Client-reported impact of the Attempted Suicide Short Intervention Program
Open accessAbstract
Background A history of attempted suicide is the most significant predictor of suicidal death. Several brief interventions aimed at tertiary suicide prevention have been investigated in clinical trials. However, suicide attempt survivors’ experiences of such interventions have rarely been reported.Objective To explore how suicide attempt survivors perceive the impact of the Attempted Suicide Short Intervention Program (ASSIP).Method We interviewed 14 Finnish adults who had received ASSIP as an adjunct to treatment as usual. Semi-structured interviews took place 4–10 weeks after the last ASSIP session. A conventional content analysis of the interview data is presented.Results Three core categories depicting ASSIP’s perceived impact were identified. The core category life-affirming change comprised subcategories of feeling better, thinking differently, acting differently, and having new resources. The core category collateral effects comprised difficult feelings and cognitive overload. The core category incompleteness of change comprised lack of desired change, gains as incomplete, need for sustenance, and unrealized potential.Conclusion Clients perceived ASSIP as effectively facilitating life-affirming change but agreed that further support was necessary to retain and build on these gains. Identified needs for improvement included more predictable post-ASSIP service paths and more support for involving affected loved ones.
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Structure-providing interventions (e.g., ASSIP's program and tasks; professionals' direct questions) were often explicitly cited as making recovery-related action possible.
“In turn, structure-providing interventions (e.g., ASSIP’s program and tasks; professionals’ direct questions) were often explicitly cited as making recovery-related action possible [30].”
From Suicide attempt survivors’ recovery-related agency in the relational context of services: a qualitative analysis (2024) · cites this paper as [30]
Participants often critiqued services for not providing enough support for recovery tasks pertaining to needs of relatedness.
“Second, participants often critiqued services for not providing enough support for recovery tasks pertaining to needs of relatedness [29, 30].”
From Suicide attempt survivors’ recovery-related agency in the relational context of services: a qualitative analysis (2024) · cites this paper as [30]
The provision of new perspectives and unexpected resources was perceived by service users as a valued aspect of helping efforts.
“On the contrary, the provision of new perspectives and unexpected resources was perceived by service users as a valued aspect of helping efforts [30].”
From Suicide attempt survivors’ recovery-related agency in the relational context of services: a qualitative analysis (2024) · cites this paper as [30]
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Cites
Three Approaches to Qualitative Content Analysis
Hsieh, H.-F., & Shannon, S. E. (2005) · Qualitative Health Research · doi:10.1177/1049732305276687 · Cited by 44,601 · see citing works
The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work
Wampold, B. E. (2015) · doi:10.4324/9780203582015 · Cited by 1,773 · see citing works
Cognitive Therapy for the Prevention of Suicide Attempts: A Randomized Controlled Trial
Brown, G. K., Ten Have, T., Henriques, G. R., Xie, S. X., Hollander, J. E., & Beck, A. T. (2005) · JAMA · doi:10.1001/jama.294.5.563 · Cited by 1,045 · see citing works
Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew
Bostwick, J. M., Pabbati, C., Geske, J. R., & McKean, A. J. (2016) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2016.15070854 · Cited by 759 · see citing works
Stanley, B., Brown, G. K., Brenner, L. A., Galfalvy, H. C., Currier, G. W., Knox, K. L., Chaudhury, S. R., Bush, A. L., & Green, K. L. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.1776 · Cited by 648 · see citing works
(2006) · Cited by 392 · see citing works
Rudd, M. D., Bryan, C. J., Wertenberger, E. G., Peterson, A. L., Young-McCaughan, S., Mintz, J., Williams, S. R., Arne, K. A., Breitbach, J., Delano, K., et al. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14070843 · Cited by 384 · see citing works
Gysin-Maillart, A., Schwab, S., Soravia, L., Megert, M., & Michel, K. (2016) · PLOS Medicine · doi:10.1371/journal.pmed.1001968 · Cited by 293 · cited 3× · see citing works
“Gysin-Maillart et al. (2016) originally compared ASSIP as an add-on to TAU to TAU alone.”
BackgroundJobes, D. A. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00119.x · Cited by 264 · see citing works
Treatment engagement: a neglected aspect in the psychiatric care of suicidal patients.
