A Novel Five-Step Clinical Framework for Suicide Prevention

This paper introduces a novel, five-step clinical framework for suicide prevention that integrates meaning-centered principles with contemporary evidence-based strategies. Drawing from existential psychotherapy and recent empirical research, the framework emphasizes authentic therapeutic relationships, identification of core values and personal responsibilities, expansion of perspectives, management of existential tension, and the rediscovery of purpose and agency. Each step is designed to guide clinicians through a compassionate, structured, and empirically supported process that supports patients in rediscovering their sense of meaning and purpose, thereby fostering a renewed will to live. The proposed framework aligns with contemporary models such as the Integrated Motivational-Volitional Model and the Three-Step Theory, which highlight factors like entrapment, hopelessness, and disconnection as key drivers of suicidal ideation. By combining theoretical insights with practical tools, this framework offers clinicians a flexible and comprehensive approach that can complement existing suicide prevention models. The integration of existential concerns with evidence-based strategies holds promise for a more holistic and sustainable approach to suicide prevention. Further empirical validation through randomized controlled trials is recommended to assess its efficacy across diverse populations.