Clinical Manual for Assessment and Treatment of Suicidal Patients

Front Cover
American Psychiatric Pub, May 20, 2008 - Medical - 360 pages
0 Reviews

The cornerstone of any intervention approach with suicidal patients is the recognition and treatment of psychiatric disorders. For many patients, however, treating the mental illness is not enough -- that is, suicidal behavior is not necessarily reduced by treatments that target those illnesses. Something more is needed.

In this provocative and insightful work, Drs. Chiles and Strosahl offer a concrete, practical framework to fill this gap. In doing so, they challenge one of the chief underlying assumptions of traditional approaches to suicide assessment and treatment -- that suicidal behavior can be predicted and controlled. In its place, they propose a new conceptualization of suicidality -- as learned, reinforced problem-solving behaviors that an individual uses when all other options seem to have failed. Rather than focusing on risk prediction and management, interventions in this learning model target the problems that the suicidal behavior is being used to solve. The assumption is that a patient's suicidal behavior represents his or her best attempt at that moment in time to deal with life's difficulties. The clinician's initial task is therefore not to judge or criticize but rather to acknowledge the struggle and pain the patient is experiencing and to help the patient begin to explore other ways of dealing with the overwhelming troubles. Efforts to reduce suicidal risk are accomplished by techniques that maximize individual autonomy and encourage positive behaviors -- the person's unique resources for addressing and modifying the suicidal behavior.

Designed to be used both for personal instruction and as a training manual, this comprehensive guide Presents an evidence-based model for understanding and treating suicidal behavior in all its forms.

Features self-evaluation exercises to help clinicians develop an enhanced awareness of their own emotional reactions, moral/religious responses, and personal values about suicidality.

Provides interactive checklists and patient assessment tools designed for easy use by the typical clinician in daily practice.

Includes case vignettes and narratives highlighting key assessment and intervention principles.

In Clinical Manual for the Assessment and Treatment of Suicidal Patients, the authors -- a psychiatrist and clinical psychologist -- have combined their diverse training and disciplinary backgrounds to create a workable approach to dealing with suicidal patients. Much more than merely an academic text on suicide, this thought-provoking handbook provides detailed guidance and a true sense of what to do to help suicidal patients. Practitioners in all domains of health care -- clinicians, residents, therapists, and graduate students in psychiatry, psychology, social work, and nursing -- will benefit from this valuable and accessible work.

 

What people are saying - Write a review

We haven't found any reviews in the usual places.

Contents

Global Issues in the Treatment of Suicidal Patients
17
3 A Basic Model of Suicidal Behavior
55
Blending Your Assessment With Treatment
69
5 Outpatient Interventions With Suicidal Patients
95
Evaluation Psychotherapy and Basic Case Management
131
More on Crisis and Case Management
175
A Complex Relationship
201
SubstanceAbusing Psychotic Young and Elderly Patients
223
11 Understanding and Providing Care to the Survivors of Suicide
273
Philosophies About Suicide
305
Consequences of Suicidal Behavior Questionnaire
307
Reasons for Living Inventory
311
Suicidal Thinking and Behaviors Questionnaire
315
Malpractice Management Assessment
317
Index
319
Copyright

10 Suicidal Patients in General Health Care
255

Other editions - View all

Common terms and phrases

About the author (2008)

John A. Chiles, M.D., is Clinical Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine, Sound Psychiatry Consulting Group, in Port Townsend, Washington.

Kirk Strosahl, Ph.D., is a Clinical Psychologist at Mountainview Consulting Group Inc., in Moxee, Washington.

Bibliographic information