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Motivational Interviewing and the Transtheoretical Model of Change: Under-Explored Resources for Suicide Intervention

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Abstract

Motivational interviewing (MI) is a robust evidence-based intervention that has been used to evoke intrinsic motivation to change behaviors. MI as an intervention focuses on facilitating movement through the stages of the transtheoretical model of change. A study by Coombs et al. (Substance abuse treatment and the stages of change: Selecting and planning interventions, Guilford Press, New York, 2001) demonstrated that suicidal individuals move through such stages toward suicidal behavior, yet research and applications of MI for suicide have been minimal. In hopes of generating increased exploration of MI for suicidality, this article reviews the theoretical rationale and existing empirical research on applications of MI with suicidal individuals. Potential uses of MI in suicide risk assessment/crisis intervention, as well as an adjunct to longer-term treatment, are discussed.

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References

  • Berman, A. L., & Silverman, M. M. (2014). Suicide risk assessment and risk formulation part II: Suicide risk formulation and the determination of levels of risk. Suicide and Life-Threatening Behavior, 44, 432–443. doi:10.1111/sltb.12067.

    Article  PubMed  Google Scholar 

  • Britton, P. C., & Bryan, C. J. (2014). Motivational interviewing for means restriction counseling with patients at risk for suicide. Cognitive and Behavioral Practice,. doi:10.1016/j.cbpra.2014.09.004. (advance online publication).

    Google Scholar 

  • Britton, P. C., Conner, K. R., & Maisto, S. A. (2012). An open trial of motivational interviewing to address suicidal ideation with hospitalized veterans. Journal of Clinical Psychology, 68(9), 961–971. doi:10.1002/jclp.21885.

    Article  PubMed  Google Scholar 

  • Britton, P. C., Patrick, H., & Williams, G. C. (2011). Integrating motivational interviewing and self-determination theory with cognitive behavioral therapy to prevent suicide. Cognitive and Behavioral Practice, 18, 16–27. doi:10.1016/j.cbpra.2009.06.004.

    Article  Google Scholar 

  • Britton, P. C., Williams, G. C., & Conner, K. R. (2008). Self-determination theory, motivational interviewing, and the treatment of clients with acute suicidal ideation. Journal of Clinical Psychology, 64(1), 52–66. doi:10.1002/jclp.20430.

    Article  PubMed  Google Scholar 

  • Burke, B. L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, 843–861. doi:10.1037/0022-006X.71.5.843.

    Article  PubMed  Google Scholar 

  • Case Western Reserve University Center for Evidence-Based Practice. (2010). Readiness ruler. Retrieved from http://www.centerforebp.case.edu/resources/tools/readiness-ruler.

  • Connors, G. J., Donovan, D. M., & DiClemente, C. C. (2001). Substance abuse treatment and the stages of change: Selecting and planning interventions. New York: Guilford Press.

    Google Scholar 

  • Coombs, D. W., Fish, L., Grimley, D., Chess, E., Ryan, W., Leeper, J., & Miller, H. (2001). The transtheoretical model of change applied to developing suicidal behavior. OMEGA, 44(4), 345–359. doi:10.2190/HG14-V1MX-3LW7-OGF3.

    Google Scholar 

  • Copeland, L., McNamara, R., Kelson, M., & Simpson, S. (2015). Mechanisms of change within motivational interviewing in relation to health behaviors outcomes: A systematic review. Patient Education and Counseling, 98, 401–411. doi:10.1016/j.pec.2014.11.022.

    Article  PubMed  Google Scholar 

  • Corcoran, J. (2002). The transtheoretical stages of change model and motivational interviewing for building maternal supportiveness in cases of sexual abuse. Journal of Child Sexual Abuse, 11, 1–17. doi:10.1300/J070v11n03:01.

    Article  PubMed  Google Scholar 

  • Cushing, C. C., Jensen, C. D., Miller, M. B., & Leffingwell, T. R. (2014). Meta-analysis of motivational interviewing for adolescent health behavior: Efficacy beyond substance use. Journal of Consulting and Clinical Psychology, 82, 1212–1218. doi:10.1037/a0036912.

    Article  PubMed  Google Scholar 

  • DiClemente, C. C., & Velasquez, M. M. (2002). Motivational interviewing and the stages of change. In W. R. Miller & S. Rollnick (Eds.), Motivational interviewing: Preparing people for change (2nd ed., pp. 201–216). New York: The Guilford Press.

