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The Effectiveness of The Hope Institute Model: A Treatment Approach for Suicide

Lee, Derek J.
http://orcid.org/0000-0003-0218-8521
http://rave.ohiolink.edu/etdc/view?acc_num=osu1712084655988069

Abstract Details

2024, Doctor of Philosophy, Ohio State University, Educational Studies.
Suicide is a growing concern in the United States and around the world. Approximately 50,000 people die by suicide each year and more than 15 million additional people struggle with thoughts of suicide in the U.S. As a result, there are very few people who have not been affected by suicide. Much of the work that has been performed around suicide places a focus on awareness and interventions, which is necessary for understanding the issue and critical in directing people to help. In recent years, the increases in suicide have been met with increases in social awareness. There is one obvious gap, which has been a lack of implemented solutions. Unfortunately, little has been done to provide actual treatment models that have proven effective. This study explored the work conducted at an outpatient treatment center utilizing a novel treatment model specifically developed for individuals actively struggling with thoughts of suicide. This model merges two evidence-based models with over 50 randomized controlled trials between them to bring both access and treatment to the public. The sample included 58 participants with a mean age of 20 years and which was 57% female and 43% male. Importantly, 31% of those in the study had no prior history of mental health diagnosis. The study found that the treatment was effective in reducing suicidality scores in the sample from pre-treatment scores to post-treatment scores, with a very large effect size [t(57) = 8.1, p < .001, d = 1.02]. There were also a significant decreases in scores on hopelessness [t(56) = 9.875, p < .001, d = 1.630], psychological pain [ t(57) = 9.768, p<.001, d = 1.294], stress [t(57) = 9.560, p < .001, d = 1.266], and self-hate [t(57) = 8.118, p < .001, d = 1.075], all with large effect sizes. The treatment and dosage data shows that the participants were able to appropriately address the issue of suicide and achieve resolution in an average of 7.52 sessions over an average of 5.6 weeks, with a 93% success rate. Two variables were found to assist in predicting length of treatment, including a previous history of mental health, explaining 8.3% of the variance, and the composite CAMS score, explaining 27% of the variance. The research also demonstrated strong correlations in both initial and final scores on most measures, with moderate correlations on some. Given the findings and the social issues surrounding suicide, these findings are promising and warrant ongoing research to better understand the factors that contribute to suicide risk and to further create an evidence base for an effective model of treatment.
Darcy Haag Granello (Advisor)
Paul Granello (Committee Member)
David Jobes (Committee Member)
Kaprea Johnson (Committee Member)
198 p.
Behavioral Psychology; Behavioral Sciences; Behaviorial Sciences; Clinical Psychology; Cognitive Psychology; Cognitive Therapy; Counseling Education; Counseling Psychology; Developmental Psychology; Ethics; Experimental Psychology; Health Care; Mental Health; Psychology; Psychotherapy; Public Health; Social Work; Sociology
Suicide; suicidal ideation; suicide treatment; treatment; effectiveness; model; suicide attempt; CAMS; DBT; COVID; treatment length; mental health; hospitalization; emergency department; admissions; history; overall risk of suicide; self-hate; hopelessness; agitation; stress; psychological pain; hope; The Hope Institute;

Recommended Citations

Citations

  • Lee, D. J. (2024). The Effectiveness of The Hope Institute Model: A Treatment Approach for Suicide [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1712084655988069

    APA Style (7th edition)

  • Lee, Derek. The Effectiveness of The Hope Institute Model: A Treatment Approach for Suicide. 2024. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1712084655988069.

    MLA Style (8th edition)

  • Lee, Derek. "The Effectiveness of The Hope Institute Model: A Treatment Approach for Suicide." Doctoral dissertation, Ohio State University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=osu1712084655988069

    Chicago Manual of Style (17th edition)

osu1712084655988069
73
© 2024, some rights reserved.Creative Commons License The Effectiveness of The Hope Institute Model: A Treatment Approach for Suicide by Derek J. Lee is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by The Ohio State University and OhioLINK.