A Rapid Review of the Impact of Gratitude on Suicide Risk Management

Authors

  • Efri Widianti Universitas Padjadjaran
  • Nur Oktavia Hidayati Universitas Padjadjaran
  • Yosalia Mahirah Salsabila Universitas Padjadjaran
  • Rizki Amalia Nurfadhilah Universitas Padjadjaran
  • Indra Kusumah Universitas Mercu Buana

DOI:

https://doi.org/10.37287/jppp.v7i4.107

Keywords:

gratitude, quick review, suicide risk

Abstract

Suicide is a major global health problem, with significant psychological and social impacts. Gratitude therapy is a positive psychological intervention that improves mental well-being and may reduce suicide risk, and is comparable in effectiveness to cognitive behavioral therapy (CBT) in improving life satisfaction . The aim of this study was to evaluate the effectiveness of gratitude therapy in reducing suicide risk among individuals with mental health disorders. This study was conducted using a rapid review method of articles explaining the effectiveness of gratitude therapy in reducing the risk of suicide. This study involved a systematic literature search in databases such as PubMed , EBSCO, and ScienceDirect . The inclusion criteria for this study were articles published between 2015 and 2024, in English and Indonesian, with full-text availability, and focusing on gratitude therapy for mental health patients at risk of suicide. The screening followed the PRISMA guidelines, resulting in 9 articles for final analysis. A total of 9 relevant articles were reviewed. Four studies examined the application of gratitude therapy to psychosocial problems, while five studies focused on individuals with mental disorders. For psychosocial problems, gratitude interventions such as gratitude diaries and reflection journals were effective in reducing stress and increasing life satisfaction by 6.89%, increasing social connectedness, and fostering positive coping mechanisms. For mental health disorders, gratitude therapy showed a 5.8% benefit in reducing feelings of hopelessness, increasing optimism, and alleviating depressive symptoms. This study suggests that gratitude therapy serves as a promising intervention to reduce suicide risk and improve mental health across a range of settings and populations. However, these findings have several limitations and further research is needed to expand its applicability and efficacy.

References

Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Bachmann, S. (2018). Epidemiology of suicide and the psychiatric perspective. International Journal of Environmental Research and Public Health, 15(7), 1425.

Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: a meta-analysis of randomized controlled studies. BMC Public Health, 119. http://www.biomedcentral.com/1471-2458/13/119

Bolton, J. M., Gunnell, D., & Turecki, G. (2015). Suicide risk assessment and intervention in people with mental illness. In BMJ (Online) (Vol. 351). BMJ Publishing Group. https://doi.org/10.1136/bmj.h4978

Brown, G. K., Have, T. Ten, Henriques, G. R., Xie, S. X., Hollander, J. E., & Beck, A. T. (2005). Cognitive Therapy for the Prevention of Suicide Attempts A Randomized Controlled Trial. JAMA, 294(5), 563–570. http://jama.jamanetwork.com/

Calati, R., & Courtet, P. (2016). Is psychotherapy effective for reducing suicide attempt and non-suicidal self-injury rates? Meta-analysis and meta-regression of literature data. In Journal of Psychiatric Research (Vol. 79, pp. 8–20). Elsevier Ltd. https://doi.org/10.1016/j.jpsychires.2016.04.003

Celano, C. M., Beale, E. E., Mastromauro, C. A., Stewart, J. G., Millstein, R. A., Auerbach, R. P., Bedoya, C. A., & Huffman, J. C. (2017). Psychological interventions to reduce suicidality in high-risk patients with major depression: a randomized controlled trial. Psychological Medicine, 47(5), 810–821.

Ducasse, D., Dassa, D., Courtet, P., Brand‐Arpon, V., Walter, A., Guillaume, S., Jaussent, I., & Olié, E. (2019). Gratitude diary for the management of suicidal inpatients: A randomized controlled trial. Depression and Anxiety, 36(5), 400–411.

Ducasse, D., Holden, R. R., Boyer, L., Artero, S., Calati, R., Guillaume, S., Courtet, P., & Olie, E. (2017). Psychological pain in suicidality: a meta-analysis. The Journal of Clinical Psychiatry, 78(3), 16108.

Emmons, R. A., & Stern, R. (2013). Gratitude as a psychotherapeutic intervention. Journal of Clinical Psychology, 69(8), 846–855.

Fredrickson, B. L. (2001). The Role of Positive Emotions in Positive Psychology: The Broaden-and-Build Theory of Positive Emotions Perspectives on Emotions and Affect NIH Public Access. In Am Psychol (Vol. 56, Issue 3).

Hirsch, J. K., Conner, K. R., & Duberstein, P. R. (2007). Optimism and suicide ideation among young adult college students. Archives of Suicide Research, 11(2), 177–185. https://doi.org/10.1080/13811110701249988

Inagaki, M., Kawashima, Y., Kawanishi, C., Yonemoto, N., Sugimoto, T., Furuno, T., Ikeshita, K., Eto, N., Tachikawa, H., Shiraishi, Y., & Yamada, M. (2015). Interventions to prevent repeat suicidal behavior in patients admitted to an emergency department for a suicide attempt: A meta-analysis. In Journal of Affective Disorders (Vol. 175, pp. 66–78). Elsevier B.V. https://doi.org/10.1016/j.jad.2014.12.048

Kaniuka, A. R., Kelliher Rabon, J., Brooks, B. D., Sirois, F., Kleiman, E., & Hirsch, J. K. (2021). Gratitude and suicide risk among college students: Substantiating the protective benefits of being thankful. Journal of American College Health, 69(6), 660–667.

