Therapeutic mechanisms of suicidal ideation: the influence of changes in automatic thoughts and immature defenses |
| |
Authors: | Coleman Daniel Casey John T |
| |
Affiliation: | Portland State University, Portland, OR 97207, USA. dcoleman@pdx.edu |
| |
Abstract: | The treatment processes associated with reduced suicidal ideation have received little research attention. This study evaluates the influence on suicidal ideation of theory-based intrapsychic processes: maladaptive cognition and defensive style. Thirty-three community mental health patients completed questionnaires at two time points. Decreases in automatic thoughts were a strong correlate of decreased suicidal ideation, and decreases in immature defenses were a moderate strength correlate. These relationships remained significant even when controlling for initial level of depression. The theorized mechanisms of cognitive-behavioral and psychodynamic therapy had the expected effects on suicidal ideation. The strong association of decreased maladaptive cognitions with decreased suicidal ideation supports further development of cognitive-behavioral suicide interventions and clinical use of cognitive interventions. Psychodynamic processes in suicidal ideation and behavior warrant further exploration. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|