    Google Scholar 

  • Gayes, L. A., & Steele, R. G. (2014). A meta-analysis of motivational interviewing interventions for pediatric health behavior change. Journal of Consulting and Clinical Psychology, 82, 521–535. doi:10.1037/a0035917.

    Article  PubMed  Google Scholar 

  • Henriksson, M. M., Aro, H. M., Marttunen, M. J., Heikkinen, M. E., Isometsa, E. T., Kuoppasalmi, K. I., & Lonnqvist, J. K. (1993). Mental disorders and comorbidity in suicide. American Journal of Psychiatry, 150, 935.

    Article  CAS  PubMed  Google Scholar 

  • Hettema, J., Steele, J., & Miller, W. R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111. doi:10.1146/annurev.clinpsy.1.102803.143833.

    Article  PubMed  Google Scholar 

  • Higgins, J. (2014). Integrated services and suicide prevention training: A case study of one community mental health agency. Professional Case Management, 19, 137–142. doi:10.1097/NCM.0000000000000002.

    Article  PubMed  Google Scholar 

  • Hoyer, D. (2014). Addressing suicide risk in emergency department patients. JAMA, 312, 297–298. doi:10.1001/jama.2014.8165.

    Article  PubMed  Google Scholar 

  • Huh, D., Mun, E.-Y., Larimer, M. E., White, H. R., Ray, A. E., Rhew, I. C., et al. (2015). Brief motivational interventions for college student drinking may not be as powerful as we think: An individual participant-level data meta-analysis. Alcoholism: Clinical and Experimental Research, 39, 919–931. doi:10.1111/acer.12714.

    Article  Google Scholar 

  • Janis, I. L., & Mann, L. (1968). A conflict-theory approach to attitude change and decision making. In A. Greenwald, T. Brook, & T. Ostrom (Eds.), Psychological foundation of attitudes (pp. 327–360). New York: Academic Press.

    Chapter  Google Scholar 

  • Janis, I. L., & Mann, L. (1977). Decision making: A psychological analysis of conflict, choice and commitment. New York: Free Press.

    Google Scholar 

  • King, C. A., Eisenberg, D., Zheng, K., Czyz, E., Kramerm, A., Horwitz, A., & Chermack, S. (2015). Online suicide risk screening and intervention with college students: A pilot randomized controlled trial. Journal of Consulting and Clinical Psychology, 81, 630–636. doi:10.1037/a0038805.

    Article  Google Scholar 

  • Kohler, S., & Hofmann, A. (2015). Can motivational interviewing in emergency care reduce alcohol consumption in young people? A systematic review and meta-analysis. Alcohol and Alcoholism,. doi:10.1098/alcalc/agu098. (advance online publication).

    PubMed  Google Scholar 

  • Kress, V. E., & Hoffman, R. M. (2008). Non-suicidal self-injury and motivational interviewing: Enhancing readiness to change. Journal of Mental Health Counseling, 30, 311–329. doi:10.17744/mehc.30.4.n2136170r5732u6h.

    Article  Google Scholar 

  • Lundahl, B., Moleni, T., Burke, B. L., Butters, B., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 93, 157–168. doi:10.1016/j.pec.2013.07.012.

    Article  PubMed  Google Scholar 

  • Magill, M., Gaume, J., Apodaca, T. R., Walthers, J., Masstroleo, N. R., Borsari, B., & Longabaugh, R. (2014). The technical hypothesis of motivational interviewing: A meta-analysis of MI’s key causal model. Journal of Consulting and Clinical Psychology, 82, 973–983. doi:10.1037/a0036833.

    Article  PubMed  PubMed Central  Google Scholar 

  • McCambridge, J., & Rollnick, S. (2013). Should brief interventions in primary care address alcohol problems more strongly? Addiction, 109, 1054–1058. doi:10.1111/add.12388.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior (1st ed.). New York: The Guilford Press.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York: The Guilford Press.

    Google Scholar 

  • Miller, W. R., & Rollnick, S. (2014). The effectiveness and ineffectiveness of complex behavioral interventions: Impact of treatment fidelity. Contemporary Clinical Trials, 37, 234–241. doi:10.1016/j.cct.2014.01.005.

    Article  PubMed  Google Scholar 

  • Miller, W. R., & Rose, G. S. (2015). Motivational interviewing and decisional balance: Contrasting responses to client ambivalence. Behavioural and Cognitive Psychotherapy, 43, 129–141. doi:10.1017/S1352465813000878.

