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The Six R’s Framework as Mindfulness for Suicide Prevention

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A Positive Psychological Approach to Suicide

Part of the book series: Advances in Mental Health and Addiction ((AMHA))

Abstract

Suicide is a form of violence that affects not only the suicidal individual, but many others, and co-arises from many factors including personal, societal, and ecological conditions. Yet, most interventions target only individual level factors, failing to address these multiple dimensions of suicide risk. We begin by reviewing the literature on current, secular mindfulness-based interventions for suicide prevention, identifying strengths and limitations. Then, taking the theoretical position of Pratītyasamutpāda, or dependent origination, we suggest that suicide prevention requires an integration of psychological mindfulness, transcendent mindfulness, and critical mindfulness. Based on this, we propose a six R’s framework of suicide prevention, which includes the processes of remembering, redirecting, replacing, reflecting, resolving, and retracing. Our proposed approach encourages the unfolding of insight and compassion, for the patient, but is also concerned with the need to attend to community health and welfare, including the historical societal contexts that contribute to the emergence of suicide. The six R’s approach differs from secular mindfulness, which focuses on the independent practice of mindfulness, by also focusing on socio-ecological and cultural influences on suicide and on the collective, rather than solely the individual, nature of suicide. This broadened focus results in the development of wisdom, motivation, and compassion to end suffering, not just for the self, but also by addressing systemic issues, such as oppression and injustice, that contribute to suicide.

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References

  • Anastasiades, M. H., Kapoor, S., Wootten, J., & Lamis, D. A. (2017). Perceived stress, depressive symptoms, and suicidal ideation in undergraduate women with varying levels of mindfulness. Archives of Women’s Mental Health, 20(1), 129–138. https://doi.org/10.1007/s00737-016-0686-5

    Article  PubMed  Google Scholar 

  • American Mindfulness Research Association. (2017). Mindfulness journal publications by year, 1980–2016. Retrieved from goAMRA.org.

    Google Scholar 

  • Barnhofer, T., Crane, C., Brennan, K., Duggan, D., Crane, R., Eames, C., … Williams, J. (2015). Mindfulness-based cognitive therapy (MBCT) reduces the association between depressive symptoms and suicidal cognitions in patients with a history of suicidal depression. Journal of Consulting and Clinical Psychology, 83(6), 1013–1020. https://doi.org/10.1037/ccp0000027

    Article  PubMed  PubMed Central  Google Scholar 

  • Basharpoor, S., Daneshvar, S., & Noori, H. (2016). The relation of self-compassion and anger control dimensions with suicide ideation in university students. International Journal of High Risk Behavior Addiction, 5(4), e26165.

    Google Scholar 

  • Birnbaum, L., & Birnbaum, A. (2004). In search of inner wisdom: Guided mindfulness meditation in the context of suicide. The Scientific World Journal, 4, 216–227. https://doi.org/10.1100/tsw.2004.17

    Article  PubMed  PubMed Central  Google Scholar 

  • Bodhi, B. (1997). Self-transformation. Retrieved May 13, 2017, from http://www.vipassana.com/resources/bodhi/self-transformation.php

  • Boddhi, B. (2011). What does mindfulness really mean? A canonical perspective. Contemporary Buddhism, 12, 19–39. https://doi.org/10.1080/14639947.2011.564813

    Article  Google Scholar 

  • Bodhi, B. (2013, November 13). The noble eightfold path: The way to the end of suffering. Retrieved May 13, 2017, from http://www.accesstoinsight.org/lib/authors/bodhi/waytoend.html

  • Bodhi, B. (2016). The transformations of mindfulness. In R. E. Purser, D. Forbes, & A. Burke (Eds.), Handbook of mindfulness: Culture, context, and social engagement (pp. 3–14). Cham: Springer International. https://doi.org/10.1007/978-3-319-44019-4_1

    Chapter  Google Scholar 

  • Bowen, S., Chawla, N., Collins, S., Witkiewitz, K., Hsu, S., Grow, J., … Marlatt, A. (2009). Mindfulness-based relapse prevention for substance use disorders: A pilot efficacy trial. Substance Abuse, 30, 205–305.

    Article  Google Scholar 

  • Bowen, S., Chawla, N., & Marlatt, A. G. (2011). Mindfulness-based relapse prevention for addictive behaviors: A clinician’s guide. New York: Guildford Press.

    Google Scholar 

  • Brahm, A. (2006). Mindfulness, bliss, and beyond. Somerville, MA: Wisdom Publications, Inc.

