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Investigating the Effect of Behavioral Activation Training on Rumination in Patients with Suicide Attempts Presenting to the Emergency Department of a Selected Hospital in Tehran
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Maryam Askari1   , Seyedeh Azam Sajadi *2  , Zahra Farsi3 |
1- Nursing School, Aja University of Medical Sciences, Tehran, Iran
2- Nursing Management Department, Nursing School, Aja University of Medical Sciences, Tehran, Iran
3- Research and Ph.D. Nursing Departments, Nursing School, Aja University of Medical Sciences, Tehran, Iran |
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Abstract: (22 Views) |
Introduction: Suicide attempts represent one of the most common reasons for referrals to psychiatric hospital emergency departments. Reducing rumination in these individuals is a critical issue that warrants attention.
Objective: This study aimed to determine the effect of behavioral activation training on rumination among patients with suicide attempts presenting to the emergency department of a selected hospital in Tehran.
Material and Methods: This randomized clinical trial was conducted on 72 patients referred to the emergency department of a selected hospital in Tehran in 2024. Patients were purposively enrolled in the study and randomly allocated to the intervention or control group using a simple coin-toss method. In addition to routine care, the intervention group received behavioral activation based on the social problem-solving approach of D'Zurilla and Goldfried, consisting of a 4-week educational program with two 60-minute sessions per week. Rumination was assessed before and after the intervention using the Nolen-Hoeksema and Morrow Ruminative Thought Style Questionnaire. Data were analyzed using SPSS version 21.
Results: Prior to the intervention, there was no significant difference in the mean total rumination scores between the intervention group (52.90±8.36) and the control group (55.44±7.61) (P=0.202). However, post-intervention, the mean total rumination score in the intervention group (42.90±9.58) was significantly lower than in the control group (53.70±9.47) (P<0.001). The mean rumination score in the intervention group showed a significant decrease after the intervention (P<0.001), whereas no significant change was observed in the control group (P=0.311).
Conclusion: Behavioral activation training using the social problem-solving method led to a reduction in rumination among patients presenting to the emergency department. Therefore, it is recommended that nurses working in emergency departments and psychiatric nurses make greater use of this approach. |
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| Keywords: Behavioral Activation, Emergency Department, Patient, Training, Rumination |
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Full-Text [PDF 557 kb]
(11 Downloads)
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Type of Study: Research |
Subject:
Psychology
Received: 2025/01/10 | Revised: 2026/02/7 | Accepted: 2024/09/29 | Published: 2025/09/30
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