Mindfulness in the Treatment of Suicidal Individuals
Open accessAbstract
Suicidal behavior is exhibited by a diverse population of individuals and spans many diagnostic categories. In order to develop effective prevention and treatment programs, it is important to identify transdiagnostic processes that impact the many pathways to suicidality, are amenable to intervention, and affect clinical outcomes when modified. A growing body of data suggests that experiential avoidance, or the tendency to escape or avoid unwanted psychological experiences, even when such efforts cause harm, may represent one such universal process. This article reviews theory and evidence that support mindfulness and psychological acceptance as a means to target experiential avoidance in suicidal clients and thereby reduce the risk of suicide. The article also provides two case examples of the application of mindfulness to suicidality and discusses how mindfulness may help clinicians in managing the stress associated with treating suicidal clients.
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Control experiments and case studies have shown that ACT can reduce individual NSSI behavior.
“Control experiments and case studies have shown that ACT can indeed reduce individual NSSI behavior (Luoma & Villatte, 2012; Tighe et al., 2017).”
From Relationship among self-injury, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self-injury (2021) · cites this paper as Luoma & Villatte, 2012
The Anne case section describes ACT treatment for a client who engaged in cutting and burning, and reports that her self-harming behavior greatly diminished. It does not identify that behavior specifically as nonsuicidal self-injury (NSSI). The controlled-treatment evidence described in “How Mindfulness Might Mitigate Suicidal Behavior” concerns DBT, not ACT, so this source does not support the claim about controlled ACT experiments. (LLM, conf=0.88)
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- Authors
- Luoma, J. B., & Villatte, J. L.
- Affiliations
- University of Nevada, Reno (US)
- Corresponding author
- Luoma, Jason B.
- Venue
- Cognitive and Behavioral Practice
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 19
- Issue
- 2
- Pages
- 265-276
- ISSN
- 1077-7229 (ISSN-L)
- PMC
- PMC3383812
- OpenAlex
- W2059342210
- Cited by
- 105
- References
- 72
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 12 · 2023: 6 · 2022: 6 · 2021: 10 · 2020: 9 · 2019: 7 · 2018: 9 · 2017: 8 · 2016: 10 · 2015: 7 · 2014: 5 · 2013: 2 · 2012: 1
- FWCI
- 3.11
- 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 Institute of Mental Health (F31MH096341)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- mindfulness, suicidality, suicidal behavior, experiential avoidance, psychological acceptance, transdiagnostic mechanisms, suicide prevention, suicide risk reduction, clinician stress, case examples
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