    Google Scholar 

  • Brown, B. (2012). Daring greatly: How the courage to be vulnerable transform the way we live, love, parent and lead. New York: Penguin Random House.

    Google Scholar 

  • Buddharakkhita, B. (2017). Sowing seeds of peace. Entebbe, Uganda: Uganda Buddhist Centre.

    Google Scholar 

  • Buitron, V., Hill, R. M., & Pettit, J. W. (2016). Mindfulness moderates the association between perceived burdensomeness and suicide ideation in adults with elevated depressive symptoms. Suicide and Life-threatening Behavior, 47(5), 580–588. https://doi.org/10.1111/sltb.12314

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2010). Youth risk behavior surveillance—United States, 2009. MMWR. Morbidity and Mortality Weekly Report, 59, SS-5 Retrieved from http://www.cdc.gov/mmwr/pdf/ss/ss5905.pdf

    Google Scholar 

  • Chandler, M., & Lalonde, C. (2008). Cultural continuity as a protective factor against suicide in first nations youth. Horizons, 10(1), 68–72.

    Google Scholar 

  • Cheng, J. K. Y., & Sue, S. (2014). Addressing cultural and ethnic minority issues in the acceptance and mindfulness movement. In A. Masuda (Ed.), Cultural issues in acceptance and mindfulness, chapter 1. Oakland, CA: New Harbinger Publications.

    Google Scholar 

  • Chesin, M. S., Benjamin-Phillips, C., Keilp, J., Fertuck, E., Brodsky, B., & Stanley, B. (2016). Improvements in executive attention, rumination, cognitive reactivity, and mindfulness among high–suicide risk patients participating in adjunct mindfulness-based cognitive therapy: Preliminary findings. The Journal of Alternative and Complementary Medicine, 22(8), 642–649. https://doi.org/10.1089/amc.2015.0351

    Article  PubMed  Google Scholar 

  • Chesin, M. S., Interian, A., Kline, A., Benjamin-Phillips, C., Latorre, M., & Stanley, B. (2016). Reviewing mindfulness-based interventions for suicidal behavior. Archives of Suicide Research, 20(4), 507–527.

    Article  PubMed  Google Scholar 

  • Chesin, M. S., & Jeglic, E. L. (2016). Factors associated with recurrent suicidal ideation among racially and ethnically diverse college students with a history of suicide attempt: The role of mindfulness. Archives of Suicide Research, 20(1), 29–44.

    Article  PubMed  Google Scholar 

  • Chesin, M. S., Sonmez, C. C., Benjamin-Phillips, C. A., Beeler, B., Brodsky, B. S., & Stanley, B. (2015). Preliminary effectiveness of adjunct mindfulness-based cognitive therapy to prevent suicidal behavior in outpatients who are at elevated suicide risk. Mindfulness, 6(6), 1345–1355.

    Article  Google Scholar 

  • Chung-Do, J. J., Goebert, D. A., Bifulco, K., Tydingco, T., Alvarez, A., Rehuher, D., & Wilcox, P. (2015). Hawai ‘i’s caring communities initiative: Mobilizing rural and ethnic minority communities for youth suicide prevention. Journal of Health Disparities Research and Practice, 8(4), 8.

    Google Scholar 

  • Collett, N., Pugh, K., Waite, F., & Freer, D. (2016). Negative cognitions about the self in patients with persecutory delusions: An empirical study of self-compassion, self-stigma, schematic beliefs, self-esteem, fear of madness, and suicidal ideation. Psychiatry Research, 239, 79–84.

    Article  PubMed  Google Scholar 

  • Collins, K. R. L., Best, I., Stitzke, W. G. K., & Page, A. C. (2016). Mindfulness and zest for life buffer the negative effects of experimentally-induced perceived burdensomeness and thwarted belongingness: Implications for theories of suicide. Journal of Abnormal Psychology, 125(5), 704–714. https://doi.org/10.1037/abn0000167

    Article  PubMed  Google Scholar 

  • Collins, K. R. L., Stebbing, C., Stritzke, W. G., & Page, A. C. (2017). A brief mindfulness intervention attenuates desire to escape following experimental induction of the interpersonal adversity implicated in suicide risk. Mindfulness, 8, 1096–1105.

