Abstract

MARBACK, Roberta Ferrari  and  PELISOLI, Cátula. Cognitive-behavioral therapy in the management of hopelessness and suicidal thoughts. Rev. bras.ter. cogn. [online]. 2014, vol.10, n.2, pp. 122-129. ISSN 1808-5687.  http://dx.doi.org/10.5935/1808-5687.20140018.

Suicide is a public health problem and is one of the leading causes of death worldwide. Suicidal behavior involves ideation, planning, trial and suicide itself, behaviors generally motivated by hopelessness beliefs. This study aimed to identify the contributions of Cognitive Behavioral Therapy - CBT in the management of hopelessness and suicidal thoughts, trying to understand the relationship between them; identify the cognitive triad-related problem and check strategies of CBT in the treatment of these patients. For this, a narrative review of the literature was performed by integrating national and international data on this topic. The results show that the person who has suicidal intent usually expresses hopelessness as belief, characterized by a vision of empty future without prospects. Interventions focus on the therapeutic relationship and use strategies such as psychoeducation, problem solving, impulse control strategies and the seeking of social support. Often, the intervention of areas such as Psychiatry and Social Services, which, along with the therapeutic process, will seek to promote hope, is very important. Considering the seriousness and complexity of suicidal behavior, it is essential that mental health professionals know useful and effective strategies as proposed by TCC for efficient handling of the problem.

Keywords : hopelessness; suicidal ideation; cognitive-behavioral therapy.

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