The purpose of this study is to combine and adapt Mindfulness-Based Cognitive Therapy (MBCT) + Safety Planning Intervention (SPI) for individuals with suicidal behavior and to determine its feasibility, acceptability, safety and preliminary effectiveness. An exploratory aim is to collect data on the cognitive changes underlying treatment gains.

• The study is a nine-week clinical trial combining Safety Planning Intervention plus Mindfulness-Based Cognitive Therapy for patients with a recent history of suicidal thoughts or behavior and current or past depressive symptoms.

• These treatments work for depression and some preliminary data suggest they may work to prevent suicidal behavior.

• Participation includes:

  • Nine weeks of free treatment
  • Clinical assessments
  • An opportunity to offer your views on treatment and suggestions for improving the treatment in focus groups

Inclusion Criteria:

• 18-65
• History of depression
• Suicidal behavior or thoughts (i.e., current suicidal thoughts at screening and history of at least one suicide attempt or suicide-related behavior (aborted or interrupted suicide attempt) or suicidal ideation with plan or method in the past 6 months)
• In active treatment (e.g., receiving psychiatric medications)

Exclusion Criteria:

• Current mania, psychosis, Obsessive-Compulsive Disorder, Traumatic Brain Damage, Organic or Acute Brain Syndrome, Mental Retardation or pervasive developmental disorder
• Requires priority treatment for an acute illness or debilitating problem such as severe primary substance dependence or anorexia nervosa
• Inability to complete psychiatric interview or group treatment due to lack of cooperation or lack of comprehension.