000146922 001__ 146922
000146922 005__ 20241129141114.0
000146922 0247_ $$2doi$$a10.1186/s12888-024-06243-8
000146922 0248_ $$2sideral$$a140697
000146922 037__ $$aART-2024-140697
000146922 041__ $$aeng
000146922 100__ $$0(orcid)0000-0001-9726-3250$$aNavarro-Haro, María V.$$uUniversidad de Zaragoza
000146922 245__ $$aFactors associated with the implementation of dialectical behavior therapy by Spanish speaking mental health professionals who treat suicide risk
000146922 260__ $$c2024
000146922 5060_ $$aAccess copy available to the general public$$fUnrestricted
000146922 5203_ $$aBackground
The lack of training for professionals on how to manage suicide risk is an important barrier to effective intervention. Dialectical Behavior Therapy Intensive Training™ (DBT-IT) includes specific training for suicide and has shown promising results to enhance implementation of DBT. To our knowledge, no published studies have evaluated the effect of DBT-IT on therapists’ attitudes towards treating suicide risk and among Spanish-speaking mental health professionals. The main aim of this study was to evaluate the effect of DBT-IT on therapists’ attitudes regarding treating suicide risk and its relationship with the implementation of DBT before and after receiving DBT-IT.
Methods
A total of 242 mental health workers (76.4% women, mean age 35.38, SD = 9.17; 77.7% from Latin America; 22.3% from Spain) who had received a DBT-IT participated in the study. Self-efficacy (Efficacy in Assessing and Managing Suicide Risk Scale) and concerns (Concerns about Treating Suicidal Clients Scale) in treating suicide, perceived burnout (Copenhagen Burnout Inventory), confidence in applying DBT (Behavioral Anticipation and Confidence Questionnaire), barriers to implementation (Barriers to Implementation Inventory), implementation of DBT and reach were measured via online survey at parts 1 (pre-training) and 2 (post-training, after 9 months of implementation) of the DBT-IT.
Results
Differences between pre-training and post-training (n = 61) indicated statistically significant improvements in self-efficacy, concerns about the lack of training and competence in treating suicide, and confidence in applying DBT. Statistically significant increases in the rates of DBT treatment modes implementation (except for individual therapy) and mindfulness practice, as well as the number of team members and consultation team hours, were also found. Findings also indicated statistically significant positive correlations between burnout and concerns about treating suicidal clients, as well as with structural and administrative implementation barriers, and between self-efficacy in managing suicide, confidence in applying DBT and implementation of DBT treatment modes. Participants with more implementation barriers reported lower rates of consultation team meetings and phone coaching implementation.
Conclusions
DBT-IT could be an adequate training model to increase self-efficacy and confidence in treating suicide risk as well as to facilitate implementation of DBT treatment modes by Spanish-speaking mental health professionals.
000146922 536__ $$9info:eu-repo/grantAgreement/ES/DGA/S31-23R$$9info:eu-repo/grantAgreement/ES/UZ/JIUZ-2021-SOC-11
000146922 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000146922 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000146922 700__ $$aAbanades, Alba$$uUniversidad de Zaragoza
000146922 700__ $$0(orcid)0000-0002-2437-1207$$aPeris-Baquero, Óscar$$uUniversidad de Zaragoza
000146922 700__ $$aGagliesi, Pablo
000146922 700__ $$aRodante, Demián
000146922 700__ $$aGarcía-Palacios, Azucena
000146922 700__ $$0(orcid)0000-0002-7293-318X$$aOsma, Jorge$$uUniversidad de Zaragoza
000146922 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000146922 773__ $$g24, 1 (2024), 813 [13 pp.]$$pBMC Psychiatry$$tBMC Psychiatry$$x1471-244X
000146922 8564_ $$s1439546$$uhttps://zaguan.unizar.es/record/146922/files/texto_completo.pdf$$yVersión publicada
000146922 8564_ $$s2202273$$uhttps://zaguan.unizar.es/record/146922/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000146922 909CO $$ooai:zaguan.unizar.es:146922$$particulos$$pdriver
000146922 951__ $$a2024-11-29-13:24:24
000146922 980__ $$aARTICLE