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Book Clinical Manual for Assessment and Treatment of Suicidal Patients

Download or read book Clinical Manual for Assessment and Treatment of Suicidal Patients written by John A. Chiles and published by American Psychiatric Pub. This book was released on 2018-08-23 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend. The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises. Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.

Book Building a Therapeutic Alliance with the Suicidal Patient

Download or read book Building a Therapeutic Alliance with the Suicidal Patient written by Konrad Michel and published by Amer Psychological Assn. This book was released on 2011 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: The quality of the therapeutic alliance is a well-established factor for successful therapy. With suicidal patients, a strong therapeutic alliance can quite literally save a person's life. In this book, an elite group of clinicians and researchers explore what has become known as the Aeschi approach to clinical suicide prevention. According to this view, mental health professionals must recognize a fundamental conflict at the heart of good clinical practice: While they are experts in the assessment and treatment of mental health disorders, when it comes to the patient's suicidal story, the patient is the expert. Successful interventions with suicidal patients must therefore be empathic and honor the very personal perspective of the patient. This exceptional volume addresses a wide range of issues, from the principles and methods of establishing a working alliance to patient-oriented therapies for suicidality. Moreover, the text discusses practical clinical matters related to specific treatments across theoretical orientations and modalities. Above all, this book provides essential guidance for any clinician seeking a sensible and compelling approach to working effectively with suicidal patients. Konrad Michel, MD, MRCPsych, is a senior psychiatrist and psychotherapist at the outpatient department of the University Psychiatric it Hospital in Bern, Switzerland, and is also in private clinical practice. Dr. Michel has been a collaborator on the World Health OrganizationùEuropean Multicenter Study on Suicidal Behavior. He has conducted several clinical research projects focusing on the role of general practitioners in suicide prevention and on various aspects of the patientûclinician clinical relationship. Together with Ladislav Valach, PhD, Dr. Michel has developed a model of understanding suicidal behavior based on the theory of goal-directed action and narrative interviewing. He is also the initiator of the Aeschi Working Group, a group of clinicians and researchers who are dedicated to improving clinical suicide prevention by developing and promoting patient-oriented models of understanding suicidal behavior. David A. Jobes, PhD, ABPP, is a professor of psychology and associate director of clinical training at The Catholic University of America. His research and writing have led to numerous publications in suicidology, with a particular focus on clinical suicidology. Dr. Jobes is a past president of the American Association of Suicidology and is the recipient of that organization's 1995 Edwin Shneidman Award in recognition of early career contribution to suicide research. He has served as a consultant to the Centers for Disease Control and Prevention, the National Institute of Mental Health, the Institute of Medicine of the National Academy of Sciences, the Department of Defense, and the Department of Veterans Affairs. Dr. Jobes is a board-certified clinical psychologist (American Board of Professional Psychology) who maintains a private clinical and forensic practice at the Washington Psychological Center, Washington, DC.

Book A Concise Guide to Understanding Suicide

Download or read book A Concise Guide to Understanding Suicide written by Stephen H. Koslow and published by Cambridge University Press. This book was released on 2014-09-18 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise review of current research into suicide providing a guide to understanding this disease and its increasing incidence globally.

Book The Neurobiological Basis of Suicide

Download or read book The Neurobiological Basis of Suicide written by Yogesh Dwivedi and published by CRC Press. This book was released on 2012-06-25 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.

Book Cognitive Therapy for Suicidal Patients

Download or read book Cognitive Therapy for Suicidal Patients written by Amy Wenzel and published by Amer Psychological Assn. This book was released on 2009 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Cognitive Therapy for Suicidal Patients: Scientific and Clinical Applications crystallizes more than 3 decades of basic, clinical, and therapeutic research, providing a comprehensive review of the psychological factors associated with suicidal behavior. The authors describe their cognitive model of suicide, the instruments they developed to classify and assess suicidal behavior, and effective cognitive intervention techniques for suicidal individuals. The book includes a step-by-step protocol for cognitive therapy that is vividly illustrated in an extended case study. Individual chapters are dedicated to applying the protocol with special populations and overcoming challenges when working with suicidal patients."--pub. desc.

Book Helping the Suicidal Person

Download or read book Helping the Suicidal Person written by Stacey Freedenthal and published by Routledge. This book was released on 2017-09-13 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helping the Suicidal Person provides a highly practical toolbox for mental health professionals. The book first covers the need for professionals to examine their own personal experiences and fears around suicide, moves into essential areas of risk assessment, safety planning, and treatment planning, and then provides a rich assortment of tips for reducing the person’s suicidal danger and rebuilding the wish to live. The techniques described in the book can be interspersed into any type of therapy, no matter what the professional’s theoretical orientation is and no matter whether it’s the client’s first, tenth, or one-hundredth session. Clinicians don’t need to read this book in any particular order, or even read all of it. Open the book to any page, and find a useful tip or technique that can be applied immediately.

