Download PDF by Robert I. Simon, Robert E. Hales: The American Psychiatric Publishing Textbook of Suicide

By Robert I. Simon, Robert E. Hales

Suicide hazard overview is a middle competency that psychological overall healthiness pros are anticipated to obtain in the course of their education, but the truth of capability suicides can turn out daunting for busy practitioners confronted with an overload of data at the topic. This ebook meets that problem head-on via delivering clinically priceless info for someone encountering sufferers in danger for suicide. the yank Psychiatric Publishing Textbook of Suicide review and administration calls at the authority of forty specialist contributors—including participants of the APA's Workgroup on Suicidal Behaviors, who built the APA perform instruction for the evaluation and remedy of sufferers With Suicidal Behaviors—reflecting a variety of medical and forensic adventure. The authors supply informative circumstances followed by means of research that integrates medical findings with textual dialogue, in addition to chapter-end "key points," so one can aid practitioners comprehend demographic, gender, and cultural variables in suicide chance use mental assessments and scales in evaluation verify danger in particular populations, reminiscent of young ones and children and the aged, and penal complex and felony inmates be sure healing procedures: psychopharmacological/ECT, psychodynamic, and collaborative (or "split") therapy deal with suicide threat within the context of significant psychological problems (depression, bipolar sickness, schizophrenia, anxiousness, character problems, and substance-related disorders), with particular instructions for threat evaluate deal with suicide chance in outpatient, emergency, and inpatient and partial hospitalization settings, sufferer security as opposed to freedom of stream, and methods for expanding the security think about numerous elements of perform as well as addressing the various features of sufferer care—including cautioning opposed to a suicide threat issue created by means of obstacles of advantages in managed-care situations—the booklet additionally discusses clinician care: how practitioners can do something about the anxiousness and fatigue coming up from treating suicidal sufferers, the professional's function following a patient's suicide, felony concerns related to common of care and legal responsibility, and probability administration guidance for keeping off malpractice litigation. Suicide danger exists alongside an ever-changing continuum. This ebook underscores that probability evaluation is a approach, no longer an occasion. It truly indicates how sound evaluate may end up in greater administration of sufferers at excessive threat for suicide.

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Extra info for The American Psychiatric Publishing Textbook of Suicide Assessment And Management

Sample text

Suicide is the leading cause of death among persons with schizophrenia who are younger than 35 years. Suicide is a risk in schizophrenia throughout the individual’s life cycle (Helia et al. 1997; Meltzer and Okaly 1995). However, suicide tends to occur in the early stages of illness and during an active phase (Meltzer 2001). In the case example, the patient’s suicide attempt was directed by command hallucinations. The earlier psychiatric literature indicated that command hallucinations accounted for relatively few suicides in schizophrenic patients (Breier and Astrachan 1984; Roy 1982).

The clinician must consider intent, not just behavior. For example, a patient takes 10 aspirin tablets with the intent that it will result in death. Suicidal intent is defined as the subjective expectation and desire to die by a self-destructive act (American Psychiatric Association 2003). A patient taking 6 mg/day of a benzodiazepine who takes an overdose of 180 1-mg tablets may not have any intention to commit suicide and may know that death will not likely occur. An aborted attempt occurs when the intent to harm is interrupted and no physical harm results.

1997). Risk factors for adolescents include prior attempts, affective disorder, substance abuse, living alone, male sex, age 16 years or older, and a history of physical and/or sexual abuse. Adverse childhood experiences—for example, emotional, physical, and sexual abuse—are associated with an increased risk of attempted suicide throughout the life span (Dube et al. 2001). More suicidal women than suicidal men have experienced childhood abuse (Kaplan et al. 1995). Brent (2001) provided a framework for the assessment of suicide risk in the adolescent that can be used to determine immediate disposition, intensity of treatment, and level of care (see Chapter 2, “Children and Adolescents”).

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