Effects of a strength-based counseling program on resilience, stress, burnout, depression, and suicide risk in people at risk for mental health problems
Keywords:
mental health problems, resilience, strength-based counselingAbstract
Objective: To compare resilience and mental health problems between individuals at risk for mental health problems who received strength-based counseling (SBC) and psychological first aid (PFA).
Methods: Secondary data from counseling records of individuals at risk for mental health problems within the regular service system in the Health Region 9 from May to September 2016 were used. Demographics, resilience quotient, stress, burnout, depression, suicide risk, and type of counseling were extracted. Resilience and mental health problem scores were compared before and after receiving counseling, using the paired t-test, and between those who received SBC and PFA, using the independent t-test. Pre-post changes in scores between both groups were compared using the independent t-test.
Results: The individuals who received SBC (n = 141) had a mean age of 41.1 years (SD = 16.3) while those who received PFA (n = 47) had a mean age of 22.1 years (SD = 5.8). The SBC group exhibited significantly higher level of resilience and significantly lower burnout, stress, depression, and suicide risk scores after counseling compared to before counseling. Moreover, the SBC group showed significantly larger changes in resilience, depression, and suicide risk scores compared to the PFA group. However, there was no significant difference in the change in burnout and stress scores between both groups.
Conclusion: SBC tends to yield positive effects on levels of resilience and mental health for individuals at risk for mental health problems. Compared to such a conventional approach as PFA, SBC has a tendency for better outcomes in terms of improvement in resilience, depression, and suicide risk.
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