SynthesisClinical psychology & psychotherapy2022
The relationship between the therapeutic alliance in psychotherapy and suicidal experiences: A systematic review.
Synthesis in Clinical psychology & psychotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- The experiences of consumers, clinicians and support persons involved in the safety planning intervention for suicide prevention: a qualitative systematic review and meta-synthesis.Frontiers in psychiatry · 2024Pooled it
- The relationship between the therapeutic alliance in psychotherapy and suicidal experiences: A systematic review.Clinical psychology & psychotherapy · 2022Pooled it
- Comparing the Impacts of Crisis Response Plan and Self-Administered Safety Plan Use in Real Life on Key Clinical Outcomes.Suicide & life-threatening behavior · 2025Trial
- THRIVE: Feasibility, Acceptability, and Social Validity of a Brief Recovery-Focused Intervention in Crisis Stabilization Centers.Suicide & life-threatening behavior · 2025Trial
- Suicide prevention via telemental health services: insights from a randomized control trial of crisis response plan and self-guided safety planning approaches.BMC health services research · 2024Trial
- Personalizing Suicide Risk Assessment: Machine Learning Extraction of Cross-Modal Interactions Between Psychosocial and Demographic Factors in Veterans.medRxiv : the preprint server for health sciences · 2026Article
- Acuity, Diagnosis, and Community Factors in Virtual and In-Person Treatment: Qualitative Study.JMIR human factors · 2026Article
- Suicidal and self-harm behaviors in emergency psychiatry: bridging risk assessment and clinical decision-making.Frontiers in psychiatry · 2026Review
- Real-World Symptom Trajectories in Adolescents With and Without Suicide Risk Receiving Care from Rula Health: Retrospective Study.JMIR pediatrics and parenting · 2025Article
- The relationship of early life adversity and physiological synchrony within the therapeutic triad in horse-assisted therapy.Journal of neural transmission (Vienna, Austria : 1996) · 2025Article
- Suicide risk assessment and management protocol for research within the Department of Veterans Affairs.Journal of psychopathology and clinical science · 2025Article
- Temporal Patterns of Suicidality Among Adolescents Receiving Behavioral and Mental Health Services in the Community: A Survival Analysis.Community mental health journal · 2025Article
- Therapeutic alliance and suicidal ideation in brief cognitive behavioral therapy for outpatients.BMC psychiatry · 2024Article
- Using natural language processing to evaluate temporal patterns in suicide risk variation among high-risk Veterans.Psychiatry research · 2024Article
- Exploring the practice and attitudes of psychiatrists and psychologists towards patient-targeted googling in China.Frontiers in psychiatry · 2024Article
- Psychological intervention priorities according to perinatal women who experienced suicidal thoughts and perinatal mental health professionals: a Q-methodology study.Frontiers in psychiatry · 2023Article
- Connecting and Healing: The Role of Existential Isolation in Mediating the Impact of the Therapeutic Relationship on Canadian Men's Mental Health Outcomes.American journal of men's healthArticle
- Dynamic suicide topic modelling: Deriving population-specific, psychosocial and time-sensitive suicide risk variables from Electronic Health Record psychotherapy notes.Clinical psychology & psychotherapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
It is well established that there is a fundamental need to develop a robust therapeutic alliance to achieve positive outcomes in psychotherapy. However, little is known as to how this applies to psychotherapies which reduce suicidal experiences. The current narrative review summarizes the literature which investigates the relationship between the therapeutic alliance in psychotherapy and a range of suicidal experiences prior to, during and following psychotherapy. Systematic searches of MEDLINE, PsycINFO, Web of Science, EMBASE and British Nursing Index were conducted. The search returned 6472 studies, of which 19 studies were eligible for the present review. Findings failed to demonstrate a clear link between suicidal experiences prior to or during psychotherapy and the subsequent development and maintenance of the therapeutic alliance during psychotherapy. However, a robust therapeutic alliance reported early on in psychotherapy was related to a subsequent reduction in suicidal ideation and attempts. Study heterogeneity, varied sample sizes and inconsistent reporting may limit the generalizability of review findings. Several recommendations are made for future psychotherapy research studies. Training and supervision of therapists should not only highlight the importance of developing and maintaining the therapeutic alliance in psychotherapy when working with people with suicidal experiences but also attune to client perceptions of relationships and concerns about discussing suicidal experiences during therapy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.