Using Mindfulness-Based Cognitive Therapy to Prevent Suicide among High Suicide Risk Patients who also Misuse
Megan S Chesin1, Chintan Dave2,3, Catherine Myers3,4
1Department of Psychology, William Paterson University.
Abstract:
Knowledge of how to effectively prevent suicide attempt (SA) in high suicide risk patients who also misuse opioids is limited. In a subset of data from 36 participants with baseline opioid misuse in a randomized clinical trial testing adjunctive Mindfulness-Based Cognitive Therapy to prevent suicide among high suicide risk Veterans (n=18 per treatment condition), MBCT-S reduced the likelihood of SA and acute psychiatric hospitalization over 12-months follow-up. Those in MBCT-S had a relative risk of 17% and 42% for SA and hospitalization (p=.09, .02), respectively, compared to those receiving enhanced treatment as usual (eTAU) alone. Rates of opioid misuse during follow-up were more than halved with the addition of MBCT-S to eTAU (p=.08). Meanwhile, among trial participants who did not misuse opioids (n=104), RRs of 64% and 77% for SA and hospitalization (p=.28, .33), respectively, were found with MBCT-S compared to eTAU. An MBCT-S trial with greater power is warranted in this population.
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