Effectiveness of Intensive Short-Term Dynamic Psychotherapy for Suicidal Ideation and Anger in Suicidal Behavior

Am J Psychother. 2025 Sep 15;78(3):186-189. doi: 10.1176/appi.psychotherapy.20240023. Epub 2025 Apr 4.

Abstract

Objective: This study aimed to evaluate the efficacy of intensive short-term dynamic psychotherapy (ISTDP) in reducing anger and suicidal ideation among individuals with suicidal behavior.

Methods: A quasi-experimental design was used, with 30 participants randomly assigned to an experimental or a medication-only control group. Participants, recently hospitalized in Kermanshah, Iran, because of suicide attempt, were assessed via the State-Trait Anger Expression Inventory-2 and the Beck Scale for Suicidal Ideation at baseline and posttreatment. Treatment began after group assignment.

Results: ISTDP significantly reduced anger (p<0.05) and suicidal ideation (p<0.05), significantly decreasing the likelihood of suicide reattempts.

Conclusions: ISTDP offers promise in combating suicidal thoughts and behaviors, supporting the psychodynamic hypothesis of anger dynamics and inward anger.

Keywords: Anger; Intensive Short-Term Dynamic Psychotherapy; Psychodynamic; Suicidal Ideation; Suicide and Self-Harm.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anger*
  • Female
  • Humans
  • Iran
  • Male
  • Psychotherapy, Brief* / methods
  • Psychotherapy, Psychodynamic* / methods
  • Suicidal Ideation*
  • Suicide, Attempted* / psychology
  • Treatment Outcome
  • Young Adult