    Article  Google Scholar 

  • Crone, E. A., Donohue, S. E., Honomichl, R., Wendelken, C., & Bunge, S. A. (2006). Brain regions mediating flexible rule use during development. The Journal of Neuroscience, 26(43), 11239–11247. https://doi.org/10.1523/JNEUROSCI.2165-06.2006

    Article  PubMed  PubMed Central  Google Scholar 

  • Davidson, R. J., & Begley, S. (2012). The emotional life of your brain. New York: Hudson Street.

    Google Scholar 

  • Dunne, J. (2011). Toward an understanding of non-dual mindfulness. Contemporary Buddhism, 12(1), 71–88.

    Article  Google Scholar 

  • Forkmann, T., Brakemeier, E. L., Teismann, T., Shramm, E., & Michalak, J. (2016). The effects of mindfulness-based cognitive therapy and cognitive behavioral analysis system of psychotherapy added to treatment as usual on suicidal ideation in chronic depression: Results of a randomized clinical trial. Journal of Affective Disorders, 200, 51–57. https://doi.org/10.1016/j.jad.2016.01.047

    Article  PubMed  Google Scholar 

  • Forkmann, T., Wichersb, M., Geschwindc, N., Peetersb, F., Osb, J., Mainza, V., & Collipb, D. (2014). Effects of mindfulness-based cognitive therapy on self-reported suicidal ideation: Results from a randomised controlled trial in patients with residual depressive symptoms. Contemporary Psychiatry, 55(8), 1883–1890. https://doi.org/10.1016/j.comppsych.2014.08.043

    Article  Google Scholar 

  • Freire, P. (1996). Pedagogy of the oppressed. New York: Continuum.

    Google Scholar 

  • Germano, D. (2014). Contemplation in contexts: Tibetan Buddhist meditation across the boundaries of the humanities and sciences. Paper presented at the Mind and Life International Symposium for Contemplative Studies, Boston, MA.

    Google Scholar 

  • Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69, 856–867.

    Article  PubMed  Google Scholar 

  • Goleman, D. (1995). Emotional intelligence. New York: Bantam Books.

    Google Scholar 

  • Goleman, D. (2003). Destructive emotions: How can we overcome them? New York: Bantam.

    Google Scholar 

  • Gong, H., Ni, C. X., Liu, Y. Z., Zhang, Y., Su, W. J., Lian, Y. J., … Jiang, C. L. (2016). Mindfulness meditation for insomnia: A meta-analysis of randomized controlled trials. Journal of Psychosomatic Research, 89, 1–6.

    Article  PubMed  Google Scholar 

  • Gotink, R. A., Chu, P., Busschbach, J. J. V., Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015). Standardised mindfulness-based interventions in healthcare: An overview of systematic reviews and meta-analyses of RCTs. PLoSONE, 10(4). https://doi.org/10.1371/journal.pone.0124344

    Article  PubMed  PubMed Central  Google Scholar 

  • Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., … Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and Well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 173(3), 357–368. https://doi.org/10.1001/jamainternmed.2013.13018

    Article  Google Scholar 

  • Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12.

    Article  PubMed  Google Scholar 

  • Haidt, J. (2001). The emotional dog and its rational tail: A social intuitionist approach to moral judgment. Psychological Review, 108, 814–834.

    Article  PubMed  Google Scholar 

  • Hanh, T. N. (2000). Discourse on the middle way (Samyukta Agama, no.301). In Plum Village chanting and recitation book. Berkelay, CA: Parallax.

    Google Scholar 

  • Hargus, E., Crane, C., Barnhofer, T., & Williams, J. M. G. (2010). Effects of mindfulness on meta awareness and specificity of describing prodromal symptoms in suicidal depression. Emotion, 10(1), 34–42. https://doi.org/10.1037/a0016825

    Article  PubMed  PubMed Central  Google Scholar 

  • Haswell, D. E. & Graham, M. (1996). Self-inflicted injuries. Challenging knowledge, skill, and compassion. Canadian Family Physician, 42, 1756–1758, 1761–4.

    Google Scholar 

  • Health Canada. (2017). First nations & Inuit health: Suicide prevention. Retrieved from http://www.hc-sc.gc.ca/fniah-spnia/promotion/suicide/index-eng.php.

    Google Scholar 

  • Hilton, L., Hempel, S., Ewing, B. A., Apaydin, E., Xenakis, L., Newberry, S., … Maglione, M. A. (2016). Mindfulness meditation for chronic pain: Systematic review and meta-analysis. Annals of Behavioral Medicine, 51(2), 199–213. https://doi.org/10.1007/s12160-016-9844-2

    Article  Google Scholar 

  • Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.

