TY - JOUR
T1 - Does cognitive behavioural therapy have a role in improving problem solving and coping in adolescents with suicidal ideation?
AU - Hetrick, Sarah
AU - Yuen, Hok Pan
AU - Cox, Georgina
AU - Bendall, Sarah
AU - Yung, Alison
AU - Pirkis, Jane
AU - Robinson, Jo
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Problem-solving and coping skills deficits have been shown in adolescents who experience suicide-related behaviours, including suicidal ideation. Little evidence exists about effective interventions for this population. We undertook a pilot study of an Internet-based CBT programme that included problem-solving skills training to investigate its impact on skills deficits. The study employed a pre-test/post-test design. Outcomes of interest were negative problem orientation, emotion- and task-focused coping, and adolescents' perception of helpfulness of the intervention. Participants, recruited via the school wellbeing team, were assessed at baseline, at weekly intervention sessions and immediately post-intervention. Twenty-one adolescents completed the intervention. Over the course of the intervention, negative problem-solving orientation improved and students relied less on emotion-focused coping strategies. Because there was no control group, we cannot be certain that the changes seen between baseline and post-intervention can be attributed to the intervention. Adolescents rated the problem-solving and cognitive restructuring modules as particularly helpful. Interventions that include enhancement of problem-solving skills, as well as cognitive restructuring to address adolescents' appraisal of problems and their ability to solve them appear promising for adolescents with suicidal ideation. Further investigation is warranted.
AB - Problem-solving and coping skills deficits have been shown in adolescents who experience suicide-related behaviours, including suicidal ideation. Little evidence exists about effective interventions for this population. We undertook a pilot study of an Internet-based CBT programme that included problem-solving skills training to investigate its impact on skills deficits. The study employed a pre-test/post-test design. Outcomes of interest were negative problem orientation, emotion- and task-focused coping, and adolescents' perception of helpfulness of the intervention. Participants, recruited via the school wellbeing team, were assessed at baseline, at weekly intervention sessions and immediately post-intervention. Twenty-one adolescents completed the intervention. Over the course of the intervention, negative problem-solving orientation improved and students relied less on emotion-focused coping strategies. Because there was no control group, we cannot be certain that the changes seen between baseline and post-intervention can be attributed to the intervention. Adolescents rated the problem-solving and cognitive restructuring modules as particularly helpful. Interventions that include enhancement of problem-solving skills, as well as cognitive restructuring to address adolescents' appraisal of problems and their ability to solve them appear promising for adolescents with suicidal ideation. Further investigation is warranted.
KW - Adolescents
KW - cognitive behavioural therapy
KW - Internet
KW - suicidal ideation
UR - http://www.scopus.com/inward/record.url?scp=84994581775&partnerID=8YFLogxK
U2 - 10.1017/S1754470X14000129
DO - 10.1017/S1754470X14000129
M3 - Article
AN - SCOPUS:84994581775
SN - 1754-470X
VL - 7
JO - The Cognitive Behaviour Therapist
JF - The Cognitive Behaviour Therapist
M1 - e13
ER -