Perceptions of Adjunctive Mindfulness-Based Cognitive Therapy to Prevent Suicidal Behavior Among High Suicide-Risk Outpatient Participants
Abstract
Abstract. Background: Few investigations of patient perceptions of suicide prevention interventions exist, limiting our understanding of the processes and components of treatment that may be engaging and effective for high suicide-risk patients. Aims: Building on promising quantitative data that showed that adjunct mindfulness-based cognitive therapy to prevent suicidal behavior (MBCT-S) reduced suicidal thinking and depression among high suicide-risk patients, we subjected MBCT-S to qualitative inspection by patient participants. Method: Data were provided by 15 patients who completed MBCT-S during a focus group and/or via a survey. Qualitative data were coded using thematic analysis. Themes were summarized using descriptive analysis. Results: Most patients viewed the intervention as acceptable and feasible. Patients attributed MBCT-S treatment engagement and clinical improvement to improved emotion regulation. A minority of patients indicated that factors related to the group treatment modality were helpful. A small percentage of patients found that aspects of the treatment increased emotional distress and triggered suicidal thinking. These experiences, however, were described as fleeting and were not linked to suicidal behavior. Limitations: The sample size was small. Conclusion: Information gathered from this study may assist in refining MBCT-S and treatments to prevent suicidal behavior among high suicide-risk patients generally.
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A modified version of MBCT aimed at reducing the recurrence of suicidal behavior (MBCT-S) decreased suicidal ideation and depression in high-risk individuals.
“A modified version of MBCT, aimed at reducing the recurrence of sui -cidal behavior (MBCT-S), was shown to decrease suicidal ideation and depression in high-risk individuals (Chesin et al., 2018 )”
From Mapping mindfulness in psychotherapy: a scoping review on conceptualization, applications, and research directions (2026) · cites this paper as Chesin et al., 2018
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Ma, S. H., & Teasdale, J. D. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.1.31 · Cited by 1,390 · see citing works
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009) · Psychological Bulletin · doi:10.1037/a0015616 · Cited by 1,292 · see citing works
Piet, J., & Hougaard, E. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.05.002 · Cited by 807 · see citing works
Treatment-resistant depressed patients show a good response to Mindfulness-based Cognitive Therapy
Kenny, M. A., & Williams, J. M. G. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.04.008 · Cited by 364 · see citing works
Treatment of suicidal people around the world
Bruffaerts, R., Demyttenaere, K., Hwang, I., Chiu, W.-T., Sampson, N., Kessler, R. C., Alonso, J., Borges, G., de Girolamo, G., de Graaf, R., et al. (2011) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.084129 · Cited by 338 · see citing works
Finucane, A., & Mercer, S. W. (2006) · BMC Psychiatry · doi:10.1186/1471-244x-6-14 · Cited by 308 · cited 2× · see citing works
“Similarly high rates of acceptability have been found in prior qualitative and quantitative studies of MBCT for depressed patients, including those studies that have included patients with suicidal ideation (e.g., Finucane & Mercer, 2006; Kenny & Williams, 2007).”
ResultThe neurodevelopmental origins of suicidal behavior
Turecki, G., Ernst, C., Jollant, F., Labonté, B., & Mechawar, N. (2012) · Trends in Neurosciences · doi:10.1016/j.tins.2011.11.008 · Cited by 299 · see citing works
A qualitative study of mindfulness‐based cognitive therapy for depression
Mason, O., & Hargreaves, I. (2001) · British Journal of Medical Psychology · doi:10.1348/000711201160911 · Cited by 242 · cited 1× · see citing works
“…prevention intervention (Le & Gobert, 2013) and remitted and currently depressed patients who participated in MBCT (e.g., Allen, Bromley, Kuyken, & Sonnenberg, 2009; Finucane & Mercer, 2006; Lilja, Broberg, Norlander, & Broberg, 2015; Mason & Hargreaves, 2001; Smith, Graham, & Senthinathan, 2007).”
Allen, M., Bromley, A., Kuyken, W., & Sonnenberg, S. J. (2009) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246580999004x · Cited by 160 · see citing works
Crane, C., & Williams, J. M. G. (2010) · Mindfulness · doi:10.1007/s12671-010-0003-8 · Cited by 123 · see citing works
Emotion regulation as mediator of treatment outcome in therapy for deliberate self‐harm
Slee, N., Spinhoven, P., Garnefski, N., & Arensman, E. (2008) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.577 · Cited by 118 · see citing works
Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., Bowden, M., & Wallond, J. (2012) · Mindfulness · doi:10.1007/s12671-011-0081-2 · Cited by 112 · see citing works
Wyatt, C., Harper, B., & Weatherhead, S. (2014) · Psychotherapy Research · doi:10.1080/10503307.2013.864788 · Cited by 74 · see citing works
Experience of mindfulness in people with bipolar disorder: A qualitative study
Chadwick, P., Kaur, H., Swelam, M., Ross, S., & Ellett, L. (2011) · Psychotherapy Research · doi:10.1080/10503307.2011.565487 · Cited by 67 · see citing works
Chesin, M. S., Stanley, B., Haigh, E. A. P., Chaudhury, S. R., Pontoski, K., Knox, K. L., & Brown, G. K. (2017) · Archives of Suicide Research · doi:10.1080/13811118.2016.1164642 · Cited by 50 · see citing works
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Coping strategies that reduce suicidal ideation: an ecological momentary assessment study
Stanley, B., Martínez-Alés, G., Gratch, I., Rizk, M., Galfalvy, H., Choo, T.-H., & Mann, J. J. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.12.012 · Cited by 65 · see citing works
Self-citationThe Adverse Effects of Meditation-Interventions and Mind–Body Practices: a Systematic Review
Taylor, G. B., Vasquez, T. S., Kastrinos, A., Fisher, C. L., Puig, A., & Bylund, C. L. (2022) · Mindfulness · doi:10.1007/s12671-022-01915-6 · Cited by 40 · see citing works
Williams, K., Hartley, S., Langer, S., Manandhar‐Richardson, M., Sinha, M., & Taylor, P. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2773 · Cited by 13 · see citing works
R., M., A., C., Q., Y., M., J., C., N., & K., M. (2026) · Current Psychology · doi:10.1007/s12144-025-08767-y
- Authors
- Chesin, M. S., Brodsky, B. S., Beeler, B., Benjamin-Phillips, C. A., Taghavi, I., & Stanley, B.
- Affiliations
- William Paterson University (US)
- New York State Psychiatric Institute (US)
- New York State Psychiatric Institute, New York, NY, USA
- Venue
- Crisis
- Publisher
- Hogrefe Publishing Group
- Published
- 2018-11
- Volume
- 39
- Issue
- 6
- Pages
- 451-460
- ISSN
- 0227-5910 (ISSN-L)
- 2151-2396
- OpenAlex
- W2806960758
- Cited by
- 19
- References
- 16
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2022: 7 · 2021: 4 · 2020: 1 · 2019: 1
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Crisis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- mindfulness-based cognitive therapy, suicide prevention, patient perspectives, treatment acceptability, treatment engagement, emotion regulation, group therapy, suicidal ideation, depression, outpatient care
- MeSH terms
- Suicide Prevention, Adult, Ambulatory Care, Attitude to Health, Depression, Feasibility Studies, Female, Humans, Male, Middle Aged, Outpatients, Patient Acceptance of Health Care, Patient Participation, Suicide, Suicide, Attempted, Cognitive Behavioral Therapy, Qualitative Research, Suicidal Ideation, Mindfulness
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