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Behavior Therapy vs Insight-Oriented Therapy for Repeated Suicide Attempters

Behavior Therapy vs Insight-Oriented Therapy for Repeated Suicide Attempters Abstract • A behavior therapy package was compared with insightoriented therapy in a clinical trial for repeated suicide attempters. Self-report measures of depression, anxiety, and assertiveness were obtained before and after ten days of inpatient treatment and at follow-up intervals for nine months. Interviews with patients during a two-year follow-up period elicited frequency of suicidal attempts and ideation. Results indicated the superiority of the behavior therapy package, with the structured, brief hospitalization and assertive follow-up likely contributing to the main effects. References 1. Weissman MM: The epidemiology of suicide attempts, 1960 to 1971 . Arch Gen Psychiatry 1974;30:737-746.Crossref 2. Farmer RDT: The relationship between suicide and parasuicide , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 19-37. 3. Shneidman ES, Farberow NL, Litman RE: The Psychology of Suicide . New York, Science House Inc, 1970. 4. Bridge TP, Zung WWK, Potkin SG, et al: Suicide prevention centers . J Nerv Ment Dis 1977;164-18-24.Crossref 5. Jennings C, Barraclough BM: The effectiveness of the Samaritans in the prevention of suicide , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 194-202. 6. Gibbons JS: Management of self-poisoning: Social work intervention , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 237-245. 7. Resnick HLP, Dizmang LH: Observations on suicidal behavior among American Indians . Am J Psychiatry 1971;128:58-63. 8. Frederick DJ, Resnik HLP: How suicidal behaviors are learned . Am J Psychother 1971;25:37-55. 9. Bostock T, Williams CL: Attempted suicide as an operant behavior . Arch Gen Psychiatry 1974;31:482-486.Crossref 10. Tuckman J, Youngman WF, Leifer B: Suicide and family disorganization . Int J Soc Psychiatry 1966;12:187-191.Crossref 11. Fawcett J, Leff M, Bunney WE Jr: Suicide: Clues from interpersonal communication . Arch Gen Psychiatry 1969;21:129-137.Crossref 12. Kass DJ, Silvers FM, Abroms GM: Behavioral group treatment of hysteria . Arch Gen Psychiatry 1972;26:42-50.Crossref 13. Lawson D, Mitchell R: Patients with acute poisoning seen in a general medical unit . Br Med J 1972;4:153-156.Crossref 14. Kreitman N: Parasuicide . New York, John Wiley & Sons Inc, 1977. 15. Liberman RP, King L, DeRisi W, et al: Personal Effectiveness: Guiding People to Assert Themselves and Improve Their Social Skills . Champaign, Ill, Research Press, 1975. 16. Suinn RM, Richardson F: Anxiety management training: A nonspecific behavior therapy program for anxiety control . Behav Ther 1971;2:498-510.Crossref 17. Weathers L, Liberman RP: The family contracting exercise . J Behav Ther Exp Psychiatry 1975;6:208-214.Crossref 18. Zung WWK: A self-rating depression scale . Arch Gen Psychiatry 1965;12:63-70.Crossref 19. Beck AT: Depression: Clinical, Experimental and Theoretical Aspects . New York, Paul B. Hoeber Inc, 1967. 20. Wolpe J: Principles and Practice of Behavior Therapy . New York, Pergamon Press, 1969. 21. Cautela J, Wisocki P: The use of the reinforcement survey schedule in behavior modification , in Rubin R (ed): Advances in Behavior Therapy . New York, Academic Press Inc, 1971, pp 29-36. 22. Hawton K: Domiciliary and outpatient treatment following deliberate self-poisoning , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 246-258. 23. Welu TC: A follow-up program for suicide attempters: Evaluation of effectiveness . Suicide Life Threat Behav 1977;1:17-30. 24. Liberman RP: Behavior therapy in psychiatry , in Brady JP, Brodie HK (eds): Controversy in Psychiatry . Philadelphia, WB Saunders Co, 1978, pp 429-467. 25. Murphy GE, Wetzel RD, Swallow CS, et al: Who calls the Suicide Prevention Center: A study of 55 persons calling on their own behalf . Psychiatry 1969;126:62-72. 26. Farmer RDT: The differences between those who repeat and those who do not , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 187-193. 27. Paykel ES, Hallowell C, Dressler DM, et al: Treatment of suicide attempters: A descriptive study . Arch Gen Psychiatry 1974;31:487-491.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Behavior Therapy vs Insight-Oriented Therapy for Repeated Suicide Attempters

