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Psychological Interventions in Suicide

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Abstract

Psychological treatments targeting suicidal behavior disorder (SBD) have been evaluated here in their efficacy through different diagnoses. In particular, transference-focused psychotherapy (TFP), mentalization-based treatment (MBT), interpersonal psychotherapy (IPT), dialectical behavior therapy (DBT), schema-focused therapy (SFT), mindfulness-based cognitive therapy (MBCT), mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), and cognitive behavior therapy (CBT) were the main structured treatments considered here in association with their impact on SBD. Some of them showed higher efficacy in suicide (DBT and MBT). Moreover, some treatments have been primarily studied in a specific diagnosis: TFP, MBT, DBT, and SFT in borderline personality disorder and IPT and CBT in depression. Concerning new treatments, promising preliminary results have been reported (SFT, MBCT, MBSR, and ACT) as well. Summarizing, consistent reduction in suicidal and self-destructive phenomena through psychotherapeutic treatments has been found throughout methodologically heterogeneous trials, in particular focused on DBT and MBT. In conclusion, two movies by the Italian documentarist/director Alina Marazzi have been illustrated in their connection with SBD.

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Notes

  1. 1.

    Literal translation: I’d wish you just for one hour/I am not able to forget you/To tell you again in my kisses/What you are for me. I’d wish you just for one hour/To tell you what you don’t know/And during this hour I’d give/My life for you. I can’t see the world/When I think of you/I see your eyes in mine/But if you don’t want me/My life, you know/Doesn’t mean anything to me. I’d wish you just for one hour/I am not able to forget you/To tell you again in my kisses/What you are for me.

Abbreviations

ACT:

Acceptance and commitment therapy

BD:

Bipolar disorder

BPD:

Borderline personality disorder

CBT:

Cognitive behavior therapy

DBT:

Dialectical behavior therapy

DSM:

Diagnostic and Statistical Manual of Mental Disorders

EMS:

Early maladaptive schema

IPT:

Interpersonal psychotherapy

MBCT:

Mindfulness-based cognitive therapy

MBSR:

Mindfulness-based stress reduction

MBT:

Mentalization-based treatment

MDD:

Major depressive disorder

NSSI:

Non-suicidal self-injury

RCT:

Randomized controlled trial

SBD:

Suicidal behavior disorder

SFT:

Schema-focused therapy

SPI:

Safety planning intervention

TAU:

Treatment as usual

TFP:

Transference-focused psychotherapy

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Acknowledgments

My gratitude goes to Prof. Alessandro Serretti, who transmitted me the courage of curiosity. Thanks to Dr. Laura Mandelli, for the precious gift of her friendship during these years of hard work. Thanks to Dr. Anna Paola Venerucci, for sharing with me much more than a psychoanalytical training and for her passionate suggestions for this writing. Thanks to Dr. Silvia Bognetti, for yesterday and for the woman she is today, for this writing, and more and more.

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Calati, R. (2016). Psychological Interventions in Suicide. In: Courtet, P. (eds) Understanding Suicide. Springer, Cham. https://doi.org/10.1007/978-3-319-26282-6_27

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