Using Mindfulness-Based Cognitive Therapy to Prevent Suicide Among High Suicide–Risk Patients Who Also Misuse Opioids: a Preliminary Probe of Feasibility and Effectiveness.

Knowledge of how to effectively prevent suicide attempt (SA) in high suicide–risk patients who also misuse opioids is limited. In a subset of data from 36 participants with baseline opioid misuse in a randomized clinical trial testing adjunctive mindfulness-based cognitive therapy to prevent suicide...

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Publicado en:International Journal of Mental Health & Addiction Vol. 21; no. 6; pp. 3721 - 3735
Autores principales: Chesin, Megan S., Dave, Chintan V., Myers, Catherine, Stanley, Barbara, Kline, Anna, Monahan, Maureen, Latorre, Miriam, Hill, Lauren M. St., Miller, Rachael B., King, Arlene R., Boschulte, Dianna R., Sedita, Megan, Interian, Alejandro
Formato: Artículo
Publicado: Springer Nature Dec2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
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      pub: Springer Nature
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        atl: Using Mindfulness-Based Cognitive Therapy to Prevent Suicide Among High Suicide–Risk Patients Who Also Misuse Opioids: a Preliminary Probe of Feasibility and Effectiveness.
      aug:
        au:
          Chesin, Megan S.
          Dave, Chintan V.
          Myers, Catherine
          Stanley, Barbara
          Kline, Anna
          Monahan, Maureen
          Latorre, Miriam
          Hill, Lauren M. St.
          Miller, Rachael B.
          King, Arlene R.
          Boschulte, Dianna R.
          Sedita, Megan
          Interian, Alejandro
        affil:
          https://ror.org/00k3ayt93 Department of Psychology, William Paterson University, 300 Pompton Road, 07046, Wayne, NJ, USA
          https://ror.org/05vt9qd57 Center for Pharmacoepidemiology and Treatment Science, Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
          https://ror.org/003g0xf19 Department of Veterans Affairs, VA New Jersey Health Care System, East Orange, NJ, USA
          https://ror.org/05vt9qd57 Department of Pharmacology, Physiology, and Neuroscience, New Jersey Medical School, The State University of New Jersey, Rutgers, Newark, USA
          https://ror.org/04aqjf708 Department of Psychiatry, Columbia University College of Physicians and Surgeons and New York State Psychiatric Institute, New York, NY, USA
          https://ror.org/05vt9qd57 Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
      su:
        Suicide
        Mindfulness-based cognitive therapy
        Opioid abuse
        Attempted suicide
        Psychiatric hospital care
      sug:
        subj:
          Suicide
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Mindfulness-based cognitive therapy
          Opioid abuse
          Attempted suicide
          Psychiatric hospital care
      keyword:
        High suicide–risk patients
        Mindfulness-based cognitive therapy to prevent suicide
        Opioid misuse
        Veterans
        High suicide–risk patients
        Mindfulness-based cognitive therapy to prevent suicide
        Opioid misuse
        Veterans
      ab: Knowledge of how to effectively prevent suicide attempt (SA) in high suicide–risk patients who also misuse opioids is limited. In a subset of data from 36 participants with baseline opioid misuse in a randomized clinical trial testing adjunctive mindfulness-based cognitive therapy to prevent suicide among high suicide–risk veterans (n = 18 per treatment condition), MBCT-S reduced the likelihood of SA and acute psychiatric hospitalization over 12-month follow-up. Those in MBCT-S had a relative risk of 17% and 42% for SA and hospitalization (p =.09,.02), respectively, compared to those receiving enhanced treatment as usual (eTAU) alone. Rates of opioid misuse during follow-up were more than halved with the addition of MBCT-S to eTAU (p =.08). Meanwhile, among trial participants who did not misuse opioids (n = 104), RRs of 64% and 77% for SA and hospitalization (p =.28,.33), respectively, were found with MBCT-S compared to eTAU. An MBCT-S trial with greater power is warranted in this population.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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