Lizardi, D., & Stanley, B. (2010) · Psychiatric Services · doi:10.1176/ps.2010.61.12.1183 · Cited by 161 · see citing works
Reasons for Living versus Reasons for Dying: Examining the Internal Debate of Suicide
Jobes, D. A., & Mann, R. E. (1999) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1999.tb01048.x · Cited by 117 · see citing works
Lived experience peer support programs for suicide prevention: a systematic scoping review
Schlichthorst, M., Ozols, I., Reifels, L., & Morgan, A. J. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00396-1 · Cited by 114 · see citing works
Effectiveness of brief psychological interventions for suicidal presentations: a systematic review
McCabe, R., Garside, R., Backhouse, A., & Xanthopoulou, P. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1663-5 · Cited by 102 · see citing works
Discovering the Truth in Attempted Suicide
Michel, K., Maltsberger, J. T., Jobes, D. A., Leenaars, A. A., Orbach, I., Stadler, K., Dey, P., Young, R. A., & Valach, L. (2002) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2002.56.3.424 · Cited by 93 · see citing works
ASSIP – Attempted Suicide Short Intervention Program: A Manual for Clinicians
Michel, K., & Gysin-Maillart, A. (2015) · Hogrefe Publishing eBooks · doi:10.1027/00476-000 · Cited by 72 · see citing works
A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide
Michel, K., Valach, L., & Gysin-Maillart, A. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14030243 · Cited by 70 · see citing works
Qualitative Research: Evaluating the Process and the Product
Stiles, W. B. (2003) · doi:10.1002/0470013389.ch24 · Cited by 59 · see citing works
Owens, C. V., Fox, F. E., Redwood, S., Davies, R., Foote, L., Salisbury, N., Williams, S., Biddle, L., & Thomas, K. H. (2020) · BJPsych Open · doi:10.1192/bjo.2019.93 · Cited by 53 · see citing works
Reasons for Attempted Suicide in Europe: Prevalence, Associated Factors, and Risk of Repetition
Burón, P., Jiménez-Treviño, L., Sáiz, P. A., García‐Portilla, M. P., Corcoran, P. E., Carli, V., Fekete, S., Hadlaczky, G., Hegerl, U., Michel, K., et al. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2015.1004481 · Cited by 52 · see citing works
Jobes, D. A., & Chalker, S. A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193606 · Cited by 52 · see citing works
Reasons for living and dying in suicide attempters: a two-year prospective study
Brüdern, J., Stähli, A., Gysin-Maillart, A., Michel, K., Reisch, T., Jobes, D. A., & Brodbeck, J. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1814-8 · Cited by 48 · see citing works
Kim, S. H., Kim, H., Oh, S. H., & Cha, K. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00378-3 · Cited by 46 · see citing works
Treatment For Suicidal Thoughts and Behavior: A Review of Family‐Based Interventions
Frey, L. M., & Hunt, Q. A. (2018) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12234 · Cited by 39 · cited 1× · see citing works
“However, interventions or practices targeting existing meaningful relationships (e.g., the family) in a suicidal adult ’ s life are largely absent in the tertiary prevention literature (Frey & Hunt, 2018).”