    Article  PubMed  Google Scholar 

  • Moyers, T. B., Martin, J. K., Houck, J. M., Christopher, P. J., & Tonigan, J. S. (2009). From in-session behaviors to drinking outcomes: A causal chain for motivational interviewing. Journal of Consulting and Clinical Psychology, 77(6), 1113–1124. doi:10.1037/a0017189.

    Article  PubMed  PubMed Central  Google Scholar 

  • O’Halloran, P. D., Blackstock, F., Shields, N., Hollandm, A., Iles, R., Kingsley, M., et al. (2014). Motivational interviewing to increase physical activity in people with chronic health conditions: A systematic review and meta-analysis. Clinical Rehabilitation, 28, 1159–1171. doi:10.1177/0269215514536210.

    Article  PubMed  Google Scholar 

  • Olfson, M., Marcus, S. C., & Bridge, J. A. (2014a). Focusing suicide prevention on periods of high risk. JAMA, 311, 1107–1108. doi:10.1001/jama.2014.8165.

    Article  CAS  PubMed  Google Scholar 

  • Olfson, M., Marcus, S. C., & Bridge, J. A. (2014b). In reply. JAMA, 312, 298. doi:10.1001/jama.2014.8165.

    Article  CAS  PubMed  Google Scholar 

  • Prochaska, J. O. (1999). How do people change and how can we change to help many more people? In M. A. Hubble, B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 227–255). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1992). The transtheoretical approach. In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration. NY: Basic Books.

    Google Scholar 

  • Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102–1114.

    Article  CAS  PubMed  Google Scholar 

  • Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., et al. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13(1), 39–46. doi:10.1037//0278-6133.13.1.39.

    Article  CAS  PubMed  Google Scholar 

  • Riper, H., Andersson, G., Hunter, S. B., de Wit, J., Berkingm, M., & Cuijpers, P. (2013). Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: A meta-analysis. Addiction, 109, 394–406. doi:10.1111/add.12441.

    Article  Google Scholar 

  • Rollnick, S., Heather, N., & Bell, A. (1992). Negotiating behavior change in medical settings: The development of brief motivational interviewing. Journal of Mental Health, 1, 25-37. doi:10.3109/09638239209034509.

    Article  Google Scholar 

  • Rosengren, D. B. (2009). Building motivational interviewing skills: A practitioner workbook. New York: Guilford Press.

    Google Scholar 

  • Suicide Prevention Resource Center. (2014). Suicide screening and assessment. Waltham, WA: Educational Development Center Inc.

    Google Scholar 

  • VanBuskirk, K. A., & Wetherell, J. L. (2014). Motivational interviewing with primary care populations: A systematic review and meta-analysis. Journal of Behavioral Medicine, 37, 768–780. doi:10.1007/s10865-013-9527-4.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2008). Task shifting: Rational redistribution of tasks among health workforce teams. Global recommendations and guidelines. Geneva, Switzerland: WHO Press.

    Google Scholar 

  • World Health Organization. (2012). Suicide data. Retrieved September 9, 2014 from http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/.

  • World Health Organization. (2014). Preventing suicide: A global imperative. Geneva, Switzerland: WHO Press.

    Google Scholar 

  • Yakovenko, I., Quigley, L., Hemmelgarn, B. R., Hodgins, D. C., & Ronksley, P. (2015). The efficacy of motivational interviewing for disordered gambling: Systematic review and meta-analysis. Addictive Behaviors, 43, 72–82. doi:10.1016/j.addbeh.2014.12011.

    Article  PubMed  Google Scholar 

  • Zerler, H. (2009). Motivational interviewing in the assessment and management of suicidality. Journal of Clinical Psychology, 65(1), 1207–1217. doi:10.1002/jclp.20643.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Social Work Program, University of Toledo, 2801 W. Bancroft St. MS 119, Toledo, OH, 43606, USA

    Janet Hoy, Aravindhan Natarajan & Megan M. Petra

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  1. Janet Hoy
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  2. Aravindhan Natarajan
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  3. Megan M. Petra
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Correspondence to Janet Hoy.

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Hoy, J., Natarajan, A. & Petra, M.M. Motivational Interviewing and the Transtheoretical Model of Change: Under-Explored Resources for Suicide Intervention. Community Ment Health J 52, 559–567 (2016). https://doi.org/10.1007/s10597-016-9997-2

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  • DOI: https://doi.org/10.1007/s10597-016-9997-2

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