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Citation
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Ducasse D, Dassa D, Courtet P, Brand-Arpon V, Walter A, Guillaume S, Jaussent I, Olié E. Depress. Anxiety 2019; 36(5): 400-411. |
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Affiliation
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INSERM U1061, Neuropsychiatry, Epidemiological and Clinical Research, Montpellier, France. |
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Abstract
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BACKGROUND: The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies.
METHODS: We conducted a randomized controlled trial based on a 7-day add-on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between-group differences for mean change of current psychological pain, between the beginning and the end of the 7-day intervention. We measured between-group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7-day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion.
RESULTS: Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between-group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between-group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between-group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P < 10-3 ). Participants found the intervention to be more useful than the food diary.
CONCLUSIONS: Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.
© 2019 Wiley Periodicals, Inc.
Language: en |