• Lence Miloseva Faculty of Medical Science, Goce Delcev University, Štip
  • Vladimir Milosev Clinical Hospital, Štip
  • Kneginja Rihter Technical University Georg Simon Ohm, Private Paracelsus Medical University, Nuremberg



cognition, suicide, cognitive behavior, psychotherapy, effectiveness


The aim of this review paper is to show an overview of the empirical evidence of effectiveness of cognitive behavioral therapy (CBT) in reducing suicidal cognitions and suicidal behavior. The topic of suicidal cognition and suicidal behavior is of special importance to clinicians and practitioners. Analyses of empirical findings from the oldest, first systematic review and meta-analysis and the newest one shown that there not enough evidence from clinical trials to suggest that CBT focusing on mental illness reduces suicidal cognitions and behaviors. But, from the other hand, CBT focusing on suicidal cognitions and suicidal behaviors was found to be effective. Taking into consideration the effectiveness of this psychotherapy, we can conclude that it is preferable for clinicians to be trained in working with CBT techniques focused on suicidal cognition and behavior that are independent of treatment of mental disorders. In addition, it is necessary to initiate new research that will make it possible to create preventive and interventional programs dedicated to reducing the risk of suicide.


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Barrowclough, C., Haddock, G., Wykes, T., Beardmore, R., Conrod, P., Craig, T., Davies, L., Dunn,G., Eisner, E., Lewis,S., Moring, J., Steel,C., & Tarrier, N. (2010). Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: randomised controlled trial. BMJ, 341, c6325.

Brown, G. K., Ten Have, T., Henriques, G. R., Xie, S. X., Hollander, J. E., & Beck, A. T. (2005). Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial. JAMA, 294(5), 563-570.

Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: a review of meta-analyses.Clinical psychology review, 26(1), 17-31.

Cavanagh, J. T., Carson, A. J., Sharpe, M., & Lawrie, S. M. (2003). Psychological autopsy studies of suicide: a systematic review. Psychological medicine, 33(03), 395-405.

Chesney, E., Goodwin, G. M., & Fazel, S. (2014). Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry, 13(2), 153-160.

Christensen, H., Calear, A. L., Van Spijker, B., Gosling, J., Petrie, K., Donker, T., & Fenton, K. (2014). Psychosocial interventions for suicidal ideation, plans, and attempts: A database of randomised controlled trials. BMC psychiatry, 14(1), 1.

Cipriani, A., Hawton, K., Stockton, S., & Geddes, J. R. (2013). Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis. BMJ, 346, 3646.

Comtois, K. A., & Linehan, M. M. (2006). Psychosocial treatments of suicidal behaviors: A practice friendly review. Journal of clinical psychology, 62(2), 161-170.

Cottraux, J., Note, I. D., Boutitie, F., Mil-liery, M., Genouihlac, V., Yao, S. N., Note, B., Mollard, E., Bonasse, F., Gaillard, S., Djamoussian, D., Guil-lard Cde, M., Culem, A. & Gueyffier, F. (2009). Cognitive therapy versus Rogerian supportive therapy in borderline personality disorder. Psycho-therapy and psychosomatics, 78(5), 307-316.

Davidson, K. M., Tyrer, P., Norrie, J., Palmer, S. J., & Tyrer, H. (2010). Cognitive therapy v. usual treatment for borderline personality disorder: prospective 6-year follow-up. The British Journal of Psychiatry, 197(6), 456-462.

de Groot, M., de Keijser, J., Neeleman, J., Kerkhof, A., Nolen, W., & Burger, H. (2007). Cognitive behaviour therapy to prevent complicated grief among relatives and spouses bereaved by suicide: cluster randomised controlled trial. BMJ, 334 (7601), 994.

Ellis, T. E. (1986). Toward a cognitive therapy for suicidal individuals. Professional Psychology: Research and Practice, 17(2), 125.

Gandy, M., Sharpe, L., Nicholson Perry, K., Thayer, Z., Miller, L., Boserio, J., & Mohamed, A. (2014). Cognitive Behaviour Therapy to Improve Mood in People with Epilepsy: A Randomised Controlled Trial. Cognitive behaviour therapy, 43(2), 153-166.

