Cognitive Behavioral Therapy Reduces Suicidal Ideation in Schizophrenia: Results from a Randomized Controlled Trial
Open accessAbstract
Patients with schizophrenia are at high risk of suicide. Cognitive behavior therapy (CBT) has been shown to reduce symptoms in schizophrenia. This study examines whether CBT also changes the level of suicidal ideation in patients with schizophrenia compared to a control group. Ninety ambulatory patients with symptoms of schizophrenia resistant to conventional antipsychotic medication were randomized to CBT or befriending. They were assessed using the Comprehensive Psychopathological Rating Scale, including a rating of suicidal ideation at baseline, post intervention, and after 9 months. Post‐hoc analysis revealed that CBT provided significant reductions in suicidal ideation at the end of therapy, and sustained at the follow‐up. Further research is required to substantiate these findings and determine the process and mechanisms through which this reduction is achieved.
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CBT as an intervention for suicidality has some evidence for efficacy from randomized controlled trials.
“The use of CBT as an intervention for suicidality has been tested in a number of randomized controlled trials (RCTs), with some evidence for its efficacy [6-8].”
From Efficacy of acceptance and commitment therapy in reducing suicidal ideation and deliberate self-harm: Systematic review (2018) · cites this paper as [6]
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- Authors
- Bateman, K., Hansen, L., Turkington, D., & Kingdon, D.
- Affiliations
- Newcastle University (GB)
- University of Southampton (GB)
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2007-06
- Volume
- 37
- Issue
- 3
- Pages
- 284-290
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2095452830
- Cited by
- 59
- References
- 28
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 6 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- cognitive behavioral therapy, suicidal ideation, schizophrenia, suicide risk, treatment-resistant schizophrenia, antipsychotic drugs, Comprehensive Psychopathological Rating Scale, sustained treatment effects
- MeSH terms
- Humans, Schizophrenia, Suicide, Attempted, Cognitive Behavioral Therapy, Diagnostic and Statistical Manual of Mental Disorders
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