TY  - JOUR
PY  - 2016//
TI  - An exploratory randomised trial of a simple, brief psychological intervention to reduce subsequent suicidal ideation and behaviour in patients admitted to hospital for self-harm
JO  - British journal of psychiatry
A1  - Armitage, Christopher J.
A1  - Abdul Rahim, Wirda
A1  - Rowe, Richard
A1  - O'Connor, Rory C.
SP  - 470
EP  - 476
VL  - 208
IS  - 5
N2  - BackgroundImplementation intentions link triggers for self-harm with coping skills and appear to create an automatic tendency to invoke coping responses when faced with a triggering situation.AimsTo test the effectiveness of implementation intentions in reducing suicidal ideation and behaviour in a high-risk group.<br><br>METHODTwo hundred and twenty-six patients who had self-harmed were randomised to: (a) forming implementation intentions with a 'volitional help sheet'; (b) self-generating implementation intentions without help; or (c) thinking about triggers and coping, but not forming implementation intentions. We measured self-reported suicidal ideation and behaviour, threats of suicide and likelihood of future suicide attempt at baseline and then again at the 3-month follow-up.<br><br>RESULTSAll suicide-related outcome measures were significantly lower at follow-up among patients forming implementation intentions compared with those in the control condition (ds>0.35). The volitional help sheet resulted in fewer suicide threats (d = 0.59) and lowered the likelihood of future suicide attempts (d = 0.29) compared with patients who self-generated implementation intentions.<br><br>CONCLUSIONSImplementation intention-based interventions, particularly when supported by a volitional help sheet, show promise in reducing future suicidal ideation and behaviour.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.114.162495
ID  - ref1
ER  -