    Article  PubMed  Google Scholar 

  • Hutcherson, C. A., Seppala, E. M., & Gross, J. J. (2008). Loving-kindness meditation increases social connectedness. Emotion, 8, 720–724. https://doi.org/10.1037/a0013237

    Article  PubMed  Google Scholar 

  • Jazaieri, H., McGonigal, K., Jinpa, T., Doty, J. R., Gross, J. J., & Goldin, P. R. (2014). A randomized controlled trial of compassion cultivation training: Effects on mindfulness, affect, and emotion regulation. Motivation and Emotion, 38(1), 23–35.

    Article  Google Scholar 

  • Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Joormann, J., Levens, S. M., & Gotlib, I. H. (2011). Sticky thoughts: Depression and rumination are associated with difficulties manipulating emotional material in working memory. Psychological Science, 22(8), 979–983.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. McHenry, IL: Delta Publishing.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present and future. Clinical Psychology: Science and Practice, 10, 144–156.

    Google Scholar 

  • Kaliman, P., Álvarez-López, M. J., Cosín-Tomás, M., Rosenkranz, M. A., Lutz, A., & Davidson, R. J. (2014). Rapid changes in histone deacetylases and inflammatory gene expression in expert meditators. Psychoneuroendocrinology, 40, 96–107 PMCID: PMC4039194.

    Article  PubMed  Google Scholar 

  • King, R. (2016). ‘Paying attention’ in a digital economy: Reflections on the role of analysis and judgment within contemporary discourses of mindfulness and comparisons with classical Buddhist accounts of sati. In R. E. Purser, D. Forbes, & A. Burke (Eds.), Handbook of mindfulness: Culture, context, and social engagement (pp. 27–45). Cham: Springer International. https://doi.org/10.1007/978-3-319-44019-4

    Chapter  Google Scholar 

  • Kirby, J. N. (2017). Compassion interventions: The programmes, the evidence, and implications for research and practice. Psychology and Psychotherapy: Theory, Research and Practice, 90(3), 432–455.

    Article  Google Scholar 

  • Kirmayer, L. J. (2015). Mindfulness in cultural context. Transcultural Psychiatry, 52(4), 447–469.

    Article  PubMed  Google Scholar 

  • Kirmayer, L. J., Brass, G. M., Holton, T., Paul, K., Simpson, C., & Tait, C. (2007). Suicide among aboriginal people in Canada. Ottawa: Aboriginal Healing Foundation.

    Google Scholar 

  • Kline, A., Chesin, M., Latorre, M., Miller, R., St. Hill, L., Shcherbakov, A., … Interian, A. (2016). Rationale and study design of a trial of mindfulness-based cognitive therapy for preventing suicidal behavior (MBCT-S) in military veterans. Contemporary Clinical Trials, 50, 245–252. https://doi.org/10.1016/j.cct.2016.08.015

    Article  PubMed  Google Scholar 

  • Kuyken, W., Hayes, R., Barrett, B., Byng, R., Dalgleish, T., Kessler, D., & Byford, S. (2015). Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): A randomized controlled trial. The Lancet, 386, 63–73. https://doi.org/10.1016/S0140-6736

    Article  Google Scholar 

  • Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., … Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: An individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73(6), 565–574.

    Article  PubMed  Google Scholar 

  • Lavelle, B. D. (2016). Against one method: Contemplation in context. In R. E. Purser, D. Forbes, & A. Burke (Eds.), Handbook of mindfulness: Culture, context, and social engagement (pp. 233–242). Cham, Switzerland: Springer International. https://doi.org/10.1007/978-3-319-44019-4

    Chapter  Google Scholar 

  • Law, K. C., & Tucker, R. P. (2018). Repetitive negative thinking and suicide: A burgeoning literature with need for further exploration. Current Opinion in Psychology, 22, 68–72.

    Article  PubMed  Google Scholar 

  • Le, T. N., & Gobert, J. (2015). Translating & implementing a mindfulness-based youth suicide prevention intervention in a native American community. Journal of Child and Family Studies, 24(1), 12–23. https://doi.org/10.1007/s10826-013-9809-z

    Article  Google Scholar 

  • Luna, B., & Sweeney, J. A. (2004). The emergence of collaborative brain function: FMRI studies of the development of response inhibition. Annals of the New York Academy of Sciences, 1021, 296–309.

    Article  PubMed  Google Scholar 

  • Luoma, J. B., & Villatte, J. L. (2012). Mindfulness in the treatment of suicidal individuals. Cognitive and Behavioral Practice, 19, 265–276.