Kementerian Kesehatan RI. (2018). Laporan Nasional Riskesdas 2018. Laporan Nasional RIskesdas 2018.

Kwok, S. Y. C. L., & Gu, M. (2020). Parental suicidal ideation and child depressive symptoms: The roles of optimism and gratitude. Journal of Social Service Research.

Li, D., Zhang, W., Li, X., Li, N., & Ye, B. (2012). Gratitude and suicidal ideation and suicide attempts among Chinese Adolescents: Direct, mediated, and moderated effects. Journal of Adolescence, 35(1), 55–66. https://doi.org/10.1016/J.ADOLESCENCE.2011.06.005

Lin, C.-C. (2021a). Gratitude and suicidal ideation in undergraduates in Taiwan: the mediating role of self-esteem and meaning in life. OMEGA-Journal of Death and Dying, 84(1), 177–193.

Lin, C.-C. (2021b). The effects of gratitude on suicidal ideation among late adolescence: A mediational chain. Current Psychology, 40(5), 2242–2250.

Lin, C.-C., & Yeh, Y.-C. (2011). The development of the “Inventory of Undergraduates’ Gratitude”. Psychological Testing, 58(S), 2–33.

Linehan, M. M., Anne Comtois, K., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006). Two-Year Randomized Controlled Trial and Follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder. In Arch Gen Psychiatry (Vol. 63).

Lyndon, N., Azman, H., Che Rose, R. A., & Mat Jali, M. F. (2021). Sociological narrative of suicidal behavior among older people. Clinical Interventions in Aging, 1379–1392.

Mantiri, A. D. B., Kristanto, E., & Siwu, J. (2016). PROFIL KASUS BUNUH DIRI DI KOTA MANADO PERIODE JANUARI-NOVEMBER 2015. E-CliniC, 4(1).

Maulana, I., Eriyani, T., & Shalahuddin, I. (2021). Intervensi Keperawatan untuk Pencegahan Klien Risiko Bunuh Diri: Telaahan Literature. Jurnal Keperawatan Jiwa, 9(3), 569–578.

McCullough, M. E., Kilpatrick, S. D., Emmons, R. A., & Larson, D. B. (2001). Is gratitude a moral affect? Psychological Bulletin, 127(2), 249.

Onie, S., Usman, Y., Widyastuti, R., Lusiana, M., Angkasawati, T. J., Musadad, D. A., Nilam, J., Vina, A., Kamsurya, R., & Batterham, P. (2024). Indonesia’s first suicide statistics profile: an analysis of suicide and attempt rates, underreporting, geographic distribution, gender, method, and rurality. The Lancet Regional Health-Southeast Asia, 22.

Osman, A., Barrios, F. X., Gutierrez, P. M., Wrangham, J. J., Kopper, B. A., Truelove, R. S., & Linden, S. C. (2002). The Positive and Negative Suicide Ideation (PANSI) Inventory: Psychometric evaluation with adolescent psychiatric inpatient samples. Journal of Personality Assessment, 79(3), 512–530.

Schnitker, S. A., Currier, J. M., Abernethy, A. D., Witvliet, C. vanOyen, Foster, J. D., Root Luna, L. M., VanHarn, K., & Carter, J. (2021). Gratitude and patience moderate meaning struggles and suicidal risk in a cross‐sectional study of inpatients at a Christian psychiatric hospital. Journal of Personality, 89(6), 1191–1205.

Seligman, M. E. P., Rashid, T., & Parks, A. C. (2006). Positive Psychotherapy. American Psychologist, 61(8), 774–788.

Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. The American Psychologist, 60(5), 410–421. https://doi.org/10.1037/0003-066X.60.5.410

Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/jclp.20593

Stockton, J. G., Tucker, R. P., Kleiman, E. M., & Wingate, L. R. (2016). How does gratitude affect the relationship between positive humor styles and suicide-related outcomes? Personality and Individual Differences, 102, 240–244.

Sueki, H., & Ishikawa, K. (2023). The feasibility and utility of gratitude intervention for suicidal internet users. 和光大学現代人間学部紀要, 16, 149–156.

Tomczyk, J., Nezlek, J. B., & Krejtz, I. (2022). Gratitude can help women at-risk for depression accept their depressive symptoms, which leads to improved mental health. Frontiers in Psychology, 13, 878819.

World Health Organization, M. H. and S. U. team. (2021). WHO Mental Health Atlas 2020.

Yamokoski, C. A., Scheel, K. R., & Rogers, J. R. (2011). The Role of Affect in Suicidal Thoughts and Behaviors. 41(2), 160–170. https://doi.org/https://doi.org/10.1111/j.1943-278X.2011.00019.x

Yen, S., Ranney, M. L., Krek, M., Peters, J. R., Mereish, E., Tezanos, K. M., Kahler, C. W., Solomon, J., Beard, C., & Spirito, A. (2020). Skills to enhance positivity in suicidal adolescents: Results from a pilot randomized clinical trial. The Journal of Positive Psychology, 15(3), 348–361.

Downloads

Published

2025-08-12

How to Cite

Widianti, E., Hidayati, N. O., Salsabila, Y. M., Nurfadhilah, R. A., & Kusumah, I. (2025). A Rapid Review of the Impact of Gratitude on Suicide Risk Management. Jurnal Penelitian Perawat Profesional, 7(4), 69–82. https://doi.org/10.37287/jppp.v7i4.107

Most read articles by the same author(s)

Similar Articles

1 2 3 4 > >> 

You may also start an advanced similarity search for this article.