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Evidence-Based Psychological Treatments of Suicidal Behavior

Abstract

The aim of this study was to review evidence-based psychological treatments of suicidal behavior. Specifically, the effectiveness of brief psychological crisis interventions and suicide-specific psychological treatments were examined based on metaanalytic studies and randomized controlled studies. The results of the current review indicate that brief intervention and contact developed by World Health Organization (WHO-BIC), safety planning intervention (SPI), and crisis response planning (CRP) are evidence-based brief psychological interventions. Among psychological treatments, cognitive behavioral therapy, dialectical behavioral therapy, and collaborative assessment and management of suicidality (CAMS) are evidence-based. In Korea, treatment outcome studies of suicidal behavior have targeted for reducing suicidal ideation only, but not for suicide attempt or suicide. Thus, it is premature to determine the evidence level of psychological treatments of suicidal behavior in Korea. Based on studies in other countries, evidence-based psychological treatments for suicidal behavior are recommended, and directions for domestic research and practical applications are suggested.

keywords
자살, 자살행동, 근거기반치료, suicide, suicidal behavior, evidence-based treatment

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