BackgroundPsychotherapeutic interventions for the prevention of suicide re-attempts: a systematic review
Sobanski, T., Josfeld, S., Peikert, G., & Wagner, G. (2021) · Psychological Medicine · doi:10.1017/s0033291721003081 · Cited by 37 · see citing works
Park, A., Gysin-Maillart, A., Müller, T., Exadaktylos, A. K., & Michel, K. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.3680 · Cited by 35 · see citing works
Suicide Ideation Is Related to Therapeutic Alliance in a Brief Therapy for Attempted Suicide
Gysin-Maillart, A., Soravia, L. M., Gemperli, A., & Michel, K. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1162242 · Cited by 33 · see citing works
Gysin-Maillart, A., Soravia, L. M., & Schwab, S. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.059 · Cited by 29 · see citing works
Conner, K. R., Kearns, J. C., Esposito, E. C., Pizzarello, E., Wiegand, T. J., Britton, P. C., Michel, K., Gysin-Maillart, A., & Goldston, D. B. (2021) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2021.07.002 · Cited by 27 · see citing works
Treatment received and treatment adequacy of depressive disorders among young adults in Finland
Kasteenpohja, T., MARTTUNEN, M. J., Aalto‐Setälä, T., Perälä, J., Saarni, S. I., & Suvisaari, J. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0427-8 · Cited by 24 · see citing works
Ring, M., & Gysin-Maillart, A. (2020) · Crisis · doi:10.1027/0227-5910/a000644 · Cited by 20 · see citing works
Qin, P., Stanley, B., Melle, I. S., & Mehlum, L. I. (2022) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2022.1124 · Cited by 18 · see citing works
Arvilommi, P., Valkonen, J., Lindholm, L. H., Gaily-Luoma, S., Suominen, K. H., Ruishalme, O., Kukkonen, M., Sihvola, H., & Isometsä, E. T. (2022) · Psychotherapy and Psychosomatics · doi:10.1159/000521072 · Cited by 17 · see citing works
Self-citationGysin-Maillart, A., Jansen, R., Walther, S., Jobes, D. A., Brodbeck, J., & Marmet, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.865831 · Cited by 17 · see citing works
Gaily-Luoma, S., Valkonen, J., Holma, J., & Laitila, A. (2022) · International Journal of Mental Health Systems · doi:10.1186/s13033-022-00563-6 · Cited by 12 · see citing works
Self-citationArvilommi, P., Valkonen, J., Lindholm, L. H., Gaily-Luoma, S., Suominen, K. H., Gysin-Maillart, A., Ruishalme, O., & Isometsä, E. T. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2022.2151957 · Cited by 8 · see citing works
Self-citationLatakienė, J., Mastauskaitė, G., Geležėlytė, O., Mažulytė-Rašytinė, E., Rimkevičienė, J., Skruibis, P., Michel, K., & Gysin-Maillart, A. (2019) · Illness Crisis & Loss · doi:10.1177/1054137319854656 · Cited by 4 · see citing works
Why Do People Live or Die? A Retrospective Study from a Crisis Intervention Clinic in North India
Beniwal, R. P., Shrivastava, M. K., Gupta, V., Sharma, V., Sharma, S., Kumari, S., Triptish Bhatia, A., & Deshpande, S. N. (2021) · Indian Journal of Psychological Medicine · doi:10.1177/02537176211022508 · Cited by 4 · see citing works
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Research works printed but not linked: 1
- Valach, L., Michel, K., & Young, R. A. (2018). Self-reports of cor- rective experiences by suicide attempters in a video self-con- frontation. Journal of Psychiatry Studies, 1(1), 9.
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Gaily-Luoma, S., Valkonen, J., Holma, J., & Laitila, A. (2024) · BMC Public Health · doi:10.1186/s12889-024-20459-z · Cited by 2 · see citing works
“On the contrary, the pro-vision of new perspectives and unexpected resources was perceived by service users as a valued aspect of helping efforts [30].”
BackgroundInfluentialSelf-citationYaghoobi, H., Choobforoushzadeh, A., Fathi, M., & Michel, K. (2026) · Discover Mental Health · doi:10.1007/s44192-026-00406-7 · Cited by 1 · see citing works
Zhu, X.-X., Hu, L.-Y., Jin, M.-Y., & Tung, T. (2026) · Annals of Medicine · doi:10.1080/07853890.2026.2624214
- Authors
- Gaily-Luoma, S., Valkonen, J., Holma, J., & Laitila, A.
- Affiliations
- University of Jyväskylä (FI)
- MIELI Suomen mielenterveys ry (FI)
- Corresponding author
- Gaily-Luoma, Selma
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2023-10-05
- Volume
- 34
- Issue
- 6
- Pages
- 722-735
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W4387380635
- Cited by
- 3
- References
- 37
- Citations by year
- 2026: 2 · 2024: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- hybrid
- dx.doi.org
- Licence
- Locations
- Psychotherapy Research (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Jyväskylä University Digital Archive (University of Jyväskylä) (acceptedVersion, other-oa)
- Jyväskylä University Digital Archive (University of Jyväskylä) (submittedVersion, cc-by)
- Funders
- Emil Aaltonen Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- suicide attempt survivors, brief intervention, consumer perception, collateral effects, cognitive overload, service pathways
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Cognition, Crisis Intervention, Emotions, Female, Finland, Humans, Interview, Psychological, Male, Middle Aged, Patients, Psychotherapy, Brief, Suicide, Attempted, Program Evaluation, Treatment Outcome, Qualitative Research, Young Adult, Self Report
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