{
  "abstract": "Introduction\n\nWe evaluated the feasibility, acceptability, and preliminary outcomes of group-adapted brief cognitive-behavioral therapy for suicide prevention (BCBT) in a Brazilian public psychiatric outpatient service.Methods\n\nThis single-arm, nonrandomized, mixed-methods pilot enrolled 27 adults across two cohorts receiving 16 weekly group sessions. Feasibility and acceptability were assessed, and suicidal ideation was monitored weekly using the Beck Scale for Suicide Ideation (BSI).Results\n\nEnrollment targets were met; 70.4% had ≥ 4 recorded sessions, and no intervention-related adverse events were recorded. All six questionnaire respondents rated recommendation at 8-10. Four provided qualitative responses, highlighting shared suffering recognition and an interpretive theme of hope instillation. The linear BSI slope was nonsignificant (B = -0.29, p = 0.129); multiple imputation yielded B = -0.36 (p = 0.018). An exploratory quadratic model indicated greater decline later in treatment (p = 0.008). Among 18 participants with ≥ 4 recorded sessions and baseline BSI, scores decreased by 8.2 points from baseline to the last observation (d = -0.67; p = 0.011).Conclusions\n\nGroup-adapted BCBT showed preliminary feasibility and acceptability, with uncontrolled signals of reduced suicidal ideation. Controlled evaluation is needed to establish efficacy.",
  "abstract_shown": true,
  "affiliations": [
    "Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.",
    "Program for Education, Research, and Care in Treatment-Resistant Depression, Self-Injury, and Suicidality (Pro-DRAS), Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.",
    "Center of Research and Innovation in Mental Health (CISM), São Paulo, SP, Brazil.",
    "Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio, USA.",
    "Department of Psychiatry, University of Vermont, Burlington, Vermont, USA."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Letícia Lopes de Figueiredo",
      "orcid": "0000-0002-1748-0923"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Loren Beiram"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Jônatas Magalhães Santos",
      "orcid": "0000-0001-9366-3441"
    },
    {
      "affs": [
        1
      ],
      "name": "Mariana Filippini Cacciacarro",
      "orcid": "0000-0001-9544-3821"
    },
    {
      "affs": [
        1
      ],
      "name": "Letícia Almeida Silveira Camolesi",
      "orcid": "0009-0007-7007-539X"
    },
    {
      "affs": [
        3
      ],
      "name": "Justin C Baker",
      "orcid": "0000-0001-7010-5009"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Eurípedes Constantino Miguel"
    },
    {
      "affs": [
        4
      ],
      "name": "Craig J Bryan",
      "orcid": "0000-0002-9714-0733"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Rodolfo Furlan Damiano",
      "orcid": "0000-0003-3180-7926"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8c9gsjnwygn33.bib",
  "cited_by": 0,
  "doi": "10.1111/sltb.70143",
  "fulltext_url": "https://europepmc.org/articles/PMC13669817",
  "id": "8c9gsjnwygn33",
  "issns": [
    "0363-0234",
    "1943-278X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42876252",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3203|Suicide and Self-Harm Studies"
    ]
  ],
  "openalex": "W7222146851",
  "pdf_url": "https://europepmc.org/articles/PMC13669817?pdf=render",
  "pmcid": "PMC13669817",
  "pmid": "42876252",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/8c9gsjnwygn33.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:00Z",
      "native_id": "MED:42876252",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42876252"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Suicide and Self-Harm Studies",
      "subfield": "psychiatry"
    }
  ],
  "title": "Feasibility, Acceptability, and Preliminary Outcomes of a Group-Based Brief Cognitive-Behavioral Therapy Protocol for Suicide Prevention in a Brazilian Public Mental Health Service: A Mixed-Methods Pilot Study.",
  "title_text": "Feasibility, Acceptability, and Preliminary Outcomes of a Group-Based Brief Cognitive-Behavioral Therapy Protocol for Suicide Prevention in a Brazilian Public Mental Health Service: A Mixed-Methods Pilot Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:00Z",
  "url": "https://research.draconitic.com/paper/8c9gsjnwygn33",
  "venue": "Suicide & life-threatening behavior",
  "versions": []
}