Application de la résolution de problème dans une unité de suicidants et suicidaires : premiers résultats auprès de 53 patients hospitalisés

Suicidal behaviour is a clinical problem that has posed major challenges to efforts in its understanding and treating. There are many studies on the various mental disorders presumed to underlie suicidal behaviour. Less than 50 randomized clinical trials have been conducted evaluating treatments aimed specifically at treating individuals with high suicidal risk. There is sparse data regarding treatments for primary mental disorders, which actually reduce the risk of suicide attempts or of suicidal ideation. The authors think that focussing efforts on treatment of suicidal behaviours may improve our understanding of the mechanisms related to suicidal behaviour and mining them for ideas will lead to effective interventions. For over a year the authors introduced the problem-solving therapy in their broad program for treating suicidal inpatients. In this pilot study the authors observed that assisting patients in developing a more positive problem-solving orientation may modify customary attitudes of avoiding problems and reduce tendencies to respond in an impulsive or careless manner.