Manjula Munivenkatappa, Reddi Venkata Senthil Kumar
Dept. of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Dept. of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Indian J Psychol Med. 2025 Feb 14:02537176251315390. doi: 10.1177/02537176251315390.
Suicidal thoughts and behaviors (STBs) are a major concern in India, but there is limited research on effective interventions. Cognitive Therapy for Suicidal Patients (CT-SP) has shown promise, but its implementation in India needs further investigation.
This study adopts a transdiagnostic approach to suicidality, recognizing the strong link between various mental health conditions and STBs. The study aims to use an evidence-based intervention for acute suicidal risk and understand its outcomes in the Indian context using systematic implementation. The blended delivery format of the intervention (both in-person and online) further enhances its relevance for diverse clinical settings.
The study aims to assess the effectiveness of a brief CT-SP intervention in reducing the severity of suicidal ideation and behaviors. Secondary objectives include evaluating changes in emotional regulation, cognitive flexibility, hopelessness, depression, anxiety, problem-solving skills, frequency of dysfunctional cognitions, and overall functioning.
The study will use an open-label, single-group design with baseline, post-intervention, and follow-up assessments at one, three, and six months. Patients with recent suicidal ideation or behaviors will be recruited across diagnoses. The intervention consists of a ten-session CT-SP protocol delivered in a blended format over five weeks.
The study would contribute to the empirical understanding of suicide risk management in clinical settings and inform the development of culturally relevant interventions specific to the Indian context.
自杀念头和行为（STB）是印度的一个主要问题，但关于有效干预措施的研究有限。自杀患者认知疗法（CT-SP）已显示出前景，但其在印度的实施需要进一步研究。
本研究采用跨诊断方法处理自杀问题，认识到各种心理健康状况与自杀念头和行为之间的紧密联系。该研究旨在采用基于证据的干预措施来应对急性自杀风险，并通过系统实施了解其在印度背景下的效果。干预措施的混合交付形式（面对面和在线）进一步增强了其在不同临床环境中的相关性。
该研究旨在评估简短的CT-SP干预措施在降低自杀意念和行为严重程度方面的有效性。次要目标包括评估情绪调节、认知灵活性、绝望感、抑郁、焦虑、解决问题的能力、功能失调认知的频率以及整体功能的变化。
该研究将采用开放标签、单组设计，在基线、干预后以及1个月、3个月和6个月进行随访评估。将招募近期有自杀意念或行为的患者，涵盖各种诊断。干预措施包括一个为期十节的CT-SP方案，以混合形式在五周内实施。
该研究将有助于在临床环境中对自杀风险管理进行实证理解，并为制定针对印度背景的文化相关干预措施提供信息。
