{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:52:07Z","timestamp":1792050727642,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp; Life Threat Behav"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We evaluated the feasibility, acceptability, and preliminary outcomes of group\u2010adapted brief cognitive\u2010behavioral therapy for suicide prevention (BCBT) in a Brazilian public psychiatric outpatient service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010arm, nonrandomized, mixed\u2010methods 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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Enrollment targets were met; 70.4% had \u2265\u20094 recorded sessions, and no intervention\u2010related adverse events were recorded. All six questionnaire respondents rated recommendation at 8\u201310. Four provided qualitative responses, highlighting shared suffering recognition and an interpretive theme of hope instillation. The linear BSI slope was nonsignificant (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.29,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.129); multiple imputation yielded\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.36 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018). An exploratory quadratic model indicated greater decline later in treatment (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008). Among 18 participants with \u2265\u20094 recorded sessions and baseline BSI, scores decreased by 8.2 points from baseline to the last observation (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22120.67;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Group\u2010adapted BCBT showed preliminary feasibility and acceptability, with uncontrolled signals of reduced suicidal ideation. Controlled evaluation is needed to establish efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/sltb.70143","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:11:34Z","timestamp":1792048294000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility, Acceptability, and Preliminary Outcomes of a Group\u2010Based Brief Cognitive\u2010Behavioral Therapy Protocol for Suicide Prevention in a Brazilian Public Mental Health Service: A Mixed\u2010Methods Pilot Study"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1748-0923","authenticated-orcid":false,"given":"Let\u00edcia Lopes","family":"de Figueiredo","sequence":"first","affiliation":[{"name":"Instituto de Psiquiatria Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"},{"name":"Program for Education, Research, and Care in Treatment\u2010Resistant Depression, Self\u2010Injury, and Suicidality (Pro\u2010DRAS) Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"Beiram","sequence":"additional","affiliation":[{"name":"Instituto de Psiquiatria Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"},{"name":"Program for Education, Research, and Care in Treatment\u2010Resistant Depression, Self\u2010Injury, and Suicidality (Pro\u2010DRAS) Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9366-3441","authenticated-orcid":false,"given":"J\u00f4natas Magalh\u00e3es","family":"Santos","sequence":"additional","affiliation":[{"name":"Instituto de Psiquiatria Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"},{"name":"Program for Education, Research, and Care in Treatment\u2010Resistant Depression, Self\u2010Injury, and Suicidality (Pro\u2010DRAS) Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"},{"name":"Center of Research and Innovation in Mental Health (CISM)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9544-3821","authenticated-orcid":false,"given":"Mariana Filippini","family":"Cacciacarro","sequence":"additional","affiliation":[{"name":"Program for Education, Research, and Care in Treatment\u2010Resistant Depression, Self\u2010Injury, and Suicidality (Pro\u2010DRAS) Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7007-539X","authenticated-orcid":false,"given":"Let\u00edcia Almeida Silveira","family":"Camolesi","sequence":"additional","affiliation":[{"name":"Program for Education, Research, and Care in Treatment\u2010Resistant Depression, Self\u2010Injury, and Suicidality (Pro\u2010DRAS) Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7010-5009","authenticated-orcid":false,"given":"Justin C.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Health The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eur\u00edpedes Constantino","family":"Miguel","sequence":"additional","affiliation":[{"name":"Instituto de Psiquiatria Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo (HCFMUSP)  S\u00e3o Paulo SP Brazil"},{"name":"Center of Research and Innovation in Mental Health (CISM)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9714-0733","authenticated-orcid":false,"given":"Craig J.","family":"Bryan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Vermont  Burlington Vermont USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3180-7926","authenticated-orcid":false,"given":"Rodolfo Furlan","family":"Damiano","sequence":"additional","affiliation":[{"name":"Instituto de Psiquiatria Hospital das Cl\u00ednicas da Faculdade de Medicina 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