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References (28)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1981.01780350060007
Publisher site
See Article on Publisher Site

Abstract

Abstract • A behavior therapy package was compared with insightoriented therapy in a clinical trial for repeated suicide attempters. Self-report measures of depression, anxiety, and assertiveness were obtained before and after ten days of inpatient treatment and at follow-up intervals for nine months. Interviews with patients during a two-year follow-up period elicited frequency of suicidal attempts and ideation. Results indicated the superiority of the behavior therapy package, with the structured, brief hospitalization and assertive follow-up likely contributing to the main effects. References 1. Weissman MM: The epidemiology of suicide attempts, 1960 to 1971 . Arch Gen Psychiatry 1974;30:737-746.Crossref 2. Farmer RDT: The relationship between suicide and parasuicide , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 19-37. 3. Shneidman ES, Farberow NL, Litman RE: The Psychology of Suicide . New York, Science House Inc, 1970. 4. Bridge TP, Zung WWK, Potkin SG, et al: Suicide prevention centers . J Nerv Ment Dis 1977;164-18-24.Crossref 5. Jennings C, Barraclough BM: The effectiveness of the Samaritans in the prevention of suicide , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 194-202. 6. Gibbons JS: Management of self-poisoning: Social work intervention , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 237-245. 7. Resnick HLP, Dizmang LH: Observations on suicidal behavior among American Indians . Am J Psychiatry 1971;128:58-63. 8. Frederick DJ, Resnik HLP: How suicidal behaviors are learned . Am J Psychother 1971;25:37-55. 9. Bostock T, Williams CL: Attempted suicide as an operant behavior . Arch Gen Psychiatry 1974;31:482-486.Crossref 10. Tuckman J, Youngman WF, Leifer B: Suicide and family disorganization . Int J Soc Psychiatry 1966;12:187-191.Crossref 11. Fawcett J, Leff M, Bunney WE Jr: Suicide: Clues from interpersonal communication . Arch Gen Psychiatry 1969;21:129-137.Crossref 12. Kass DJ, Silvers FM, Abroms GM: Behavioral group treatment of hysteria . Arch Gen Psychiatry 1972;26:42-50.Crossref 13. Lawson D, Mitchell R: Patients with acute poisoning seen in a general medical unit . Br Med J 1972;4:153-156.Crossref 14. Kreitman N: Parasuicide . New York, John Wiley & Sons Inc, 1977. 15. Liberman RP, King L, DeRisi W, et al: Personal Effectiveness: Guiding People to Assert Themselves and Improve Their Social Skills . Champaign, Ill, Research Press, 1975. 16. Suinn RM, Richardson F: Anxiety management training: A nonspecific behavior therapy program for anxiety control . Behav Ther 1971;2:498-510.Crossref 17. Weathers L, Liberman RP: The family contracting exercise . J Behav Ther Exp Psychiatry 1975;6:208-214.Crossref 18. Zung WWK: A self-rating depression scale . Arch Gen Psychiatry 1965;12:63-70.Crossref 19. Beck AT: Depression: Clinical, Experimental and Theoretical Aspects . New York, Paul B. Hoeber Inc, 1967. 20. Wolpe J: Principles and Practice of Behavior Therapy . New York, Pergamon Press, 1969. 21. Cautela J, Wisocki P: The use of the reinforcement survey schedule in behavior modification , in Rubin R (ed): Advances in Behavior Therapy . New York, Academic Press Inc, 1971, pp 29-36. 22. Hawton K: Domiciliary and outpatient treatment following deliberate self-poisoning , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 246-258. 23. Welu TC: A follow-up program for suicide attempters: Evaluation of effectiveness . Suicide Life Threat Behav 1977;1:17-30. 24. Liberman RP: Behavior therapy in psychiatry , in Brady JP, Brodie HK (eds): Controversy in Psychiatry . Philadelphia, WB Saunders Co, 1978, pp 429-467. 25. Murphy GE, Wetzel RD, Swallow CS, et al: Who calls the Suicide Prevention Center: A study of 55 persons calling on their own behalf . Psychiatry 1969;126:62-72. 26. Farmer RDT: The differences between those who repeat and those who do not , in Farmer RDT, Hirsch S (eds): The Suicide Syndrome . London, Croom Helm Ltd, 1980, pp 187-193. 27. Paykel ES, Hallowell C, Dressler DM, et al: Treatment of suicide attempters: A descriptive study . Arch Gen Psychiatry 1974;31:487-491.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Oct 1, 1981

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