Gratitude diary for the management of suicidal inpatients: A randomized controlled trial

Background The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies. Methods We conducted a randomized controlled trial based on a 7‐day add‐on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults h...

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Veröffentlicht in:Depression and anxiety 2019-05, Vol.36 (5), p.400-411
Hauptverfasser: Ducasse, Déborah, Dassa, Déborah, Courtet, Philippe, Brand‐Arpon, Véronique, Walter, Audrey, Guillaume, Sébastien, Jaussent, Isabelle, Olié, Emilie
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container_end_page 411
container_issue 5
container_start_page 400
container_title Depression and anxiety
container_volume 36
creator Ducasse, Déborah
Dassa, Déborah
Courtet, Philippe
Brand‐Arpon, Véronique
Walter, Audrey
Guillaume, Sébastien
Jaussent, Isabelle
Olié, Emilie
description Background The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies. Methods We conducted a randomized controlled trial based on a 7‐day add‐on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between‐group differences for mean change of current psychological pain, between the beginning and the end of the 7‐day intervention. We measured between‐group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7‐day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion. Results Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between‐group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between‐group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between‐group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P < 10−3). Participants found the intervention to be more useful than the food diary. Conclusions Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.
doi_str_mv 10.1002/da.22877
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Methods We conducted a randomized controlled trial based on a 7‐day add‐on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between‐group differences for mean change of current psychological pain, between the beginning and the end of the 7‐day intervention. We measured between‐group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7‐day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion. Results Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between‐group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between‐group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between‐group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P &lt; 10−3). Participants found the intervention to be more useful than the food diary. Conclusions Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.</description><identifier>ISSN: 1091-4269</identifier><identifier>EISSN: 1520-6394</identifier><identifier>DOI: 10.1002/da.22877</identifier><identifier>PMID: 30657226</identifier><language>eng</language><publisher>United States: Hindawi Limited</publisher><subject>Anxiety ; Clinical trials ; Diaries ; Evidence-based medicine ; Food ; gratitude ; Life Sciences ; Mental depression ; Optimism ; Pain ; positive psychology ; randomized controlled trial ; Self destructive behavior ; suicidal crisis ; Suicide ; Suicides &amp; suicide attempts</subject><ispartof>Depression and anxiety, 2019-05, Vol.36 (5), p.400-411</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4177-7b9c136928948ff6ec5fec3c2266bfb7a24406f22d0b6aa1079f6371e687b72b3</citedby><cites>FETCH-LOGICAL-c4177-7b9c136928948ff6ec5fec3c2266bfb7a24406f22d0b6aa1079f6371e687b72b3</cites><orcidid>0000-0003-3874-5748 ; 0000-0002-6519-8586 ; 0000-0002-6769-9982 ; 0000-0002-8205-7590</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fda.22877$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fda.22877$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30657226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.umontpellier.fr/hal-02929178$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Ducasse, Déborah</creatorcontrib><creatorcontrib>Dassa, Déborah</creatorcontrib><creatorcontrib>Courtet, Philippe</creatorcontrib><creatorcontrib>Brand‐Arpon, Véronique</creatorcontrib><creatorcontrib>Walter, Audrey</creatorcontrib><creatorcontrib>Guillaume, Sébastien</creatorcontrib><creatorcontrib>Jaussent, Isabelle</creatorcontrib><creatorcontrib>Olié, Emilie</creatorcontrib><title>Gratitude diary for the management of suicidal inpatients: A randomized controlled trial</title><title>Depression and anxiety</title><addtitle>Depress Anxiety</addtitle><description>Background The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies. Methods We conducted a randomized controlled trial based on a 7‐day add‐on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between‐group differences for mean change of current psychological pain, between the beginning and the end of the 7‐day intervention. We measured between‐group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7‐day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion. Results Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between‐group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between‐group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between‐group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P &lt; 10−3). Participants found the intervention to be more useful than the food diary. Conclusions Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.</description><subject>Anxiety</subject><subject>Clinical trials</subject><subject>Diaries</subject><subject>Evidence-based medicine</subject><subject>Food</subject><subject>gratitude</subject><subject>Life Sciences</subject><subject>Mental depression</subject><subject>Optimism</subject><subject>Pain</subject><subject>positive psychology</subject><subject>randomized controlled trial</subject><subject>Self destructive behavior</subject><subject>suicidal crisis</subject><subject>Suicide</subject><subject>Suicides &amp; suicide attempts</subject><issn>1091-4269</issn><issn>1520-6394</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kUtr3TAQRkVpyKuB_oIi6KZZOJXGth7dXdLmARe6SaA7IevRKMjWrWSnpL--Sm4aSiCrGYbD4Rs-hN5TckIJgc9WnwAIzt-gfdoDaVgru7d1J5I2HTC5hw5KuSWECCnILtprCes5ANtHP86znsO8WIdt0Pke-5TxfOPwqCf9041umnHyuCzBBKsjDtOm8vVavuAVznqyaQx_nMUmTXNOMdZ1zkHHd2jH61jc0dM8RNdn365OL5r19_PL09W6MR3lvOGDNLRlEoTshPfMmd4705oajg1-4Bq6jjAPYMnAtKaES89aTh0TfOAwtIfoeOu90VFtchjrEyrpoC5Wa_VwIyBBUi7uaGU_bdlNTr8WV2Y1hmJcjHpyaSkKKJc1C29FRT--QG_Tkqf6iQKgDHrR8_-EJqdSsvPPCShRD80oq9VjMxX98CRchtHZZ_BfFRVotsDvEN39qyL1dbUV_gXNFpSZ</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Ducasse, Déborah</creator><creator>Dassa, Déborah</creator><creator>Courtet, Philippe</creator><creator>Brand‐Arpon, Véronique</creator><creator>Walter, Audrey</creator><creator>Guillaume, Sébastien</creator><creator>Jaussent, Isabelle</creator><creator>Olié, Emilie</creator><general>Hindawi Limited</general><general>Wiley</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-3874-5748</orcidid><orcidid>https://orcid.org/0000-0002-6519-8586</orcidid><orcidid>https://orcid.org/0000-0002-6769-9982</orcidid><orcidid>https://orcid.org/0000-0002-8205-7590</orcidid></search><sort><creationdate>201905</creationdate><title>Gratitude diary for the management of suicidal inpatients: A randomized controlled trial</title><author>Ducasse, Déborah ; 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Methods We conducted a randomized controlled trial based on a 7‐day add‐on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between‐group differences for mean change of current psychological pain, between the beginning and the end of the 7‐day intervention. We measured between‐group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7‐day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion. Results Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between‐group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between‐group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between‐group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P &lt; 10−3). Participants found the intervention to be more useful than the food diary. 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source Wiley Online Library Journals Frontfile Complete
subjects Anxiety
Clinical trials
Diaries
Evidence-based medicine
Food
gratitude
Life Sciences
Mental depression
Optimism
Pain
positive psychology
randomized controlled trial
Self destructive behavior
suicidal crisis
Suicide
Suicides & suicide attempts
title Gratitude diary for the management of suicidal inpatients: A randomized controlled trial
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