Department of Psychology, Florida State University.
Didi Hirsch Mental Health Services.
Psychol Serv. 2018 Aug;15(3):289-297. doi: 10.1037/ser0000195.
Suicide attempt survivors represent a high-risk group for death by suicide; however, few empirically supported, tailored interventions exist for this population. One intervention format that may be useful in reducing suicide risk among suicide attempt survivors is support groups co-led by a clinician and peer survivor. This study aimed to evaluate changes in suicidal symptoms and resilience appraisals following attempt survivors' participation in the Survivors of Suicide Attempts (SOSA) support group. A sample of 92 suicide attempt survivors was recruited to participate in the 8-week SOSA support group. Individuals completed self-report measures of suicidal symptoms (i.e., suicidal ideation, hopelessness, suicidal desire, and suicidal intent) and resilience appraisals immediately prior to and following participation in the SOSA program. Paired t tests were utilized to examine pre-post symptom changes. Participants in this study reported significant reductions in suicidal ideation, hopelessness, suicidal desire, and suicidal intent after completing the SOSA program. Additionally, individuals reported significant increases in resilience appraisals following SOSA group participation. Of note, individuals engaged in concurrent mental health treatment did not demonstrate significantly greater reductions in suicidal symptoms than those not engaged in concurrent treatment, highlighting the potential utility of the SOSA intervention. Findings suggest that the SOSA support group model may be useful in therapeutically impacting suicidal symptoms and increasing resilience among suicide attempt survivors. However, to establish SOSA's efficacy, further research is warranted to replicate these findings utilizing a randomized controlled trial design to compare outcomes from the SOSA support group to treatment as usual. (PsycINFO Database Record
自杀未遂幸存者是自杀死亡的高风险群体;然而,针对这一人群,几乎没有经过实证支持的、量身定制的干预措施。一种可能对降低自杀未遂幸存者自杀风险有用的干预形式是由临床医生和同行幸存者共同领导的支持小组。本研究旨在评估自杀未遂幸存者参加“自杀未遂幸存者支持小组”(SOSA)后自杀症状和韧性评估的变化。招募了 92 名自杀未遂幸存者参加为期 8 周的 SOSA 支持小组。个体在参加 SOSA 项目之前和之后立即完成了自杀症状(即自杀意念、绝望、自杀欲望和自杀意图)和韧性评估的自我报告测量。采用配对 t 检验来检验症状的前后变化。参与这项研究的人报告说,在完成 SOSA 项目后,自杀意念、绝望、自杀欲望和自杀意图显著减少。此外,个体在参加 SOSA 小组后报告了韧性评估的显著增加。值得注意的是,与未接受同期治疗的个体相比,同时接受心理健康治疗的个体在自杀症状方面并没有显著更大的减少,这突出了 SOSA 干预的潜在效用。研究结果表明,SOSA 支持小组模式可能有助于治疗性地影响自杀未遂幸存者的自杀症状和增强他们的韧性。然而,为了确立 SOSA 的疗效,需要进一步的研究,使用随机对照试验设计来比较 SOSA 支持小组与常规治疗的结果。