Motivational Interviewing and the Transtheoretical Model of Change: Under-Explored Resources for Suicide Intervention

Motivational Interviewing and the Transtheoretical Model of Change: Under-Explored Resources for Suicide Intervention
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DOI:
10.1007/s10597-016-9997-2
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发表时间:
2016-07-01
影响因子:
2.7
通讯作者:
Petra, Megan M.
Petra, Megan M.
中科院分区:
医学4区
文献类型:
--
作者:
Hoy, Janet;Natarajan, Aravindhan;Petra, Megan M.

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动机访谈(MI)是一种强有力的循证干预,已被用来唤起改变行为的内在动机。多元智能作为一种干预措施,侧重于促进跨理论变革模式的各个阶段。Coombs等人的一项研究(物质滥用治疗和改变的阶段:选择和规划干预措施,Guilford Press,纽约,2001)表明,自杀者通过这些阶段走向自杀行为,但MI自杀的研究和应用很少。在希望产生更多的探索MI的自杀,本文回顾了理论基础和现有的实证研究MI与自杀的个人应用。MI在自杀风险评估/危机干预中的潜在用途,以及作为长期治疗的辅助手段进行了讨论。
Motivational interviewing (MI) is a robust evidence-based intervention that has been used to evoke intrinsic motivation to change behaviors. MI as an intervention focuses on facilitating movement through the stages of the transtheoretical model of change. A study by Coombs et al. (Substance abuse treatment and the stages of change: Selecting and planning interventions, Guilford Press, New York, 2001) demonstrated that suicidal individuals move through such stages toward suicidal behavior, yet research and applications of MI for suicide have been minimal. In hopes of generating increased exploration of MI for suicidality, this article reviews the theoretical rationale and existing empirical research on applications of MI with suicidal individuals. Potential uses of MI in suicide risk assessment/crisis intervention, as well as an adjunct to longer-term treatment, are discussed.