Brief Cognitive Behavioral Therapy for Reducing Suicidal Ideation in Economically Distressed Migrants

The Efficacy of Brief Cognitive Behavioral Therapy (Brief CBT) in Reducing Suicidal Ideation Among Economically Distressed Migrant Workers in the Middle East: A Randomized Controlled Trial

This randomized controlled trial assessed the efficacy of an 8-session, culturally adapted Brief Cognitive Behavioral Therapy (Brief CBT) compared to Treatment as Usual (TAU) in reducing suicidal ideation among economically distressed migrant workers in the United Arab Emirates. Participants (N=120) were randomized to receive Brief CBT or TAU. Outcomes were assessed at baseline, 4-weeks, 8-weeks, and 3-month follow-up.

Economically distressed migrant workers face high psychosocial stress, resulting in increased suicidal ideation. This study examined the effectiveness of culturally adapted Brief CBT in addressing suicidal ideation, depression, anxiety, stress, and financial distress compared to standard treatment resources provided as usual.

Inclusion Criteria:

• Age between 18 to 65 years.
• Migrant worker residing in the UAE with a valid work or residence visa.
• Experiencing significant economic distress (score of ≤40 on the InCharge Financial Distress/Financial Well-Being Scale - IFDFW).
• Presence of suicidal ideation, defined as a score ≥1 on the Beck Scale for Suicide Ideation (BSS).
• Able to communicate effectively in English, Arabic, or Tagalog.
• Willing and able to provide informed written consent.

Exclusion Criteria:

• Acute psychosis, severe substance dependence, or immediate suicide risk requiring hospitalization.
• Cognitive impairment limiting therapy participation.
• Currently engaged in structured psychotherapy for depression or suicidality.