Development and Evaluation of a Crisis Intervention Program for Suicide Attempters.

Park,  Jeong Hwa

doi:2013.22.4.368

J Korean Acad Psychiatr Ment Health Nurs > Volume 22(4); 2013 > Article

Original Article

Journal of Korean Academy of psychiatric and Mental Health Nursing 2013;22(4):368-376.
DOI: https://doi.org/10.12934/jkpmhn.2013.22.4.368 Published online December 31, 2013.

Development and Evaluation of a Crisis Intervention Program for Suicide Attempters.

Jeong Hwa Park

Department of Nursing, Konyang University, Daejeon, Korea. jhpark@konyang.ac.kr

Abstract

PURPOSE
This study is conducted to develop a crisis intervention program for suicide attempters in psychiatric inpatients, and to evaluate its effectiveness. METHODS: The program was developed based on cognitive behavioral therapy. A single group pre-post test design was used with 15 patients admitted to a psychiatric unit for suicide attempt to evaluate the effectiveness on suicide ideation, depression, hopelessness, and problem solving ability. Data were analyzed using SPSS/WIN program. RESULTS: The developed program was composed of six sessions; orientation and contraction, assessment of suicide risk factors and protect factors, safety planning, reconstruction of negative cognition, enhancing problem solving ability, empowering hope. The crisis intervention program significantly decreased depression (Z=3.35, p=.001), hopelessness (Z=2.92, p=.003), suicide ideation (Z=2.92, p=.003), and improved problem solving skill (Z=-1.99, p=.046). CONCLUSION: The developed crisis intervention was an effective cognitive behavior therapy which could decrease depression, hopelessness, and suicide ideation, as well as increase problem solving skill when applied to hospitalized suicide attempters.

Key Words: Suicide; Crisis intervention; Cognitive behavioral therapy