Background: The therapeutic alliance may be a moderating factor of outcome in the Attempted Suicide Short Intervention Program (ASSIP). Aims: This study investigates the two components of the therapeutic alliance, patients' satisfaction with the therapeutic relationship and therapeutic outcome and their associations with suicidal ideation over time. Method: A total of 120 patients (55% female; mean age = 36 years) with a history of attempted suicide were randomly allocated to either the intervention group (N = 60) or the control group (N = 60). Patients' satisfaction with the therapeutic relationship and outcome were measured with the two subscales of the Helping Alliance Questionnaire. The Beck Scale of Suicide Ideation was used to measure suicidal ideation in this 24-month follow-up study. Results: The ASSIP group showed that patients' satisfaction with therapeutic relationship and outcome increased significantly from the first to the third session. Higher satisfaction with therapeutic outcome correlated significantly with lower suicidal ideation at follow-up. Conversely, the control group showed no significant results. Limitations: The collaborative approach adopted in the initial clinical interview of the control group could possibly have influenced the results of both scales. Conclusion: In particular, the component satisfaction with therapeutic outcome seems crucial to the subjectively perceived satisfaction of treatment and is associated with lower suicidal ideation over time. Thus, an enhanced understanding of components of the therapeutic alliance plays an important role in the development of interventions for suicidal patients.

中文翻译：

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患者对治疗关系和治疗结果的满意度与尝试自杀短期干预计划 (ASSIP) 中的自杀意念有关。

背景：治疗联盟可能是尝试自杀短期干预计划 (ASSIP) 中结果的调节因素。目的：本研究调查了治疗联盟的两个组成部分，患者对治疗关系和治疗结果的满意度以及它们与自杀意念随时间的关系。方法：共有 120 名有自杀未遂史的患者（55% 女性；平均年龄 = 36 岁）被随机分配到干预组（N = 60）或对照组（N = 60）。患者对治疗关系和结果的满意度是用帮助联盟问卷的两个分量表来衡量的。在这项为期 24 个月的随访研究中，贝克自杀意念量表用于测量自杀意念。结果：ASSIP 组显示，患者对治疗关系和结果的满意度从第一次到第三次会话显着增加。对治疗结果的较高满意度与随访时较低的自杀意念显着相关。相反，对照组没有显示出显着的结果。局限性：在对照组的初始临床访谈中采用的协作方法可能会影响两个量表的结果。结论：特别是，对治疗结果的满意度对于主观感知的治疗满意度似乎至关重要，并且随着时间的推移与较低的自杀意念相关。因此，对治疗联盟组成部分的深入了解在制定针对自杀患者的干预措施方面发挥着重要作用。从第一次到第三次治疗，对治疗关系和结果的满意度显着增加。对治疗结果的较高满意度与随访时较低的自杀意念显着相关。相反，对照组没有显示出显着的结果。局限性：在对照组的初始临床访谈中采用的协作方法可能会影响两个量表的结果。结论：特别是，对治疗结果的满意度对于主观感知的治疗满意度似乎至关重要，并且随着时间的推移与较低的自杀意念相关。因此，对治疗联盟组成部分的深入了解在制定针对自杀患者的干预措施方面发挥着重要作用。从第一次到第三次治疗，对治疗关系和结果的满意度显着增加。对治疗结果的较高满意度与随访时较低的自杀意念显着相关。相反，对照组没有显示出显着的结果。局限性：在对照组的初始临床访谈中采用的协作方法可能会影响两个量表的结果。结论：特别是，对治疗结果的满意度对于主观感知的治疗满意度似乎至关重要，并且随着时间的推移与较低的自杀意念相关。因此，对治疗联盟组成部分的深入了解在制定针对自杀患者的干预措施方面发挥着重要作用。