    Article  PubMed  Google Scholar 

  • Marchand, W. R. (2012). Self-referential thinking, suicide, and function of the cortical midline structures and striatum in mood disorders: Possible implications for treatment studies of mindfulness-based interventions for bipolar depression. Depression Research and Treatment, 2012, 15. https://doi.org/10.1155/2012/246725

    Article  Google Scholar 

  • Meyers, M. A. (2003). Hawaiian hermeneutics and the triangulation of meaning: Gross, subtle, and causal. Social Justice, 30(4), 54–63.

    Google Scholar 

  • Miller, L. D. (2016). The ultimate Rx: Cutting through the delusion of self-cherishing. In R. E. Purser, D. Forbes, & A. Burke (Eds.), Handbook of mindfulness: Culture, context, and social engagement (pp. 337–352). Cham, Switzerland: Springer International. https://doi.org/10.1007/978-3-319-44019-4

    Chapter  Google Scholar 

  • Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.

    Article  Google Scholar 

  • Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240. https://doi.org/10.1080/15298860902979307

    Article  Google Scholar 

  • Negi, L. T. (2009). Cognitively-based compassion training: A manual. Atlanta, GA: Emory University Unpublished manuscript.

    Google Scholar 

  • Pagnoni, G., Cekic, M., & Guo, Y. (2008). “Thinking about not- thinking”: Neural correlates of conceptual processing during Zen meditation. PLoS One, 3(9), e3083.

    Article  PubMed  PubMed Central  Google Scholar 

  • Purser, R. (2015). Clearing the muddled path of traditional and contemporary mindfulness: A response to Monteiro, Musten, and Compson. Mindfulness, 6, 23–45. https://doi.org/10.1007/s12671-014-0373-4

    Article  Google Scholar 

  • Purser, R., & Loy, D. (2013). Beyond mindfulness. Huffington Post. Retrieved from http://www.huffigtonpost.com/ron-purser/beyond-mcmindfulness_b_35919289.html.

  • Reyes, N. A. S. (2013). Ike Ku’oko’a: Indigenous critical pedagogy and the connections between education and sovereignty for Ka Lahui Hawai’i. Hulili: Multidisciplinary Research on Hawaiian Well-Being, 9, 205–227.

    Google Scholar 

  • Ricard, M. (2006). Happiness: A guide to developing life's most important skill. New York: Little, Brown.

    Google Scholar 

  • Roeser, R. W., & Zelazo, P. D. (2012). Contemplative science, education and child development: Introduction to the special section. Child Development Perspectives, 6, 143–145. https://doi.org/10.1111/j.1750-8606.2012.00242.x

    Article  Google Scholar 

  • Rose, S. (2012). The need for a critical neuroscience: From neuroideology to neurotechnology. In S. Choudhury & J. Slaby (Eds.), Critical neuroscience: A handbook of the social and cultural contexts of neuroscience. Chichester: Wiley-Blackwell.

    Google Scholar 

  • Samuel, G. (2014). Between Buddhism and science, between mind and body. Religion, 5, 560–579.

    Article  Google Scholar 

  • Seppala, E., Rossomando, T., & Doty, J. (2013). Social connection and compassion: Important predictors of health and well-being. Social Research, 80(2), 411–430. https://doi.org/10.1353/sor.2013.0027

    Article  Google Scholar 

  • Serpa, J. G., Taylor, S. L., & Tillisch, K. (2014). Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Medical Care, 52, S19–S24.

    Article  PubMed  Google Scholar 

  • Shapiro, S. L., Brown, K. W., & Astin, J. A. (2008). Toward the integration of meditation into higher education: A review of research. In M. Duerr (Ed.), The Center for Contemplative Mind in society Retrieved from http://www.contemplativemind.org/programs/academic/MedandHigherEd.pdf

    Google Scholar 

  • Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–390.

    Article  PubMed  Google Scholar 

  • Sharf, R. H. (2015). Is mindfulness Buddhist? (and why it matters). Transcultural Psychiatry, 52(4), 470–484.

