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Descriptive and mediating variables will be analyzed in order to reveal variables that need to be taken into account as covariates in the primary analyses of treatment effects. In order to find differences between the effects of our Future Oriented Group Training and treatment as usual we will perform analyses of repeated measures. We expect data loss due to drop out of participants. By using latent random effects variables for each participant multi level multivariable analysis permits estimation of changes in repeated measures, even when not all post assessment data are available due to missing data.

We have developed our Future Oriented Group Training based on the presumption that suicide ideation is characterized by diminished positive future thinking. Our intervention intends to stimulate realistic future perspectives. When suicidal individuals are able to envision a worthwhile future, their hopelessness and suicidal thinking and behavior are expected to decrease.

Extensive research the last twenty years has provided information about the different aspects and dynamics of suicidal thinking and behavior, but only a few interventions for suicidal patients have been evaluated in randomized clinical trials. The ones we know of (for instance Brown et al. [ 52 ]) have been developed for patients coming into care after a suicide attempt. Our training aims to help patients early on in the suicidal process, and we include both patients with suicidal ideation and after a suicide attempt in our study.

Future Oriented Group Training combines different elements that have proven to be effective in the treatment of suicidal thinking and behavior, like cognitive therapy and problem solving. Relatively new is the emphasis in the training on future thinking and goal oriented behavior. The intervention is designed to be easy to implement and is suitable for a broad range of comorbid psychiatric disorders.

Treatment programs like our training encompass several potentially effective elements. In the RCT we cannot distinguish which specific factor contributes to what extend to the overall treatment effect. This is also a characteristic of well established treatments, like Dialectical Behavioral Therapy [ Womens P Vallarta 8899 Cone Heel Sandals Pikolinos BPnP6Fb
]. We obtain an indication of changes in specific areas by gathering data on explanatory factors, like coping, problem solving, and future orientation, but we cannot tell which element of the training is responsible for these changes. Further research might be helpful to discriminate the efficacy of the separate elements.

Stimulating future thinking is a way of helping suicidal individuals to recreate a meaningful life, by working on purposeful goals and overcoming inefficient behavioral and cognitive patterns. The goal of our Future Oriented Group Training is to help our patients to make life livable and maybe even enjoyable again by realistically focusing on what the future might have to offer.


We would like to thank The Symfora group and the grant we received from De Open Ankh Foundation to make this project possible (grant code: SG 25.05).

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Additional file 1: Future oriented group training for suicidal patients: Description of the Intervention . Provides some practical information about the intervention, and a case example. Womens Andromeda Trainers Fornarina ZYcNOHl
(DOC 47 KB)

The authors declare that they have no competing interests.

- readable and writable

The class is itself multicore aware. It is therefore safe to call the methods of an object from multiple threads without creating additional locks to synchronize access to the object. This behavior is necessary because an operation typically runs in a separate thread from the one that created and is monitoring it.

When you subclass , you must make sure that any overridden methods remain safe to call from multiple threads. If you implement custom methods in your subclass, such as custom data accessors, you must also make sure those methods are thread-safe. Thus, access to any data variables in the operation must be synchronized to prevent potential data corruption. For more information about synchronization, see Threading Programming Guide .

If you plan on executing an operation object manually, instead of adding it to a queue, you can design your operation to execute in a synchronous or asynchronous manner. Operation objects are synchronous by default. In a synchronous operation, the operation object does not create a separate thread on which to run its task. When you call the method of a synchronous operation directly from your code, the operation executes immediately in the current thread. By the time the method of such an object returns control to the caller, the task itself is complete.

When you call the method of an asynchronous operation, that method may return before the corresponding task is completed. An asynchronous operation object is responsible for scheduling its task on a separate thread. The operation could do that by starting a new thread directly, by calling an asynchronous method, or by submitting a block to a dispatch queue for execution. It does not actually matter if the operation is ongoing when control returns to the caller, only that it could be ongoing.

If you always plan to use queues to execute your operations, it is simpler to define them as synchronous. If you execute operations manually, though, you might want to define your operation objects as asynchronous. Defining an asynchronous operation requires more work, because you have to monitor the ongoing state of your task and report changes in that state using KVO notifications. But defining asynchronous operations is useful in cases where you want to ensure that a manually executed operation does not block the calling thread.

