What Changes? What Does It Mean?

A clinical intervention for people with recurrent suicide attempts

Authored by: Yvonne Bergmans , Rahel Eynan

Routledge International Handbook of Clinical Suicide Research

Print publication date:  October  2013
Online publication date:  October  2013

Print ISBN: 9780415530125
eBook ISBN: 9780203795583
Adobe ISBN: 9781134459292


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There has been a call for practical and comprehensive interventions that would target persons with recurrent suicide-related behaviour (Hawton & Kirk, 1998; Links, 1998; Livesley, 2000; Pitman, 2007): however, as suicidal behaviour and suicide are still rare clinical outcome events, establishing treatment efficacy is challenging (Leitner, Barr, & Hobby, 2008). Research utilizing outcome measures that go beyond the outcome of suicide or suicide-related behaviour might have more utility, according to Pitman (2007). She recommended that intermediate measures that reduce potential risk factors for suicide-related behaviour, such as depression and hopelessness, could be used as feasible yet important proxy outcome measures.

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