitive behavioral therapy to prevent suicide.. Cogn Behav Prac 2011; 18: 16-27
- 16 Denneson LM, Smolenski DJ, Bauer BW. et al The mediating role of coping self-efficacy in hope box use and suicidal ideation severity.. Arch Suicide Res 2019; 23: 234-246
- 17 Teismann T, Glasow N. Means Restriction: Suizidprävention durch Zugangsbeschränkung. In Teismann T, Forkmann T, Glaesmer H, Hrsg. Suizidales Erleben und Verhalten. Ein Handbuch.. Köln: Psychiatrie-Verlag; 2021: 212-233
- 18 Bryan CJ, Stone SL, Rudd MD. A practical, evidence-based approach for means-restriction counseling with suicidal patients.. Prof Psychol 2011; 42: 339-346
- 19 Stanley B, Brown G. Safety planning intervention: a brief intervention to mitigate suicide risk.. Cogn Behav Prac 2011; 19: 256-264
- 20 Nuij C, van Ballegooijen W, de Beurs D. et al Safety planning type interventions for suicide prevention: meta-analysis.. Br J Psychiaty 2021
- 21 Teismann T, Friedrich S. Therapie-Tools: Suizidalität und Krisenintervention.. Weinheim: Beltz; 2022
- 22 Freedenthal S. Helping the suicidal person.. London: Taylor & Francis; 2017
- 23 Brown GK, TenHave T, Henriques G. et al Cognitive therapy for the prevention of suicide attempts. a randomized controlled trial.. JAMA 2005; 294: 563-570
- 24 Rudd MD, Bryan CJ, Wertenberger EG. et al Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow up.. Am J Psychiatry 2015; 172: 441-449
- 25 Ghahramanlou-Holloway M, LaCroix JM, Perera KU. et al Inpatient psychiatric care following a suicide-related hospitalization: A pilot trial of Post-Admission Cognitive Therapy in a military medical center.. Gen Hosp Psychiatry 2020; 63: 46-53
- 26 Sinyor M, Williams M, Mitchell R. et al Cognitive behavioral therapy for suicide prevention in youth admitted to hospital following an episode of self-harm: A pilot randomized controlled trial.. J Affect Disord 2020; 266: 686-694
- 27 Teismann T, Büscher R, Sander L. Go-Online-Studienmanual: Blended-Care KVT für suizidale Patient:innen.. Unveröffentlichtes Behandlungsmanual, Ruhr-Universität Bochum 2021
- 28 Bryan CJ. Rethinking suicide.. New York: Oxford University Press; 2021