Psychiatry

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

By Robert I. Simon, Robert E. Hales

Suicide probability review is a middle competency that psychological future health pros are anticipated to obtain in the course of their education, but the truth of power suicides can end up daunting for busy practitioners confronted with an overload of data at the topic. This e-book meets that problem head-on by way of supplying clinically helpful details for an individual encountering sufferers in danger for suicide. the yank Psychiatric Publishing Textbook of Suicide evaluation and administration calls at the authority of forty professional contributors—including contributors of the APA's Workgroup on Suicidal Behaviors, who constructed the APA perform guide for the evaluate and therapy of sufferers With Suicidal Behaviors—reflecting a variety of medical and forensic adventure. The authors offer informative circumstances followed via research that integrates scientific findings with textual dialogue, besides chapter-end "key points," with a purpose to aid practitioners comprehend demographic, gender, and cultural variables in suicide hazard use mental assessments and scales in overview verify chance in certain populations, resembling young ones and children and the aged, and prison and legal inmates make sure remedies: psychopharmacological/ECT, psychodynamic, and collaborative (or "split") therapy deal with suicide threat within the context of significant psychological problems (depression, bipolar illness, schizophrenia, anxiousness, character issues, and substance-related disorders), with particular directions for chance overview tackle suicide possibility in outpatient, emergency, and inpatient and partial hospitalization settings, sufferer safeguard as opposed to freedom of stream, and methods for expanding the protection think about a variety of elements of perform as well as addressing the numerous points of sufferer care—including cautioning opposed to a suicide hazard issue created by way of barriers of advantages in managed-care situations—the ebook additionally discusses clinician care: how practitioners can deal with the nervousness and fatigue bobbing up from treating suicidal sufferers, the professional's position following a patient's suicide, felony concerns regarding ordinary of care and legal responsibility, and danger administration guidance for fending off malpractice litigation. Suicide hazard exists alongside an ever-changing continuum. This publication underscores that chance overview is a strategy, no longer an occasion. It sincerely indicates how sound overview may end up in greater administration of sufferers at excessive chance for suicide.

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Additional resources for The American Psychiatric Publishing Textbook of Suicide Assessment And Management

Example text

The patient’s brother states that there is a shotgun at home used for skeet shooting. The brother agrees to remove the gun from the home. A follow-up call by the social worker confirms that the gun was removed from the home and secured in a safe place. The psychiatrist’s systematic suicide risk assessment of the patient on admission is rated as high (Figure 1–2). The psychiatrist makes a diagnosis of schizophrenia, disorganized type, and substance abuse disorder (alcohol and methamphetamine). He prescribes an atypical antipsychotic medication, a benzodiazepine for control of severe agitation, and a sleep medication.

A follow-up call by the social worker confirms that the gun was removed from the home and secured in a safe place. The psychiatrist’s systematic suicide risk assessment of the patient on admission is rated as high (Figure 1–2). The psychiatrist makes a diagnosis of schizophrenia, disorganized type, and substance abuse disorder (alcohol and methamphetamine). He prescribes an atypical antipsychotic medication, a benzodiazepine for control of severe agitation, and a sleep medication. In his initial suicide risk assessment, the psychiatrist evaluates both acute and chronic risk factors as well as current preventive factors.

Checklists cannot encompass all the pertinent suicide risk factors present in a given patient. A plaintiff’s attorney will point out the omission of pertinent suicide risk factors on the checklist used to assess the patient who later commits suicide. The standard of care does not require that specific psychological tests or checklists be used as part of the systematic assessment of suicide risk (Bongar et al. 1992). Actuarial analysis reveals that most depressed patients do not kill themselves.

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