Cited by 423Suicide and Self-Harm StudiesPersonality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Cognitive-Behavioral Therapy for Suicide Prevention (CBT-SP): Treatment Model, Feasibility, and Acceptability

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Stanley, Barbara, Brown, Gregory, Brent, David A., Wells, Karen, Poling, Kim, Curry, John, Kennard, Betsy D., Wagner, Ann, Cwik, Mary F., Klomek, Anat Brunstein, Goldstein, Tina, Vitiello, Benedetto, Barnett, Shannon, Daniel, Stephanie, Hughes, Jennifer·2009·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

Objective To describe the elements of a manual-based cognitive-behavioral therapy for suicide prevention (CBT-SP) and to report its feasibility in preventing the recurrence of suicidal behavior in adolescents who have recently attempted suicide.Method The CBT-SP was developed using a risk reduction and relapse prevention approach and theoretically grounded in principles of cognitive-behavioral therapy, dialectical behavioral therapy, and targeted therapies for suicidal youths with depression. The CBT-SP consists of acute and continuation phases, each lasting about 12 sessions, and includes a chain analysis of the suicidal event, safety plan development, skill building, psychoeducation, family intervention, and relapse prevention.Results The CBT-SP was administered to 110 recent suicide attempters with depression aged 13 to 19 years (mean 15.8 years, SD 1.6) across five academic sites. Twelve or more sessions were completed by 72.4% of the sample.Conclusions A specific intervention for adolescents at high risk for repeated suicide attempts has been developed and manual based, and further testing of its efficacy seems feasible.

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Authors
Stanley, B., Brown, G., Brent, D. A., Wells, K., Poling, K., Curry, J., Kennard, B. D., Wagner, A., Cwik, M. F., Klomek, A. B., Goldstein, T., Vitiello, B., Barnett, S., Daniel, S., & Hughes, J.
Affiliations
Johns Hopkins University (US)
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2009-10
Volume
48
Issue
10
Pages
1005-1013
ISSN
0890-8567 (ISSN-L)
OpenAlex
W1982466664
Cited by
423
References
31
Citations by year
2026: 24 · 2025: 27 · 2024: 34 · 2023: 32 · 2022: 44 · 2021: 55 · 2020: 25 · 2019: 24 · 2018: 23 · 2017: 18 · 2016: 22 · 2015: 23 · 2014: 21 · 2013: 9 · 2012: 17
FWCI
14.18
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (P20AA015630)
  • National Institute of Mental Health (MH66750, U10MH066762, U10MH066778, U10MH066750, MH66769, MH66762, MH66778, U10MH066775, U10MH066769, R01MH061017, MH66775)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
suicide prevention, cognitive behavioral therapy, adolescents, suicide attempters, depression, relapse prevention, risk mitigation, safety planning, dialectical behavior therapy, family intervention, treatment feasibility, acceptability, manual-based intervention
MeSH terms
Suicide Prevention, Adaptation, Psychological, Adolescent, Combined Modality Therapy, Depressive Disorder, Major, Major Depressive Disorder, Family Therapy, Feasibility Studies, Female, Humans, Interview, Psychological, Life Change Events, Male, Patient Acceptance of Health Care, Personality Inventory, Suicide, Suicide, Attempted, Cognitive Behavioral Therapy, Imagery, Psychotherapy, Dysthymic Disorder, Secondary Prevention

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