Preliminary efficacy of the Prasri Dialectical Behavior Therapy - Informed Program for suicide reattempt prevention in patients with depressive disorder and attempted suicide
Keywords:
depression, suicide, self-Injury, dialectical behavior therapyAbstract
Objective: To determine the effects of the Prasri Dialectical Behavior Therapy - Informed (Prasri DBT-Informed) program on depressive symptoms and suicidal ideation in patients with depressive disorder and attempted suicide.
Methods: A quasi-experimental study was employed among outpatients aged 18 years or older with depressive disorder and a history of suicidal attempts within the last six months. The experimental group received nine individual sessions, once a week, of the Prasri DBT-Informed. The control group received standard care. Depression and suicidal ideation severity were evaluated using the Nine-Item Questionnaire - Revision (9Q-Revision) and the Scale for Suicidal Ideation - Thai version 2014, respectively, before the program, after the program, and one month after the program. Data were analyzed on an intention-to-treat basis using descriptive statistics, the Friedman test, and the Mann-Whitney U test.
Results: A total of 24 participants were assigned into experimental (n = 12) and control (n = 12) groups. Both groups were not significantly different in the baseline characteristics, depression, and suicidal ideation. In the experimental group, the depression and suicidal ideation scores after the program and one month after the program were both significantly lower than those before the program. Compared to the control group, the experimental group showed significantly lower scores of both depression and suicidal ideation across follow-up points.
Conclusion: The Prasri DBT-Informed program is effective in reducing depressive symptoms and suicidal ideation among individuals with depressive disorder and previous suicide attempts.
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