Chia Heng Lin
Taoyuan Psychiatric Center, TaiwanTitle: Application of Acceptance and Commitment Therapy in Adolescent Patients with Suicide Attempts
Abstract
The rate of self-harm, suicide ideation, suicide attempts were
estimated to be 19.5%, 14.2% and 4.5% respectively in the recent years. Social
environment, family, personal experiences, premorbid characteristics,
psychiatric comorbidities were imperative in the evaluation of youth suicide.
However, no medication nor non-pharmacological interventions (including
cognitive behavioral therapy, dialectal behavioral therapy, or individual
dynamic psychotherapy) were proved to effectively lower the risks of suicide.
Acceptance and commitment therapy (ACT) was developed in the third wave of
behavioral therapies with the elements of mindfulness, meant to let the patient
explore the cognitive defusion, recognize the observing self, personal values,
commit the action with acceptance and contact with presence. The application of
ACT in adolescent patients with suicide attempts is growing and the domestic
application models are developing. ACT therapists aimed to build up a
patient-centered focus interview rather than a suicide-prevention focus
interview. Patients were encouraged to cultivate flexible thought, reduce
emotional isolation, recognize suicide attempt as one of the personal
problem-solving strategies. The care from the therapists, the patient’s goal,
willingness to develop desired skills based on personal values and career,
interests may deter the impulse and seek for help in crisis yet the efficacy in
youth group with suicide still need more evidence. We would present 3 cases of
youth patient with suicide attempts receiving ACT.
Biography
Chia-heng Lin has completed his fellowship in the Department of Child and Adolescent Psychiatry in Taoyuan Psychiatric Center at the age of 32 and is still studying in the Institute of Criminology in National Taipei University. He has several publications in the subspecialty of substance use and child/adolescent psychiatry. His study interests aim at placement and interventions on socially deprived child/adolescent groups.