ABSTRACT
The earliest models are manualised and usually have a specified number of sessions. Highly manualised interventions are often used in clinical trials as they enable better adherence and fidelity between clinicians. It is also easier to train staff to deliver manualised models and replicate in other studies with different populations. Collaborative assessment and management of suicidality is based on a personalised formulation built around two direct suicide drivers for each individual and has a high level of coherence. This is important as it conveys confidence for both the person delivering the intervention and the client. Interestingly, an Suicide-focused interventions should also not be too long, as it is not intended to replace psychological therapy for any of the “other” problems which many suicidal people have (such as depression; substance misuse or Emotionally Unstable Personality Disorder) and for which there are more evidence-based interventions.
