Implementation Science of Cognitive Behavioral Suicide Prevention for Psychosis: Barriers and Facilitators – UROP Spring Symposium 2025

Implementation Science of Cognitive Behavioral Suicide Prevention for Psychosis: Barriers and Facilitators

Drew Maples

Research Mentor(s): Lindsay Bornheimer
Mentor Department:
Authors: Drew Maples, Lindsay Bornheimer, Nick Brdar
Session: Session 1 (9:00am – 9:50am)
Presentation Type: Poster 104

Abstract

The implementation of Cognitive Behavioral Suicide Prevention for Psychosis (CBSPp) in community mental health (CMH) settings presents both barriers and facilitators that can significantly impact its success. The qualitative work within the STaR Lab explores client-reported challenges and enablers in delivering CBSPp, utilizing inductive thematic analysis of interview transcripts. Challenges and barriers were categorized into three main themes: structural barriers such as resource availability, appointment scheduling, and location. Procedural barriers (e.g., session limitations and long wait times) and patient-related barriers (e.g., patient experience, medicine efficacy, and concerns about confidentiality) were also assessed. Key findings highlight that 24.07% of participants cited financial constraints as a barrier to receiving consistent mental health services, while 51.84% reported concerns about privacy and documentation through academic and health records. Further, 7.41% of participants felt the services were not culturally sensitive, and 29.63% questioned the effectiveness of medications and therapy, citing poor past experiences. Facilitators included clinician training and structured support, which were perceived to be essential in overcoming some of these barriers. The study identifies that addressing resource limitations, training gaps, and patient concerns regarding stigma and privacy can significantly improve CBSPp implementation in CMH settings. These insights provide crucial steps toward enhancing the accessibility and effectiveness of suicide prevention interventions in real-world settings for individuals with psychosis.

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