Original Investigation

Cognitive Behavior Therapy With and Without Narrative Assessment and Suicide Attempts

JAMA Network Open 10.1001/jamanetworkopen.2025.44632

November 20, 2025 at 11:00 AM EST

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Are cognitive behavioral interventions that include a narrative assessment associated with a greater reduction in the risk of suicide attempts than those without?In this meta-analysis of 23 randomized clinical trials with 3262 participants, interventions incorporating a narrative assessment were associated with reduced suicide attempts, while those without were not.These findings suggest that including a narrative assessment may enhance the effectiveness of interventions in preventing suicide attempts.

Corresponding Author: Wilco C. Janssen, MSc, 113 Suicide Prevention, Paasheuvelweg 25, 1105 BP Amsterdam, the Netherlands (w.janssen@113.nl).

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