Book Preventing Patient Suicide

    Book Details:
  • Author : Robert I. Simon
  • Publisher : American Psychiatric Pub
  • Release : 2010-08-24
  • ISBN : 1585629472
  • Pages : 235 pages

Download or read book Preventing Patient Suicide written by Robert I. Simon and published by American Psychiatric Pub. This book was released on 2010-08-24 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation". Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. Key points at the end of each chapter that identify critical information. A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

Book The Suicidal Patient

Download or read book The Suicidal Patient written by Ari Kiev and published by Chicago : Nelson-Hall. This book was released on 1977 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Suicide

    Book Details:
  • Author : Danuta Wasserman
  • Publisher : Oxford University Press
  • Release : 2016-01-14
  • ISBN : 0191026832
  • Pages : 449 pages

Download or read book Suicide written by Danuta Wasserman and published by Oxford University Press. This book was released on 2016-01-14 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately one million people worldwide commit suicide each year, and at least ten times as many attempt suicide. A considerable number of these people are in contact with members of the healthcare sector, and encounters with suicidal individuals form a common part of the everyday work of many healthcare professionals. Suicide: An unnecessary death examines the pharmacological, psychotherapeutic, and psychosocial measures adopted by psychiatrists, GPs, and other health-care staff, and emphasizes the need for a clearer psychodynamic understanding of the self if patients are to be successfully recognized, diagnosed, and treated. Drawing on the latest research by leading international experts in the field of suicidology, this new edition provides clinicians with an accessible summary of the latest research into suicide and its prevention. The abundance of new literature can make it difficult for those whose clinical practice involves daily contact with suicidal patients to devote sufficient time to penetrating the research and, accordingly, apply new findings in their clinical practice. In light of the WHO Mental Health Action Plan 2013-2020, this new edition is a timely contribution to the field, and a vital and rapid overview, that will increase awareness of suicide prevention methods.

Book The Suicidal Patient

    Book Details:
  • Author : John Chiles
  • Publisher : American Psychiatric Publishing
  • Release : 1995
  • ISBN :
  • Pages : 304 pages

Download or read book The Suicidal Patient written by John Chiles and published by American Psychiatric Publishing. This book was released on 1995 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book presents an easy-to-use, innovative clinical model, with specific stages of treatment and associated interventions outlined for both inpatient and outpatient settings. Tailored techniques and assessments for handling special populations are also included. Emphasis is given to moral/ethical and legal dilemmas that often complicate treatment.

Book Managing Suicidal Risk

    Book Details:
  • Author : David A. Jobes
  • Publisher : Guilford Publications
  • Release : 2016-06-20
  • ISBN : 1462526918
  • Pages : 290 pages

Download or read book Managing Suicidal Risk written by David A. Jobes and published by Guilford Publications. This book was released on 2016-06-20 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book has been replaced by Managing Suicidal Risk, Third Edition, ISBN 978-1-4625-5269-6.

Book Behavioral Emergencies for the Emergency Physician

Download or read book Behavioral Emergencies for the Emergency Physician written by Leslie S. Zun and published by Cambridge University Press. This book was released on 2013-03-21 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.

Book Reducing Suicide

    Book Details:
  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • Release : 2002-10-01
  • ISBN : 0309169437
  • Pages : 512 pages

Download or read book Reducing Suicide written by Institute of Medicine and published by National Academies Press. This book was released on 2002-10-01 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.

Book American Psychiatric Association Practice Guidelines

Download or read book American Psychiatric Association Practice Guidelines written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 1996 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.

Book The Suicidal Crisis

    Book Details:
  • Author : Igor Galynker
  • Publisher : Oxford University Press
  • Release : 2023
  • ISBN : 0197582710
  • Pages : 538 pages

Download or read book The Suicidal Crisis written by Igor Galynker and published by Oxford University Press. This book was released on 2023 with total page 538 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Suicidal Crisis has everything clinicians need to evaluate the risk of imminent suicide. What sets it apart is its clinical focus on those at the highest risk--the book includes individual case studies of acutely suicidal individuals, detailed instructions on how to conduct risk assessments, test cases with answer keys, and empirically validated Suicidal Crisis risk assessment scales.

