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Updated: May 3, 2026

MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
[When Suicidal Thoughts Persist - Experiences of Outpatient Psychiatry and Psychotherapy Professionals with
Inken Höller1, Tobias Teismann2,3, Lena Spangenberg4
1Klinische Psychologie und Psychotherapie, Charlotte Fresenius Hochschule, Düsseldorf, Germany.
Abstract:
This study explored how outpatient mental health professionals experience and treat patients with persistent suicidal ideation (PSG).From Nov 2024 to Apr 2025, 207 professionals (M=39.5; 82.1% female) completed an online survey on prevalence, attitudes, and treatment strategies.86.5% had worked with PSG patients; estimated 12-month prevalence was 14.4%. Affective disorders (43%) were the most common diagnosis. Main interventions included crisis plans (68.1%) and skills training (55.1%). Risk assessments were routine for 77.8%; 43% reported hospital admissions due to increasing risk. Only 10.6% addressed the functionality of PSG in therapy.PSG is frequent in outpatient care but is rarely addressed in depth. Further training and research are needed.
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