🧵Ever wonder what therapists use for #Suicide prevention? We asked: therapists use current best practices (~90%) BUT ~40% of clinicians endorse contracts for safety, no-harm contracts, &/or no-suicide contracts (not good!) #MentalHealthAwareness link👇 1/7 #psychtwitter
We asked mental health (MH) clinicians & MH allies (teachers, #FirstResponders, peer support) what Best Practices (Crisis Response Planning & Safety Plan) & Contraindicated Practices (contract 4 safety, no-harm contract, &/or no-suicide contract) they use. 2/7
Mental health allies endorsed the Best Practices & Contraindicated Practices at lower rates than mental health clinicians. This leaves room for more training on best practices with a focus on removing interventions that don’t help. #PeerToPeer#PeerSupport 3/7
People for this survey were asked to indicate all suicide prevention practices they use. Hospitalization was endorsed by ~70% of clinicians and only 30% of mental health allies. This is an area that could use more focus! #MentalHealthMatters#SuicidePrevention 4/7
Our takeaways are that it’s great to see high endorsement of best practices. It is worriesome to see fairly high rates of contraindicated practices. We really need to focus on #innovation and #implementation of training. There also is likely a need for de-implementation. 5/7
Our review found 33 articles that met inclusion criteria: 23 studies looked at #PTSD treatments and were associated with ⬇️ in PTSD- and suicide-related outcomes. Therapies in these studies included CPT (n=11), PE (n=9), EMDR (n=4), PCT (n=2), NET (n=1), and 1 other treatment 2/9
When looking at combined #PTSD & #suicide treatments, we found 6 studies and they were associated with ⬇️ in PTSD and suicide-related outcomes. Most of these had either sequential or integrative combinations of Dialectical Behavior Therapy and exposure therapy (like DBT-PE) 3/9