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Citation |
Janackovski A, Deane FP, Hains A. Clin. Psychol. Psychother. 2020; ePub(ePub): ePub. |
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Copyright |
(Copyright © 2020, John Wiley and Sons) |
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DOI |
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PMID |
33283882 |
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Abstract |
The study explored psychologists' experiences in delivering short-term psychotherapy for suicidal adolescents and sought to clarify how these experiences fit with empirically supported interventions and the interpersonal psychological theory of suicide. Semi-structured interviews were conducted with 12 psychologists' who provided short-term psychotherapy in a suicide prevention program for youth (12-25-years-old). Interview transcripts were analysed using interpretative phenomenological analysis. Three superordinate themes were identified: (i) understanding the experience and context of the suicidality, and the importance of a formulation based approach to engagement and individualised treatment planning; (ii) involve broad support systems, and in particular families, to help the young person reduce feelings of burdensomeness and increase safety, connectedness, and belonging; and (iii) improve affect regulation and reflective functioning, important for the young person, but also for the support system to maximise the positive impact of supports via emotional co-regulation and effective problem-solving. Interventions and approaches as well as the potential underlying processes of change being targeted are discussed in light of these findings. As an example, the development of a suicide safety plan was an intervention that traversed these themes. When used as a process tool, it helped foster a collaborative, formulation, dimensional, and biopsychosocial approach to treating psychopathology and suicidality and extended beyond the therapist-client dyad. Moreover, treatment needed to be extended beyond the therapist-client dyad to allow therapists to facilitate a systemic treatment response, as this was seen as a major component of interventions for suicidal youth. Language: en |
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Keywords |
Family; Suicide; Youth; Psychotherapy; Burdensomeness; Connectedness |