Integrating motivational interviewing and self-determination theory with cognitive behavioral therapy to prevent suicide
Open accessAbstract
Cognitive Behavioral Therapy (CBT) has been found to be effective in preventing suicide-related behavior. However, it is often difficult to engage patients who are at-risk in treatment. Motivational Interviewing (MI) has been shown to increase treatment engagement and improve treatment outcomes when it is used to complement other treatments. As a general theory of human motivation that is consistent with MI, Self-Determination Theory (SDT) provides a framework for understanding how MI may be added to CBT to increase treatment engagement and effectiveness. In this paper, we use SDT to explain how MI may complement CBT to reduce suicide-related behavior, provide a case example of using MI with a suicidal patient before CBT-based treatment, and explore future directions for research.
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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 [20]
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Self-citation
- Authors
- Britton, P. C., Patrick, H., Wenzel, A., & Williams, G. C.
- Affiliations
- University of Rochester Medicine (US)
- University of Pennsylvania (US)
- Corresponding author
- Britton, Peter C.
- Venue
- Cognitive and Behavioral Practice
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 18
- Issue
- 1
- Pages
- 16-27
- ISSN
- 1077-7229 (ISSN-L)
- PMC
- PMC5070475
- OpenAlex
- W1964530419
- Cited by
- 111
- References
- 56
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 10 · 2023: 6 · 2022: 11 · 2021: 4 · 2020: 10 · 2019: 8 · 2018: 6 · 2017: 2 · 2016: 6 · 2015: 6 · 2014: 11 · 2013: 4 · 2012: 8
- FWCI
- 5.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cognitive and Behavioral Practice (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (VA999999)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- motivational interviewing, self-determination theory, cognitive behavioral therapy, suicide prevention, treatment engagement, suicidal behavior, patient motivation, integrative psychotherapy
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