The Association between Therapeutic Alliance and Individuals’ Wish to Die or Live

Ring, Mariann; Walther, Sebastian; Gysin-Maillart, Anja C. (2019). The Association between Therapeutic Alliance and Individuals’ Wish to Die or Live. Psychology, 10(12), pp. 1711-1725. Scientific Research 10.4236/psych.2019.1012112

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Objective: The relationship between therapeutic alliance and the individuals’ expressed internal struggle about living or dying is investigated in this study. Additionally, the suicidal internal struggle and its relation to suicidal ideation are explored over time. Methods: Sixty suicide attempters from the ASSIP evaluation study were screened with the Helping Alliance Questionnaire and the Wish to Live and Wish to Die scales to assess therapeutic alliance and suicidal internal struggle at baseline, 6-, 12- and 24-months follow-up. Suicidal ideation was measured by the Beck Scale of Suicide Ideation. Results: Good therapeutic alliance and high satisfaction with therapy success are associated with a stronger wish to live in participants in the Attempted Suicide Short Intervention Program—ASSIP. Individuals’ internal struggle was related to lower rates of suicidal ideation over time. Individuals with lower internal struggle (more wish to die) require much more attention to prevent the risk of suicidal crises. Limitations: Loss of information in our longitudinal investigation was due to low response rates at some follow-up time-points. Individuals who still have the wish to die after attempting suicide are the minority in our sample, indicating that these individuals are less likely to enter suicide prevention programs. Conclusion: The quality of therapeutic alliance is critical to reducing suicidal ideation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > UPD Murtenstrasse

UniBE Contributor:

Walther, Sebastian and Gysin-Maillart, Anja Carolyn

Subjects:

100 Philosophy > 150 Psychology
600 Technology > 610 Medicine & health

ISSN:

2152-7180

Publisher:

Scientific Research

Language:

English

Submitter:

Anja Carolyn Gysin-Maillart

Date Deposited:

12 Dec 2019 14:29

Last Modified:

14 Dec 2019 16:25

Publisher DOI:

10.4236/psych.2019.1012112

Uncontrolled Keywords:

Internal Struggle, Therapeutic Alliance, Suicidal Ideation, ASSIP

BORIS DOI:

10.7892/boris.135101

URI:

https://boris.unibe.ch/id/eprint/135101

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