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Cited by 28Suicide and Self-Harm StudiesPsychotherapy Techniques and ApplicationsSubstance Abuse Treatment and Outcomes

Motivational interviewing to address suicidal ideation: A randomized controlled trial in veterans

Britton, Peter C., Conner, Kenneth R., Chapman, Benjamin P., Maisto, Stephen A.·2020·Suicide and Life-Threatening Behavior
DOI 10.1111/sltb.12581
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Abstract

Objective: Although the months following discharge from psychiatric hospitalization are a period of acute risk for veterans, there is a dearth of empirically supported treatments tailored to veterans in acute psychiatric hospitalization. Method: We conducted a randomized controlled trial to test the efficacy of Motivational Interviewing to Address Suicidal Ideation (MI‐SI) that explored and resolved ambivalence, and a revised MI‐SI (MI‐SI‐R) that resolved ambivalence, on suicidal ideation (SI) in hospitalized veterans who scored > 2 on the Scale for Suicidal Ideation. Participants were randomized to receive MI‐SI plus treatment as usual (TAU), MI‐SI‐R+TAU, or TAU alone. MI‐SI+TAU and MI‐SI‐R+TAU included two in‐hospital therapy sessions and one telephone booster session. Participants completed follow‐up assessments over 6 months. Results: Participants in all groups experienced reductions in the presence and severity of SI, but there were no significant differences among the groups. For the presence of SI, results were in the hypothesized direction for both MI‐SI+TAU conditions. Conclusions: Results are nondefinitive, but the effect size of both versions of MI‐SI+TAU on the presence of SI was consistent with prior MI findings. Exploratory analyses suggest MI‐SI‐R may be preferable to MI‐SI. More intensive MI‐SI‐R with a greater number of follow‐ups may increase its effectiveness.

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Crossref · 10.1111/sltb.12581

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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 [23]

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Authors
Britton, P. C., Conner, K. R., Chapman, B. P., & Maisto, S. A.
Affiliations
  • United States Department of Veterans Affairs (US)
  • University of Rochester Medicine (US)
  • Syracuse VA Medical Center (US)
Corresponding author
Britton, Peter C.
ORCID
Venue
Suicide and Life-Threatening Behavior
Publisher
Wiley
Published
2019-08-08
Volume
50
Issue
1
Pages
233-248
ISSN
  • 0363-0234 (ISSN-L)
  • 1943-278X
DOI
10.1111/sltb.12581
OpenAlex
W2966943698
Semantic Scholar
27c8d482bea05d9449b2929a63da9a6211fabe1d
Cited by
28
References
73
Citations by year
2026: 3 · 2025: 4 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 2 · 2013: 1
FWCI
2.92
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Suicide and Life-Threatening Behavior (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Department of Veterans Affairs (IK2CX000641)
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, suicidal ideation, veterans, psychiatric hospitalization, ambivalence, suicide prevention
MeSH terms
Suicide Prevention, Adult, Female, Humans, Male, Middle Aged, Suicide, Veterans, Treatment Outcome, Suicidal Ideation, Motivational Interviewing

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