Psychological treatment of suicidal behaviors

Résumé

To date, there have been only 46 randomized, controlled trials (RCTs) of treatments designed specifically to target suicidal behaviors. Of these trials, only a fraction of them have been shown to effectively reduce these target behaviors. Additionally, the RCTs are further limited by several significant methodological flaws, including the lack of consistent operational definitions, small sample sizes, and exclusion of high-risk individuals. This chapter discusses these limitations and the ways in which they impact the Interpretation of specific RCTs evaluating interventions for suicidal behaviors. The different Interventions that have been evaluated are organized based on their central components (e.g.. inpatient treatment, pharmacotherapy, caring letters) and the strengths, weaknesses, and results of each trial are discussed. Finally, overall recommendations are provided for both researchers in the field of treatment development and evaluation and for providers who are seeking effective strategies to deal with suicidal behaviors in treatment. (PsycINFO Database Record (c) 2014 APA, all rights reserved) TRAITEMENT PSYCHOTHÉRAPIE THÉRAPIE INTERVENTION QUALITÉ-SOIN PHARMACOTHÉRAPIE HOSPITALISATION PATIENT-PSYCHIATRIQUE SUIVI THÉRAPIE-BRÈVE RÉSOLUTION-PROBLÈME THÉRAPIE-COMPORTEMENTALE-DIALECTIQUE