JMIR Publications

ABSTRACT

Background:

Digital formats have the potential to enhance accessibility to care for individuals with suicidal ideation. However, digital self-help interventions have been limited by small effect sizes to reduce suicidal ideation, low adherence, and unclear safety.

Objective:

Therefore, we aimed to develop a remote blended cognitive behavioral therapy (CBT) intervention targeting suicidal ideation, combining video therapy with online modules.

Methods:

This article presents the collaborative development the intervention, which was informed by a qualitative study involving five licensed psychotherapists and three voluntary crisis counsellors who reviewed drafts of the online modules. Data were collected using the think-aloud method and semi-structured interviews.

Results:

The findings indicated that blended care is a promising approach for this target group; the therapy should be adapted to the individual needs of patients. The online modules should explain concepts in a simple manner, convey empathy and validation for patients, and include reminders for the safety plan. Modules should have a simple navigation system and layout. Based on the findings and established CBT manuals for people with suicidal ideation and behaviors, we developed a remote blended CBT intervention consisting of 12 video therapy sessions and up to 31 online modules. A personalized treatment plan is collaboratively developed to target individual suicidal drivers.

Conclusions:

This remote treatment takes advantage of the high accessibility of digital formats while incorporating full sessions with a therapist. In a subsequent pilot trial, we will gather input from people with lived experience and therapists to test the feasibility of the treatment.