Integrating cognitive, narrative, and taluba into ALIVE counseling model for passive suicidal ideation: An NIH stage 1A study
Abstract
Passive suicidal ideation among university students is increasingly assoc1Ated with depression, hopelessness, loneliness, and elevated suicide risk. However, most suicide prevention interventions remain focused on active suicidality, while culturally responsive interventions specifically targeting passive suicidal ideation remain limited. This study aimed to develop and validate the ALIVE Counseling Model, integrating cognitive-behavioral counseling, narrative counseling, and Taluba local wisdom values. The study employed a Psychotherapy Research and Development design based on the NIH Stage 1A framework involving intervention development, expert validation, and prototype refinement. Four expert validators evaluated the model using a 36-item instrument assessing appropr1Ateness, usefulness, convenience, and feasibility. Quantitative data were analyzed using Gregory’s interrater agreement method, while qualitative feedback informed model revisions. The findings demonstrated very high interrater agreement, with all validator pairs obtaining agreement indices of 1.00. Validators consistently perceived the ALIVE Counseling Model as conceptually appropr1Ate, practically useful, convenient, and feasible for reducing passive suicidal ideation among university students. Qualitative feedback strengthened the model through revisions related to conceptual clarity, implementation procedures, and cultural adaptability. The study contributes to culturally responsive psychotherapy development by integrating cognitive-behavioral, narrative, spiritual, and indigenous cultural dimensions into a structured counseling intervention and provides a foundation for future empirical implementation.
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