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Brief interventions for suicidal individuals not engaged in treatment
Ward-Ciesielski, Erin Faye University of Washington 2015 해외박사(DDOD)
Non-treatment engaged individuals experiencing suicidal thoughts have been largely overlooked in the intervention literature, despite reviews suggesting that the majority of individuals who die by suicide were not in treatment immediately prior to their death. These individuals clearly represent a group in need of additional empirical attention. An intervention has been developed with these individuals in mind and involves a brief, one-time intervention wherein participants are presented with a selection of emotion regulation and distress tolerance skills from the dialectical behavior therapy (DBT) skills training curriculum (Ward-Ciesielski, 2013). This DBT brief suicide intervention (DBT-BSI) has been shown to have promise as an intervention to reduce suicidal ideation, but has yet to be rigorously tested with a control condition. The aims of the present study were 1) to compare evaluate the safety of the DBT-BSI relative to a relaxation training (RT) control condition for adults not engaged in mental health treatment with respect to potential adverse events on participants, 2) to assess the feasibility of the research methodology, and 3) to preliminarily estimate the immediate and long-term degree of change and variability of response to DBT-BSI relative to RT on the primary outcomes of suicidal ideation, emotion dysregulation, and skills use as well as a number of secondary outcomes (e.g., depression, anxiety). The study was a randomized controlled trial of two one-session interventions and three follow-up interviews over three months conducted from 2012-2013. Participants were randomly assigned to one of the two conditions and outcome assessors were blind to study condition assignment. Suicidal ideation, depression severity, and anxiety severity all significantly improved during the follow-up period; however, there were no significant differences between conditions and skills use and emotion dysregulation did not significantly change over time for either condition. The implications of these findings are discussed.
Ward, Kerry W Indiana University 2006 해외박사(DDOD)
This dissertation seeks to generalize and extend the theory of alignment as guided adaptation (TAGA) (Ward & Vessey Working Paper). TAGA is a descriptive theory that views alignment from a multilevel, process-oriented prospective. It is based upon the premise that in the short run each alignment factor adapts independently of the others in the alignment system. In the long run, however, the alignment factors are an interdependent system. TAGA was developed based on a small firm that had a nonstrategic view of IS. This dissertation therefore seeks to generalize the theory to firms that have a formal IS strategy and planning process and are large in size. The dissertation also extends the theory by examining the role that changes external to the alignment factors play in the alignment factor adaptation process. Three case studies were conducted using semi-structured interviews with 31 high-level business and IS managers as data sources. The data was coded into change episodes demarcated by changes in business strategy (intent and initiatives) and was analyzed using alternative templates, visual mapping, and temporal bracketing strategies (Langley 1999; Ward & Vessey Working Paper). The results indicate that TAGA generalizes to large firms and to firms with a formal IS strategy and planning process. Within these additional contexts, TAGA was able to explain the patterns of change in the alignment episodes while the traditional view of alignment as synchronization could not. The results also indicate that changes in the outer environment such as the level at which the changed occurred in the factor hierarchy, the magnitude of the change initiating adaptation, and the pace at which change occurred influenced the need for change in the internal alignment factors. This research has implications for both academic and practitioner communities. The research shows that TAGA is applicable to firms that have a formal IS strategy and planning process; and that factors such as the level, magnitude, and pace of changes impacts the adaptation process. From a practitioner perspective, this research provides insight into managing the alignment process by redefining how to view alignment.