Intervention:
The Intervention group received a package of 12
sessions of CBT for suicidal ideation as follow. The
patients in the control group were placed on the
wait list condition. All of the patients were
evaluated with the mean of the above-mentioned
instruments before starting the study. The
patients in the intervention group were evaluated
in the final session. Considering that the
intervention took about 3 months to be completed,
the patients in the control group were evaluated
after 3 months. All of the patients received
appropriate pharmacotherapy if needed.
The intervention according to the Stanley et al
model[4] includes 3 phases. The initial phase
lasting 3 sessions consists of five main
components: chain analysis, safety planning,
psychoeducation, developing reasons for living
and hope, and case conceptualization. The last 2
components occur during the 3rd session. Parents
are allowed to participate in the first session. The
middle phase of the treatment lasts from 4th to
9th session and includes optional individual
(including behavioral activation and increasing
pleasurable activities, mood monitoring, emotion
regulation and distress tolerance techniques,
cognitive restructuring, problem solving, goal
setting, mobilizing social support, and
assertiveness skills) and family (including family
behavioral activation, family emotion regulation,
family problem solving, family communication,
and family cognitive restructuring) skills training
modules. The termination phase that lasts from
the 10th to 12th session includes a relapse
prevention task that embraces five steps: (a)
Preparation, (b) Review of the indexed attempt or
suicidal crisis, (c) Review of the attempt or
suicidal crisis using skills, (d) Review of a future
high risk scenario, and (e) Debriefing and followup.