The Effect of Motivational Interview Based on Transtheoretical Model Stages in Depressed Patients with High Suicide Risk on Suicidal Behavior and Stress Coping Styles

In this study, it was aimed to evaluate the effect of motivational interview based on transtheoretical model stages performed on suicidal behavior and stress coping styles of depressed patients with high suicide risk. This experimental study was conducted with 72 patients with a diagnosis of depression. The data were collected with "Personal Information Form", "Beck Suicidal Ideation Scale (BSIS)", "Stress Coping Strategies Scale (SCSS)". A total of six motivational interview sessions were held once a month for the patients in experimental group. After the motivational interviews, a significant decrease was observed in BSIS scores of the experimental group compared to the first application. No change was detected in control group. A significant increase was found in all SCSS sub-dimension scores of experimental group. In control group, only the scores of optimistic approach and seeking social support were significant. This study has shown that motivational interviewing practices based on transtheoretical model stages can be used in patients with depression to reduce the risk of suicide and strengthen coping.

Anahtar Kelimeler:

Depression, Suicide, Stress coping styles, Motivational interview, Transtheoretical model

The Effect of Motivational Interview Based on Transtheoretical Model Stages in Depressed Patients with High Suicide Risk on Suicidal Behavior and Stress Coping Styles

Keywords:

Depression, Suicide, Stress coping styles, Motivational interview, Transtheoretical model,

