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Motivational Interviewing to Address Suicidal Ideation: A Randomized Controlled Trial in Veterans
- Source :
- Suicidelife-threatening behaviorReferences. 50(1)
- Publication Year :
- 2018
-
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.
- Subjects :
- Adult
Male
Suicide Prevention
050103 clinical psychology
Evidence-based practice
Motivational interviewing
Treatment as usual
Poison control
Motivational Interviewing
Suicide prevention
law.invention
Suicidal Ideation
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine
Humans
0501 psychology and cognitive sciences
Suicidal ideation
Veterans
Acute risk
business.industry
05 social sciences
Public Health, Environmental and Occupational Health
Middle Aged
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Suicide
Treatment Outcome
Female
medicine.symptom
business
Clinical psychology
Subjects
Details
- ISSN :
- 1943278X
- Volume :
- 50
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Suicidelife-threatening behaviorReferences
- Accession number :
- edsair.doi.dedup.....6c12872de2ac15c3f946a850c1205dcb