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Related Experiment Videos

Behavior therapy vs insight-oriented therapy for repeated suicide attempters

R P Liberman, T Eckman

    Archives of General Psychiatry
    |October 1, 1981
    PubMed
    Summary

    Behavior therapy significantly outperformed insight-oriented therapy for individuals with repeated suicide attempts. This approach, involving brief hospitalization and assertive follow-up, improved patient outcomes.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Behavioral Science

    Background:

    • Repeated suicide attempts represent a significant clinical challenge requiring effective therapeutic interventions.
    • Existing therapies may not adequately address the complex needs of individuals with recurrent suicidal behaviors.

    Purpose of the Study:

    • To compare the efficacy of a behavior therapy package against insight-oriented therapy for patients with a history of repeated suicide attempts.
    • To evaluate the long-term impact of these interventions on depression, anxiety, assertiveness, and suicidal ideation.

    Main Methods:

    • A clinical trial was conducted with individuals who had made repeated suicide attempts.
    • Participants received either a behavior therapy package or insight-oriented therapy during a ten-day inpatient stay.
    • Self-report measures (depression, anxiety, assertiveness) and clinical interviews (suicidal attempts, ideation) were administered pre-treatment, post-treatment, and during follow-up periods (9 months and 2 years).

    Main Results:

    • The behavior therapy package demonstrated superior outcomes compared to insight-oriented therapy.
    • Significant improvements were observed in depression, anxiety, and assertiveness levels in the behavior therapy group.
    • Reduced frequency of suicidal attempts and ideation was noted in patients receiving behavior therapy.

    Conclusions:

    • Behavior therapy, particularly when combined with structured, brief hospitalization and assertive follow-up, is an effective treatment for repeated suicide attempters.
    • This therapeutic approach offers a promising alternative for managing complex suicidal behaviors and improving patient well-being.

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