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J Korean Acad Psychiatr Ment Health Nurs > Volume 33(2); 2024 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2024;33(2):138-149.
DOI: https://doi.org/10.12934/jkpmhn.2024.33.2.138    Published online June 30, 2024.
Development and Effectiveness of Motivational Interviewing-Cognitive Behavioral Therapy integrated Counseling Program for Reducing Suicidal Ideation
Ho Yeob Kang1  , Hee Jung Kim2 
1Professor, Dong-A University of Health, Yeongam, Korea
2Professor, Department of Nursing, Gachon University, Incheon, Korea
Correspondence:  Hee Jung Kim, Tel: +82-32-820-4224, Fax: +82-31-750-8859, 
Email: illine@paran.com
Received: 25 March 2024   • Revised: 28 May 2024   • Accepted: 19 June 2024
Abstract
Purpose
This study aimed to develop a counseling program called Motivational Interviewing-Cognitive Behavioral Therapy Integrated Counseling Program (MICBT-CP) and evaluate its effectiveness in post-case management of individuals who have attempted suicide.
Methods
Twenty-eight participants with a history of suicide attempts and high scores on Beck’s Scale for Suicidal Ideation were divided into three groups: an experimental group (EG), control group 1 (CG1), and control group 2 (CG2). Each group received different interventions: MICBT-CP for the EG, cognitive-behavioral treatment-based case management (CBT-CM) for CG1, and general case management (GCM) for CG2. Measurements of suicidal ideation, depression, hopelessness, problem-solving competence, life motivation, and perceived motivation were taken at baseline (T1), 6 weeks (T2), and 18 weeks (T3).
Results
Significant improvements in life motivation, perceived motivation, and problem-solving competence were observed in the EG compared to CG1 and CG2. Moreover, the EG showed significant reductions in suicidal ideation, hopelessness, and depression. The treatment of CG2 with GCM did not yield significant results, indicating the limitations of current GCM in post-suicide attempt case management.
Conclusion
The study emphasizes the need for effective programs such as MICBT-CP and improved practitioner skills in post-suicide case management.
Key Words: Motivational interviewing; Cognitive behavioral therapy; Suicide; Suicide prevention


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