CHU Montpellier, Lapeyronie Hospital, Department of Emergency Psychiatry and Post Acute Care, CHRU Montpellier, Montpellier, France.
INSERM U1061, Neuropsychiatry, Epidemiological and Clinical Research, Montpellier, France.
Depress Anxiety. 2019 May;36(5):400-411. doi: 10.1002/da.22877. Epub 2019 Jan 18.
The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies.
We conducted a randomized controlled trial based on a 7-day add-on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between-group differences for mean change of current psychological pain, between the beginning and the end of the 7-day intervention. We measured between-group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7-day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion.
Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between-group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between-group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between-group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P < 10 ). Participants found the intervention to be more useful than the food diary.
Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.
自杀危机的管理仍然是临床医生面临的一个主要问题，这促使了新策略的发展。
我们进行了一项基于为期 7 天的附加积极心理学方案的随机对照试验：感恩日记（干预组）与食物日记（对照组）在因当前自杀意念或自杀未遂而住院的成年人中。主要疗效结局是两组之间当前心理痛苦的平均变化差异，即在 7 天干预开始和结束之间。我们测量了两组之间在纳入和完成 7 天干预后的自杀意念、绝望和乐观以及抑郁和焦虑的平均变化差异。我们比较了每日日记完成前后即刻的当前心理痛苦、自杀意念和绝望与乐观的平均变化。
共有 201 名参与者入组并随机分组。在治疗前和治疗后：自杀意念的严重程度和强度以及当前的绝望感没有显著的组间差异。当前心理痛苦的平均变化差异有趋势（P=0.05）。干预组的抑郁、焦虑和乐观的平均变化明显高于对照组。在每日日记完成前后即刻：与食物日记相比，感恩日记在所有结局（心理痛苦、自杀意念和绝望与乐观）上的组间差异更有利（P<10）。参与者认为干预比食物日记更有用。
通过感恩日记，似乎有一种非常简单的干预方法，可以作为自杀患者的辅助策略进行开发。