Linehan, M. M. (2008). Suicide intervention research: a field in desperate need of development. Suicide and Life-Threatening Behavior, 38(5), 483-485.

Matthews, J. D. (2013). Cognitive Behavioral Therapy Approach for Suicidal Thinking and Behaviors in Depression. INTECH Open Access Publisher.

Mewton, L., & Andrews, G. (2015). Cognitive behaviour therapy via the internet for depression: A useful strategy to reduce suicidal ideation. Journal of affective disorders, 170, 78-84.

Mewton, L., & Andrews, G. (2016). Cognitive behavioral therapy for suicidal behaviors: improving patient outcomes. Psychology research and behavior management, 9, 21.

Morley, K. C., Sitharthan, G., Haber, P. S., Tucker, P., & Sitharthan, T. (2014). The efficacy of an opportunistic cognitive behavioral intervention package (OCB) on substance use and comorbid suicide risk: A multisite randomized controlled trial. Journal of consulting and clinical psychology, 82(1), 130.

Rudd, M. D., Bryan, C. J., Wertenberger, E. G., Peterson, A. L., Young - McCaughan, S., Mintz, J., Williams, S. R., Arne, K. A., Breitbach, J., Delano, K., Wikinson, E., & Bruse, T. (2015). Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow-up. American journal of psychiatry, 172(5), 441-449.

Slee, N., Garnefski, N., van der Leeden, R., Arensman, E., & Spinhoven, P. (2008). Cognitive–behavioural in-tervention for self-harm: randomised controlled trial. The British Journal of Psychiatry, 192(3), 202-211.

Tarrier, N., Kelly, J., Maqsood, S., Snelson, N., Maxwell, J., Law, H., Dunn,G., & Gooding, P. (2014). The cognitive behavioural prevention of suicide in psychosis: a clinical trial. Schizophrenia research, 156(2), 204-210.

Tarrier, N., Taylor, K., & Gooding, P. (2008). Cognitive-behavioral interventions to reduce suicide behavior a systematic review and meta-analysis. Behavior modification, 32(1), 77-108.

Tyrer, P., Thompson, S., Schmidt, U., Jones, V., Knapp, M., Davidson, K., Cata-lan, J., Airlie, J., Baxter, S., Byford, S., Byrne, G., Cameron, S., Caplan, R., Cooper, S., Ferguson, B., Free-man, C., Frost, S., Godley, J., Greenshields, J., Henderson, J., Holden, N., Keech, P., Kim, L., Logan, K., Manley, C., MacLeod, A., Murphy, R., Patience, L., Ramsay, L., De Munroz, S., Scott, J., Seivewright, H., Sivakumar, K., Tata,P., Thornton, S., Ukoumunne, O.C., & Wessely, S. (2003). Rando-mized controlled trial of brief cogni-tive behaviour therapy versus treat-ment as usual in recurrent deliberate self-harm: the POPMACT study. Psychological medicine, 33(06), 969-976.

van Spijker, B. A., van Straten, A., & Kerk-hof, A. J. (2014). Effectiveness of online self-help for suicidal thoughts: Results of a randomised controlled trial. PLOS ONE, 9(2), e90118.

Wagner, B., Horn, A. B., & Maercker, A. (2014). Internet-based versus face-to-face cognitive-behavioral intervention for depression: A rando-mized controlled non-inferiority trial. Journal of affective disorders, 152, 113-121.

Weinberg, I., Gunderson, J. G., Hennen, J., & Cutter Jr, C. J. (2006). Manual as-sisted cognitive treatment for deliberate self-harm in borderline personality disorder patients. Journal of personality disorders, 20(5), 482.

Weitz, E., Hollon, S. D., Kerkhof, A., & Cuijpers, P. (2014). Do depression treatments reduce suicidal ideation? The effects of CBT, IPT, pharmaco-therapy, and placebo on suicidality. Journal of affective disorders, 167, 98-103.

World Health Organization. (2014). Preventing suicide: A global imperative. World Health Organization.




How to Cite

Miloseva, L., Milosev, V., & Rihter, K. (2016). COGNITION AND SUICIDE: EFFECTIVENESS OF COGNITIVE BEHAVIOUR THERAPY. International Journal of Cognitive Research in Science, Engineering and Education (IJCRSEE), 4(1), 79–84.