    Article  PubMed  Google Scholar 

  • Shorey, R., Elmquist, J., Wolford-Clevenger, C., Gawrysiak, M., Anderson, S., & Stuart, G. (2016). The relationship between dispositional mindfulness, borderline personality features, and suicidal ideation in a sample of women in residential substance use treatment. Psychiatry Research, 238, 122–128. https://doi.org/10.1016/j.psychres.2016.02.040

    Article  PubMed  PubMed Central  Google Scholar 

  • Sinclair, J. M., Crane, C., Hawton, K., & Williams, J. M. (2017). The role of autobiographical memory specificity in deliberate self-harm: Correlates and consequences. Journal of Affective Disorders, 102(103), 11–18. https://doi.org/10.1016/j.jad.2006.12.006

    Article  Google Scholar 

  • Stanley, B., & Brown, G. K. (2012). Safely planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19, 256–264.

    Article  Google Scholar 

  • Stiles, J. (2008). The fundamentals of brain development: Integrating nature and nurture. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Tanaka, M., Wekerle, C., Schmuck, M., & Paglia-Boak, A. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse & Neglect, 35(10), 887–898. https://doi.org/10.1016/j.chiabu.2011.07.003

    Article  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V., Soulsby, J., & Lau, M. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.

    Article  PubMed  Google Scholar 

  • Thompson, E. (2007). Mind in life: Biology, phenomenology and the sciences of mind. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Tucker, R. P., O’Keefe, V. M., Cole, A. B., Rhoades-Kerswill, S., Hollingsworth, D. W., Helle, A. C., et al. (2014). Mindfulness tempers the impact of personality on suicidal ideation. Personality and Individual Differences, 68, 229–233.

    Article  Google Scholar 

  • Van Dam, N. T., & Grossman, P. (2011). Mindfulness, by any other name…: Trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(1), 219–239.

    Article  Google Scholar 

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S., Selby, E. W., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697

    Article  PubMed  PubMed Central  Google Scholar 

  • Vettese, L. C., Dyer, C. E., Li, W. L., & Wekerle, C. (2011). Does self-compassion mitigate the association between childhood maltreatment and later emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addiction, 9(5), 480–491. https://doi.org/10.1007/s11469-011-9340-7

    Article  Google Scholar 

  • Wallace, B. A., & Shapiro, S. L. (2006). Mental balance and wellbeing: Building bridges between Buddhism and Western psychology. American Psychologist, 61, 690–701.

    Article  PubMed  Google Scholar 

  • Williams, J. M., Crane, C., Barnhofer, T., Brennan, K., Duggan, D. S., Fennell, M. J., … Russell, I.T. (2014). Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: A randomized dismantling trial. Journal of Consulting and Clinical Psychology, 82(2), 275–286. https://doi.org/10.1037/a0035036

    Article  PubMed  Google Scholar 

  • Williams, J. M., & Swales, M. (2004). The use of mindfulness-based approaches for suicidal patients. Archives of Suicide Research, 8, 315–329.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G., Fennell, B. M., Barnhofer, T., Crane, R., & Silverton, S. (2015). Mindfulness and the transformation of despair: Working with people at risk of suicide. New York: Guilford Publications.

    Google Scholar 

  • Wilson, J. (2014). Mindful America. New York: Oxford University Press.

    Book  Google Scholar 

  • Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorder. Journal of Cognitive Psychotherapy, 19(30), 211–228.

    Article  Google Scholar 

  • Zelazo, P. D., & Lyons, K. E. (2012). The potential benefits of mindfulness training in early childhood: A developmental social cognitive neuroscience perspective. Child Development Perspectives, 6, 154–160.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Family and Consumer Sciences, University of Hawai’i Manoa, Honolulu, HI, USA

    Thao N. Le

  2. The Centre for Mindfulness Studies, Toronto, ON, Canada

    Leysa Cerswell Kielburger

  3. Uganda Buddhist Centre, Entebbe, Uganda

    Bhante Buddharakkhita

Authors
  1. Thao N. Le
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  2. Leysa Cerswell Kielburger
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  3. Bhante Buddharakkhita
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Correspondence to Thao N. Le .

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Editors and Affiliations

  1. Department of Psychology, East Tennessee State University, Johnson City, TN, USA

    Jameson K. Hirsch

  2. Department of Psychology, University of Michigan, Ann Arbor, MI, USA

    Edward C. Chang

  3. Greenville Hospital System Children’s Hospital, Greenville, SC, USA

    Jessica Kelliher Rabon

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Le, T.N., Kielburger, L.C., Buddharakkhita, B. (2018). The Six R’s Framework as Mindfulness for Suicide Prevention. In: Hirsch, J., Chang, E., Kelliher Rabon, J. (eds) A Positive Psychological Approach to Suicide . Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-030-03225-8_11

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