PDF

___

Arsel CO, Batıgün AD. 2011. İntihar ve cinsiyet: Cinsiyet rolleri, iletişim becerileri, sosyal destek ve umutsuzluk açısından bir değerlendirme. Türk Psikol Derg, 26(68): 1-10.
Avci D, Sabanciogulları S, Yilmaz FT. 2016. Investigation of the relationship between suicide probability in inpatients and their psychological symptoms and coping strategies. Neurosciences, 21(4): 345-351. DOI: 10.17712/nsj.2016.4.20150727.
Aydemir Ç. 2017. İntihar davranışında tedavi stratejileri ve intiharın önlenmesi. Psikiyatride Güncel, 7(1): 37-45.
Basha E. 2016. Kosova savaşı gazilerinin depresyon anksiyete ve stres düzeylerinin belirlenmesi. Doktora Tezi, Sakarya Üniversitesi, Eğitim Bilimler Enstitüsü, Sakarya, Türkiye, pp: 155.
Beck AT, Kovacs M, Weissman A. 1979. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol, 47(2): 343-352.
Black DW, Andreasen NC. 2014. Introductory textbook of psychiatry: Psychiatric emergencies. Chapter 18, American Psychiatric Pub, Washington, US, pp: 638.
Britton PC, Conner KR, Maisto SA. 2012. An open trial of motivational interviewing to address suicidal ideation with hospitalized veterans. J Clin Psychol, 68(9): 961-971. DOI: 10.1002/jclp.21885.
Britton PC, Williams GC, Conner KR. 2008. Self-determination theory, motivational ınterviewing, and the treatment of clients with acute suicidal ıdeation. J Clin Psychol, 64(1): 52-66.
Chou WJ, Ko CH, Hsiao RC, Cheng CP, Yen CF. 2017. Association of stress coping strategies with suicidality in young adults: The mediation effects of depression, anxiety and hostility. Neuropsychiatry, 7(6): 974-982.
Dilbaz N, Holat H, Bayam G, Tüzer T, Bitlis V. 1995. İntihar düşüncesi ölçeğinin geçerlilik ve güvenirliği. 31. Ulusal Psikiyatri Kongresi Bilimsel Çalışma Kitabı. 27 Eylül 1995, İstanbul, Türkiye, pp: 40-41.
Folkman S, Lazarus RS. 1980. An analysis of coping in a middle-aged community sample. J Health Soc Behav, 21(3): 219-239. DOI: 10.2307/2136617.
Gensichen J, Teising A, König J, Gerlach FM, Petersen JJ. 2010. Predictors of suicidal ideation in depressive primary care patients. J Affect Disord, 125(1-3): 124-127. DOI: 10.1016/j.jad.2009.12.008.
Jabłkowska K, Szczepaniak A, Gmitrowicz A. 2010. Coping styles adopted in stressful situations by self-harming adolescents. Psychiatria i Psychologia Klin, 10: 15-24.
Jobes DA, Mann RE. 1999. Reasons for living versus reasons for dying: Examining the internal debate of suicide. Suicide Life-Threaten Behav, 29: 97-104.
Khurana A, Romer D. 2012. Modeling the distinct pathways of influence of coping strategies on youth suicidal ideation: A national longitudinal study. Prevent Sci, 13(6): 644-654.
Konkan R, Erkuş GH, Güçlü O, Şenormancı Ö, Aydın E, Ülgen MC, Sungur MZ. 2014. İntihar girişiminde bulunan kişilerde başa çıkma tutumları. Nöropsikiyatri Arş, 51: 46-51. DOI: 10.4274/npa.y6578.
Köroğlu E. 2012. Kaygılarımız korkularımız. 6. Baskı. HYB Yayınları, Ankara, Türkiye, pp: 298.
Latalova K, Kamaradova D, Prasko J. 2014. Suicide in bipolar disorder: A review. Psychiatria Danubina, 26(2): 108-114.
Naar S, Flynn H. 2019. Motivasyonel görüşme ve depresyon tedavisi. psikolojik problemlerin tedavisinde motivasyonel görüşme. (Ed. Arkowitz H, Miller WR, Rollnick S.; çeviri ed. Şahin M, Kural HU). 2. Basımdan Çeviri. Nobel Akademik Yayıncılık, İstanbul, Türkiye, pp:170.
Özcelik HS, Özdel K, Bulut SD, Örsel S. 2015. The reliability and validity of the Turkish version of the Beck Scale for Suicide Ideation (Turkish BSSI). Bull Clin Psychopharmacol, 25(2): 141-150.
Özer Ü, Yıldırım EA, Erkoç ŞN. 2015. Major depresyon olgularında intihar düşünce ve davranışının bağlanma biçimi ile ilişkisi. Arch Neuropsychiatr, 52: 283-288.
Özgüven HD, Hoşgören Alıcı Y. 2016. İntiharı önleme. Türkiye Klin J Psychiatry, 9(3): 71-76.
Özgüven HD, Sönmez İ. 2017. İntihar girişimlerinde ilk yardım: Yapılması ve yapılmaması gerekenler. Psikiyatride Güncel, 7(1): 27-36.
Rosengren DB. 2009. Applications of motivational interviewing. Building motivational interviewing skills: A practitioner workbook. Guilford Press. URL: https://cdn.mednet.co.il/2017/11/Building-Motivational-Interviewing-Skills.pdf (accessed date: December 12, 2022).
Şahin NH, Durak A. 1995. Üniversite öğrencileri için bir Stresle Başa Çıkma Tarzı Ölçeği. Türk Psikol Derg, 10(34): 56-73.
Scott G. 2010. Motivational interviewing 1: Background, principles and application in healthcare. Nurs Times, 106(34): 21-22.
Sokero P. 2006. Suicidal ideation and attempts among psychiatric patients with major depressive disorder. Academic Dissertation, University of Helsinki, Department of Psychiatry, Helsinki, Finland, pp: 94.
Sommers-Flanagan J, Sommers-Flanagan R. 2015. Klinik görüşme. (Çev. Akbaş G, Korkmaz L.) Deniz Ofset Matbaacılık, İstanbul, Türkiye, pp: 608.
Sun L, Zhang J. 2015. Coping skill as a moderator between negative life events and suicide among young people in rural China. J Clin Psychol, 71(3): 258-266. DOI: 10.1002/jclp.22140.
Van Nes M, Sawatzky JA. 2010. Improving cardiovascular health with motivational interviewing: A nurse practioner perspective. J American Assoc Nurse Practitioners, 22: 654-660.
WHO. 2014. World Health Organization: Preventing suicide: A global imperative. Luxembourg: World Health Organization, pp: 7-45.
Zhang X, Wang H, Xia Y, Liu X, Jung E. 2012. Stress, coping and suicide ideation in Chinese college students. J Adoles, 35(3): 683-690. DOI: 10.1016/j.adolescence.2011.10.003.