TY  - JOUR
PY  - 2019//
TI  - Gratitude diary for the management of suicidal inpatients: a randomized controlled trial
JO  - Depression and anxiety
A1  - Ducasse, Deborah
A1  - Dassa, Déborah
A1  - Courtet, Philippe
A1  - Brand-Arpon, Véronique
A1  - Walter, Audrey
A1  - Guillaume, Sébastien
A1  - Jaussent, Isabelle
A1  - Olié, Emilie
SP  - 400
EP  - 411
VL  - 36
IS  - 5
N2  - BACKGROUND: The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies. <br><br>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. <br><br>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<sup>-3</sup> ). Participants found the intervention to be more useful than the food diary. <br><br>CONCLUSIONS: Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.<br><br>© 2019 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1091-4269
UR  - http://dx.doi.org/10.1002/da.22877
ID  - ref1
ER  -