Pratt Daniel, Gooding Patricia, Awenat Yvonne, Eccles Steve, Tarrier Nicholas
School of Psychological Sciences, University of Manchester, UK.
Manchester Mental Health and Social Care NHS Trust, UK.
Cogn Behav Pract. 2016 Nov;23(4):485-501. doi: 10.1016/j.cbpra.2015.09.006. Epub 2015 Oct 21.
Suicide is a serious public health problem but a problem that is preventable. This complex and challenging problem is particularly prevalent amongst prisoners; associated with a five-fold increase in risk compared to the general community. Being in prison can lead people to experience fear, distrust, lack of control, isolation, and shame, which is often experienced as overwhelming and intolerable with some choosing suicide as a way to escape. Few effective psychological interventions exist to prevent suicide although cognitive behaviour therapies appear to offer some promise. Offering cognitive behaviour suicide prevention (CBSP) therapy to high risk prisoners may help to reduce the likelihood of preventable self-inflicted deaths. In this paper we present three cases drawn from a randomised controlled trial designed to investigate the feasibility of CBSP for male prisoners. Implications of the current findings for future research and clinical practice are considered.
自杀是一个严重的公共卫生问题，但也是一个可预防的问题。这个复杂且具有挑战性的问题在囚犯中尤为普遍，与普通人群相比，自杀风险增加了五倍。身处监狱会导致人们感到恐惧、不信任、缺乏掌控感、孤立和羞耻，这些感受往往令人难以承受，有些人便选择自杀来逃避。虽然认知行为疗法似乎有一定前景，但几乎没有有效的心理干预措施来预防自杀。为高危囚犯提供认知行为自杀预防（CBSP）疗法可能有助于降低可预防的自杀死亡可能性。在本文中，我们呈现了三个案例，这些案例来自一项随机对照试验，该试验旨在研究CBSP对男性囚犯的可行性。同时也考虑了当前研究结果对未来研究和临床实践的启示。
