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Background <p>Psychotherapy can make a&#xa0;significant contribution to suicide prevention. Brief cognitive behavioral therapy (BCBT) is a&#xa0;psychotherapeutic approach for suicide prevention, which despite promising initial study results is still not widely used in German-speaking countries.</p> Objective <p>This article presents the approach of BCBT for suicide prevention, summarizes the current state of evidence and outlines future research and developmental perspectives.</p> Material and methods <p>The central treatment elements of BCBT are presented based on the English treatment manual and the German version of the manual currently under development. Studies on the effectiveness of BCBT published up to and including December 2024 are summarized.</p> Results <p>The BCBT is based on the fluid vulnerability theory (FVT) and the concept of the suicidal mode and typically consists of 12&#xa0;therapy sessions. It is a&#xa0;structured individual therapy that includes training in cognitive restructuring, problem solving and emotional regulation. A&#xa0;central element of BCBT is the development of an emergency plan, called the crisis response plan (CRP). The current evidence for BCBT is promising: a&#xa0;randomized controlled trial (RCT; <i>n</i> = 152) demonstrated that outpatients who received BCBT had a&#xa0;nearly 60% lower suicide attempt rate compared to patients who received treatment as usual (TAU). Positive initial results have also been observed in inpatient settings, for adolescents and in treatment using video-based applications.</p> Discussion <p>At the present time, BCBT is one of the few psychotherapeutic treatment manuals that has demonstrated effectiveness in preventing (repeated) suicide attempts. This makes BCBT a&#xa0;crucial treatment option for patients experiencing suicidal thoughts and behavior.</p>

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Brief Cognitive-Behavioral Therapy zur Suizidprävention

  • 期刊论文

  • 发表日期：

    2025年4月25日

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  • Thomas Forkmann,
  • Jana Serebriakova,
  • Tobias Teismann

摘要

Background

Psychotherapy can make a significant contribution to suicide prevention. Brief cognitive behavioral therapy (BCBT) is a psychotherapeutic approach for suicide prevention, which despite promising initial study results is still not widely used in German-speaking countries.

Objective

This article presents the approach of BCBT for suicide prevention, summarizes the current state of evidence and outlines future research and developmental perspectives.

Material and methods

The central treatment elements of BCBT are presented based on the English treatment manual and the German version of the manual currently under development. Studies on the effectiveness of BCBT published up to and including December 2024 are summarized.

Results

The BCBT is based on the fluid vulnerability theory (FVT) and the concept of the suicidal mode and typically consists of 12 therapy sessions. It is a structured individual therapy that includes training in cognitive restructuring, problem solving and emotional regulation. A central element of BCBT is the development of an emergency plan, called the crisis response plan (CRP). The current evidence for BCBT is promising: a randomized controlled trial (RCT; n = 152) demonstrated that outpatients who received BCBT had a nearly 60% lower suicide attempt rate compared to patients who received treatment as usual (TAU). Positive initial results have also been observed in inpatient settings, for adolescents and in treatment using video-based applications.

Discussion

At the present time, BCBT is one of the few psychotherapeutic treatment manuals that has demonstrated effectiveness in preventing (repeated) suicide attempts. This makes BCBT a crucial treatment option for patients experiencing suicidal thoughts and behavior.