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Cited by 79Suicide and Self-Harm StudiesPsychotherapy Techniques and ApplicationsMotivation and Self-Concept in Sports

Self‐determination theory, motivational interviewing, and the treatment of clients with acute suicidal ideation

Britton, Peter C., Williams, Geoffrey C., Conner, Kenneth R.·2008·Journal of Clinical Psychology
DOI 10.1002/jclp.20430
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Abstract

An overwhelming number of individuals who die by suicide suffer from mental disorders, but comparatively few are seen in psychological or psychiatric treatment. Given the efficacy of psychosocial interventions in decreasing suicide‐related behavior, the development of strategies to increase motivation for treatment is critical for clients with acute suicidal ideation. Self‐Determination Theory (SDT) provides a framework for understanding how the therapeutic relationship can affect clients' motivation for treatment. When working with clients with serious suicidal ideation, clinicians can use the principles of SDT or interventions that are congruent with SDT, such as motivational interviewing (MI), to increase clients' engagement in treatment and improve treatment outcome. SDT‐based suggestions and an adaptation of MI are introduced to guide clinicians through this process. © 2007 Wiley Periodicals, Inc. J Clin Psychol 64: 52–66, 2008

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  • When professionals provide responses that do not mesh with the service user's current understanding of relevant recovery tasks, these may be perceived as coercive or objectifying and thus motivate protective action rather than engagement.

    “when professionals take the initiative in providing responses (e.g., suggestions, interventions, or formulations) that do not mesh with the service user’s current understanding of relevant recovery tasks, these should be made in a spirit of dialogue instead of being prescriptive, lest they be perceived as coercive or objectifying and thus motivating protective action rather than engagement, cf [10”

    From Suicide attempt survivors’ recovery-related agency in the relational context of services: a qualitative analysis (2024) · cites this paper as [33]

  • Suicidal ambivalence offers a therapeutic starting point to motivate suicidal individuals to postpone a decision to die by suicide, to engage in treatment, to establish a different way of dealing with suicidal ideation, and to explore "suicide drivers" as well as resilience factors.

    “and offers a therapeutic starting point to motivate suicidal individuals to postpone a decision to die by suicide, to engage in treatment, to establish a different way of dealing with suicidal ideation (20, 23–25) and to explore “suicide drivers” (31) as well as resilience factors.”

    From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [24]

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Authors
Britton, P. C., Williams, G. C., & Conner, K. R.
Affiliations
University of Rochester Medicine (US)
Corresponding author
Britton, Peter C.
ORCID
Venue
Journal of Clinical Psychology
Publisher
Wiley
Published
2007-12-26
Volume
64
Issue
1
Pages
52-66
ISSN
  • 0021-9762 (ISSN-L)
  • 1097-4679
DOI
10.1002/jclp.20430
OpenAlex
W2099675729
Cited by
79
References
88
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 9 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 2 · 2017: 1 · 2016: 8 · 2015: 8 · 2014: 4 · 2013: 3 · 2012: 5
FWCI
3.64
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5t32mh020061-25)
  • National Institute of Mental Health (T32 MH20061, P20MH071897, T32-MH020061)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
Keywords
self-determination theory, motivational interviewing, suicidal ideation, treatment motivation, therapeutic relationship, customer engagement, suicide prevention, psychosocial interventions, medication adherence
MeSH terms
Suicide Prevention, Adult, Female, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Psychological Theory, Suicide, Personal Autonomy

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