When you add an operation to an operation queue, the queue ignores the value of the Exclusive necklace Im In Love 750 gold and diamonds Vanrycke 5DeL9Y
property and always calls the method from a separate thread. Therefore, if you always run operations by adding them to an operation queue, there is no reason to make them asynchronous.

For information on how to define both synchronous and asynchronous operations, see the subclassing notes.

The class provides the basic logic to track the execution state of your operation but otherwise must be subclassed to do any real work. How you create your subclass depends on whether your operation is designed to execute concurrently or non-concurrently.

For non-concurrent operations, you typically override only one method:

Into this method, you place the code needed to perform the given task. Of course, you should also define a custom initialization method to make it easier to create instances of your custom class. You might also want to define getter and setter methods to access the data from the operation. However, if you do define custom getter and setter methods, you must make sure those methods can be called safely from multiple threads.

If you are creating a concurrent operation, you need to override the following methods and properties at a minimum:

In a concurrent operation, your method is responsible for starting the operation in an asynchronous manner. Whether you spawn a thread or call an asynchronous function, you do it from this method. Upon starting the operation, your method should also update the execution state of the operation as reported by the property. You do this by sending out KVO notifications for the key path, which lets interested clients know that the operation is now running. Your property must also provide the status in a thread-safe manner.

Upon completion or cancellation of its task, your concurrent operation object must generate KVO notifications for both the and key paths to mark the final change of state for your operation. (In the case of cancellation, it is still important to update the key path, even if the operation did not completely finish its task. Queued operations must report that they are finished before they can be removed from a queue.) In addition to generating KVO notifications, your overrides of the and properties should also continue to report accurate values based on the state of your operation.

For additional information and guidance on how to define concurrent operations, see Concurrency Programming Guide .

Even for concurrent operations, there should be little need to override methods other than those described above. However, if you customize the dependency features of operations, you might have to override additional methods and provide additional KVO notifications. In the case of dependencies, this would likely only require providing notifications for the key path. Because the property contains the list of dependent operations, changes to it are already handled by the default class.


This simple example styles the element so that the text slides in from off the right edge of the browser window.

Note that animations like this can cause the page to become wider than the browser window. To avoid this problem put the element to be animated in a container, and set Womens N327 Multi Leather Tibet Mixed/Torcal Flat Sandal El Naturalista QBMPk
:hidden on the container.

In this example the style for the element specifies that the animation should take 3 seconds to execute from start to finish, using the animation-duration property, and that the name of the @keyframes at-rule defining the keyframes for the animation sequence is named “slidein”.

If we wanted any custom styling on the element to appear in browsers that don’t support CSS animations, we would include it here as well; however, in this case we don’t want any custom styling other than the animation effect.

The keyframes are defined using the @keyframes at-rule. In this case, we have just two keyframes. The first occurs at 0% (using the alias from ). Here, we configure the left margin of the element to be at 100% (that is, at the far right edge of the containing element), and the width of the element to be 300% (or three times the width of the containing element). This causes the first frame of the animation to have the header drawn off the right edge of the browser window.

The second (and final) keyframe occurs at 100% (using the alias to ). The left margin is set to 0% and the width of the element is set to 100%. This causes the header to finish its animation flush against the left edge of the content area.

(Reload page to see the animation, or click the CodePen button to see the animation in the CodePen environment)

Let’s add another keyframe to the previous example’s animation. Let’s say we want the header’s font size to increase as it moves from right to left for a while, then to decrease back to its original size. That’s as simple as adding this keyframe:

This tells the browser that 75% of the way through the animation sequence, the header should have its left margin at 25% and the width should be 150%.

To make the animation repeat itself, simply use the animation-iteration-count property to indicate how many times to repeat the animation. In this case, let’s use infinite to have the animation repeat indefinitely:

That made it repeat, but it’s very odd having it jump back to the start each time it begins animating. What we really want is for it to move back and forth across the screen. That’s easily accomplished by setting animation-direction to alternate :

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