Suicide is one of the leading causes of death worldwide, affecting numerous individuals close to the person who died by suicide, including family members, friends, and colleagues. Those affected by the suicide of someone are referred to as “suicide survivors”, and the psychological consequences they face are particularly severe. One of these consequences is grief, which is more complicated in survivors of suicide compared with those grieving deaths from other causes, mainly because of the stigma that continues to surround them. Therefore, psychotherapeutic intervention for suicide loss survivors is crucial. This study examines the efficacy of cognitive-behavioral programs for addressing grief and other related variables in suicide loss survivors. The search was conducted in databases including Psycinfo, Academic Search Premier, Medline, APA PsycArticles, E-Journals, Scopus, and PubMed. Five randomized controlled trials were selected, one of which focused exclusively on minors. The results reveal that cognitive-behavioral therapy is effective, although the methodological quality of these studies is not adequate, and the representativeness of the samples is very low. More RCTs are needed on the application of cognitive-behavioral programs to treat grief in suicide loss survivors.

This study aims to illustrate the impact of accumulated traumatic experiences in adolescence and to evaluate the potential of brief focal psychotherapy (BFP) as a treatment approach for complex trauma. We present the case of a 14-year-old boy who experienced vicarious gender-based violence, child abuse, early maternal separation without alternative secure attachment figures, and forced sudden migration. The patient exhibited symptoms consistent with post-traumatic stress disorder (PTSD) and complex trauma. The culturally sensitive intervention, delivered at a public child and adolescent mental health center, consisted of twenty weekly individual sessions of 45 min each, complemented by three 45 min psychoeducation sessions with the caregiver. The assessment was conducted using a multitrait and multi-informant approach, systematically gathering information across multiple domains of functioning (emotional–behavioral, physical, cognitive, self-perception, and relational) and from different sources (the adolescent, his mother, and the clinician) through clinical interviews, projective techniques, and parental feedback. The primary therapeutic focus was the establishment of a secure therapeutic alliance to facilitate emotional exploration and trauma processing. Following treatment, the patient demonstrated significant improvements in emotional regulation, family relationships, and school performance, as measured by both self-report and parental observations. This case highlights the potential of BFP in addressing complex trauma in adolescents, particularly during a developmental stage marked by increased vulnerability to the effects of chronic trauma exposure. The findings suggest that BFP can effectively reduce both acute symptomatology and broader psychosocial consequences associated with prolonged and cumulative trauma. Further research, particularly controlled studies and longitudinal follow-ups, is needed to refine and optimize the use of BFP by mental health professionals working with adolescents affected by complex trauma.

Suicide is a major public health concern worldwide, and identifying the spatial patterns associated with its occurrence is essential for designing effective preventive strategies. This study aimed to identify and characterize suicide locations in two provinces of Castilla-La Mancha, Spain, using a descriptive and retrospective analysis of 421 cases recorded by the Institutes of Legal Medicine and Forensic Sciences of Toledo and Albacete between 2020 and 2024. Locations were classified as critical or non-critical based on recurrence and public accessibility, and logistic regression was used to explore predictors of suicide in public settings. Results showed that 82% of cases involved men, yielding a 5:1 male-to-female ratio that exceeds the national average; the mean age was 56.6 years, and hanging was the most frequent method (56.1%). Most suicides occurred in private environments, and only one location met the criteria for a critical site. These findings indicate that spatial clustering plays a minimal role in the regional suicide burden and that prevention efforts should prioritize means restriction and early detection in private settings, along with broader measures for dispersed public cases rather than hotspot-focused interventions. The study underscores the importance of systematically incorporating spatial information into forensic records to improve regional suicide surveillance and inform more targeted, context-sensitive prevention policies.

Background: Suicide is a leading cause of death among adolescents worldwide. Suicide is a complex multifactorial issue and, in 2025, became the third-leading cause of death among individuals aged 15–29. We sought to evaluate the effectiveness of technology-assisted interventions (TIs) in reducing both suicidal behaviour and non-suicidal self-injury among adolescents. Methods: For this meta-analysis, we searched the EBSCO (APA PsycArticles, APA PsycInfo, MEDLINE, APA PsycTherapy, Psychology and Behavioral Sciences Collection), PubMed and Cochrane databases from inception until May 2025, seeking out articles featuring data (quantitative outcomes related to suicidal ideation or behaviour) on evaluated suicide or self-harm interventions among children and adolescents (aged 13–18) that incorporated digital technologies in some manner. We used random effects meta-analysis to estimate the effect size for suicidal ideation reduction. We assessed heterogeneity using the I2 statistic, and, due to the small number of considered studies, publication bias was assessed using an adaptation of Cochrane’s guidelines for the assessment of bias risk. The review was registered with INPLASY, with the code INPLASY202570073. Results: After applying the eligibility criteria, six studies were selected for the analysis. Although the initial conceptual aim pertained to suicidal risk and self-harm more broadly, suicidal ideation was the only outcome consistently reported across the eligible studies; therefore, it served as the primary meta-analytic outcome. Conclusions: The results highlight that technologyassisted interventions yield an overall statistically significant moderate reduction in suicidal ideation, providing valuable support for the implementation of such interventions during adolescence, although further rigorous research is needed to strengthen the evidence base.