TY  - JOUR
A1  - Wagner, Birgit
A1  - Hofmann, Laura
A1  - Maaß, Ulrike
T1  - Online-group intervention after suicide bereavement through the use of webinars
BT  - study protocol for a randomized controlled trial
JF  - Trials
N2  - Introduction:
The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual's psychosocial and physical functioning. However, there are only few studies that have examined the effects of interventions in suicide survivors. In the present study, we examine an online-group intervention for people bereaved by suicide using a group-webinar. 

Methods:
The intervention was developed based on focus groups with the target group. The cognitive-behavioral 12-module webinar-based group intervention focuses on suicide bereavement-related themes such as feelings of guilt, stigmatization, meaning reconstruction and the relationship to the deceased. Further, the webinar includes testimonial videos and psychoeducation. The suicide survivors are randomized to the intervention or the waiting list in a group-cluster randomized controlled trial. Primary outcomes are suicidality (Beck Scale for Suicide Ideation) and depression (Beck Depression Inventory-II) and secondary outcomes are symptoms of prolonged grief disorder (Inventory of Complicated Grief-German Version ), posttraumatic stress disorder ( Revised Impact of Event Scale ), stigmatization (Stigma of Suicide and Suicide Survivor ) and posttraumatic cognitions (Posttraumatic Cognitions Inventory). 

Discussion:
Previous studies of Internet-based interventions for the bereaved were based on writing interventions showing large treatment effects. Little is known about the use of webinars as group interventions. Advantages and challenges of this novel approach of psychological interventions will be discussed.
KW  - Suicide bereavement
KW  - grief
KW  - group intervention
KW  - webinar
KW  - suicidality
KW  - prolonged grief disorder
KW  - randomized controlled trial
Y1  - 2020
U6  - https://doi.org/10.1186/s13063-019-3891-5
SN  - 1468-6694
SN  - 1745-6215
VL  - 21
IS  - 1
PB  - BioMed Central
CY  - London
ER  - 
TY  - JOUR
A1  - Holtmann, Martin
A1  - Buchmann, Arlette F.
A1  - Esser, Günter
A1  - Schmidt, Martin H.
A1  - Banaschewski, Tobias
A1  - Laucht, Manfred
T1  - The child behavior checklist-dysregulation profile predicts substance use, suicidality, and functional impairment a longitudinal analysis
JF  - The journal of child psychology and psychiatry
N2  - Background:
 Recent studies have identified a Child Behavior Checklist profile that characterizes children with severe affective and behavioral dysregulation (CBCL-dysregulation profile, CBCL-DP). In two recent longitudinal studies the CBCL-DP in childhood was associated with heightened rates of comorbid psychiatric disorders, among them bipolar disorder, an increased risk for suicidality, and marked psychosocial impairment at young-adult follow-up. This is the first study outside the US that examines the longitudinal course of the CBCL-DP.
 Methods:
 We studied the diagnostic and functional trajectories and the predictive utility of the CBCL-DP in the Mannheim Study of Children at Risk, an epidemiological cohort study on the outcome of early risk factors from birth into adulthood. A total of 325 young adults (151 males, 174 females) participated in the 19-year assessment.
 Results:
 Young adults with a higher CBCL-DP score in childhood were at increased risk for substance use disorders, suicidality and poorer overall functioning at age 19, even after adjustment for parental education, family income, impairment and psychiatric disorders at baseline. Childhood dysregulation was not related to bipolar disorder in young adulthood. The CBCL-DP was neither a precursor of a specific pattern of comorbidity nor of comorbidity in general.
 Conclusions:
 Children with high CBCL-DP values are at risk for later severe, psychiatric symptomatology. The different developmental trajectories suggest that the CBCL-DP is not simply an early manifestation of a single disease process but might rather be an early developmental risk marker of a persisting deficit of self-regulation of affect and behavior.
KW  - Dysregulation
KW  - childhood
KW  - comorbidity
KW  - longitudinal
KW  - irritability
KW  - depression
KW  - ADHD
KW  - substance use
KW  - suicidality
KW  - CBCL
KW  - bipolar
Y1  - 2011
U6  - https://doi.org/10.1111/j.1469-7610.2010.02309.x
SN  - 0021-9630
VL  - 52
IS  - 2
SP  - 139
EP  - 147
PB  - Wiley-Blackwell
CY  - Malden
ER  -