Book The Suicidal Patient

    Book Details:
  • Author : Professor of Psychology Pacific Graduate School Clinical Associate Professor of Psychiatry Bruce Bongar, PhD
  • Publisher : APA Books
  • Release : 2015-05-09
  • ISBN : 9781433813269
  • Pages : 403 pages

Download or read book The Suicidal Patient written by Professor of Psychology Pacific Graduate School Clinical Associate Professor of Psychiatry Bruce Bongar, PhD and published by APA Books. This book was released on 2015-05-09 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book has tremendous value for three audiences embroiled in or potentially subject to these kinds of courtroom disputes: mental health professionals who evaluate and treat persons at risk for suicidal behavior, institutions (clinics, hospitals, jails, prisons) that manage suicide risk, and attorneys in suicide-related disputes. The contents of this book address the nexus of (a) U.S. laws bearing on culpability for suicidal behavior, (b) the standards of care for various health professionals and institutions that assess or treat suicidal patients, and (c) the empirical knowledge that does or does not exist about predicting suicidal behavior and managing suicide risk. You may pick up this book to learn what the health and corrections fields themselves expect their workers to know and do in the face of suicide risk; to interpret the related expectations, duties, responsibilities, and standards of care; to formulate the "crimes of commission and omission" (Murphy, 1975a, 1975b) that a health professional or institution would be wise to avoid; or to understand how U.S. court findings have parsed responsibility for suicidal deaths. It is no coincidence that the first edition of this book was published in 1991 at a time when empirical study of suicidal behavior was advancing from adolescence into early adulthood. The first empirical clinical studies of suicidal behavior, the community-based "psychological autopsy" studies of completed suicide by Robins and colleagues conducted in St. Louis during the 1950s (Robins, Gassner, Kayes, Wilkinson, & Murphy, 1959; Robins, Murphy, Wilkinson, Gassner, & Kayes, 1959), began a process of testing handed-down clinical wisdom and revealing its folklore like qualities. Since that time, a substantial body of well-designed, well-controlled studies-reviewed thoughtfully in this book-have continued to challenge the chestnuts of "clinical experience" and "received wisdom" and have turned many truisms on their heads. For example, we now know that at least half of those who die by suicide had never made a previous attempt. Death by suicide is rare unless a major psychiatric disorder is one contributing factor. Persons under the most severe life stress, defined objectively or subjectively, are not the ones at greatest risk for suicide, when analysis controls for the most significant risk factors. In the one large-enough prospective study of completed suicide, expert assessment of suicidal thoughts or plans did not distinguish between depressed inpatients who killed themselves soon afterward and those who lived on. Some clinicians, institutions, attorneys, and expert witnesses have not yet crossed the watershed separating untested wisdom and personal experience from the modern empirically based clinical standards for assessing and managing suicide risk, as reviewed in this book. The single-case psychological autopsy, for example, is a shibboleth based on the idea that an expert with unique experiences can divine the "inner truth" of a decedent and the circumstances of his or her death. This book poses the meaningful alternative: the possibility of a dispassionate, penetrating "root cause analysis" based on scientific evidence. For decades, suicide has been and continues to be the 11th leading cause of death in the United States. Suicide is uncomfortable to talk about, and many prefer to sweep the topic under the rug; but suicide remains a serious public health problem. This third edition of The Suicidal Patient by Bruce Bongar and Glenn Sullivan will prove to be an essential and vital resource for clinicians, supervisors, attorney, and clinicians in training"--Foreword. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

Book Treating Suicidal Behavior

Download or read book Treating Suicidal Behavior written by M. David Rudd and published by Guilford Press. This book was released on 2004-07-26 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual provides an empirically supported approach to treating suicidality that is specifically tailored to todays managed care environment. Structured yet flexible, the model is fully compatible with current best practice standards. The authors establish the empirical and theoretical foundations for time-limited treatment and describe the specific tasks involved in assessment and intervention. The book then details effective ways to conduct a rapid case conceptualization and outpatient risk assessment, determine and implement individualized treatment targets, and monitor treatment outcomes. Outlined are clear-cut intervention techniques that focus on symptom management, restructuring the patients suicidal belief system, and building such key skills as interpersonal assertiveness, distress tolerance, and problem solving. Other topics covered include the role of the therapeutic relationship, applications to group work and longer-term therapy, the use of medications, patient selection, and termination of treatment. Illustrated with helpful clinical examples, the book features numerous table, figures, and sample handouts and forms, some of which may be reproduced for professional use.