Rabasco Ana, Wallace Gemma T, Andover Margaret
Department of Psychology, Fordham University, 441 East Fordham Rd., Bronx, NY 10458, USA.
Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, 345 Blackstone Blvd, Providence, RI 02906, USA.
Cognit Ther Res. 2025 Feb;49(1):155-168. doi: 10.1007/s10608-024-10516-7. Epub 2024 Jul 30.
Suicide is a significant public health concern; therefore, it is essential to develop interventions that effectively target suicidality and can be easily implemented with high-risk populations. This pilot randomized controlled trial investigated the feasibility and acceptability of a brief, daily, text-based mindfulness intervention (Mind-REST) targeting suicidality, as compared with a sham mindfulness control condition. A secondary aim was to examine potential differences in suicidal ideation within and between groups over the course of the study.
Participants included 82 adults with recent suicidal ideation or behaviors who completed 14 days of mindfulness or sham-mindfulness exercises, along with a daily diary survey each evening. Participants also completed a post-intervention survey and a one-month follow-up survey.
Mind-REST was shown to be feasible and acceptable, as evidenced by high study completion and intervention compliance rates (88% and 89%, respectively) and positive participant feedback. There were greater reductions in suicidal ideation severity for participants in the Mind-REST condition compared with the control condition across post-intervention and follow-up, but not on a daily level.
Mind-REST demonstrated feasibility, acceptability, and preliminary efficacy in reducing suicidal ideation; however, a larger trial is needed to fully examine the efficacy of the intervention.
自杀是一个重大的公共卫生问题；因此，开发能够有效针对自杀倾向且易于在高危人群中实施的干预措施至关重要。这项试点随机对照试验调查了一种简短的、基于文本的每日正念干预措施（Mind-REST）针对自杀倾向的可行性和可接受性，并与假正念对照条件进行了比较。次要目的是研究在研究过程中组内和组间自杀意念的潜在差异。
参与者包括82名近期有自杀意念或行为的成年人，他们完成了14天的正念或假正念练习，以及每天晚上的日记调查。参与者还完成了干预后调查和为期一个月的随访调查。
Mind-REST被证明是可行且可接受的，高研究完成率和干预依从率（分别为88%和89%）以及积极的参与者反馈证明了这一点。与对照条件相比，Mind-REST条件下的参与者在干预后和随访期间自杀意念严重程度的降低幅度更大，但在每日水平上没有差异。
Mind-REST在降低自杀意念方面显示出可行性、可接受性和初步疗效；然而，需要进行更大规模的试验来全面检验该干预措施的疗效。
