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The American Psychiatric Publishing Textbook of Suicide Assessment and Management
by Simon, Robert I. ; Hales, Robert E.
1585622133 / 9781585622139
Edition 1 , 2006 , AMERICAN PSYCHIATRIC PUBLISHING INC
Suicide risk assessment is a core competency that mental health professionals are expected to acquire during their training, yet the reality of potential suicides can prove daunting for busy practitioners faced with an overload of information on the subject. This book meets that challenge head-on by providing clinically useful information for anyone encountering patients at risk for suicide.
The American Psychiatric Publishing Textbook of Suicide Assessment and Management calls on the authority of 40 expert contributors?ncluding members of the APA's Workgroup on Suicidal Behaviors, who developed the APA Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors?eflecting a wide range of clinical and forensic experience. The authors provide informative cases accompanied by analysis that integrates clinical findings with textual discussion, along with chapter-end "key points," in order to help practitioners
understand demographic, gender, and cultural variables in suicide risk
use psychological tests and scales in assessment
assess risk in special populations, such as children and adolescents and the elderly, and jail and prison inmates
determine treatment options: psychopharmacological/ECT, psychodynamic, and collaborative (or "split") treatment
manage suicide risk in the context of major mental disorders (depression, bipolar disorder, schizophrenia, anxiety, personality disorders, and substance-related disorders), with specific guidelines for risk assessment
address suicide risk in outpatient, emergency, and inpatient and partial hospitalization settings, patient safety versus freedom of movement, and strategies for increasing the safety factor in various aspects of practice
In addition to addressing the many facets of patient care?ncluding cautioning against a suicide risk factor created by limitations of benefits in managed-care situations?he book also discusses clinician care: how practitioners can cope with the anxiety and fatigue arising from treating suicidal patients, the professional's role following a patient's suicide, legal issues involving standard of care and liability, and risk management guidelines for avoiding malpractice litigation. Suicide risk exists along an ever-changing continuum. This book underscores that risk assessment is a process, not an event. It clearly shows how sound assessment can lead to more effective management of patients at high risk for suicide.
Contents
Contributors. Foreword. Preface. Assessment Principles. Suicide risk: assessing the unpredictable. Part I: Special Populations. Children and adolescents. The elderly. Suicide and gender. Social, cultural, and demographic factors in suicide. Suicide prevention in jails and prisons. Part II: Suicide Risk Assessment: Special Issues. Cultural competence in suicide risk assessment. Psychological testing in suicide risk management. Part III: Treatment. Psychopharmacological treatment and electroconvulsive therapy. Psychodynamic treatment. Split treatment. Part IV: Major Mental Disorders. Depressive disorders. Bipolar disorder. Schizophrenia. Anxiety disorders. Personality disorders. Substance-related disorders. Part V: Treatment Settings. Outpatient treatment. Emergency services. Inpatient treatment and partial hospitalization. Part VI: Patient Safety. Patient safety versus freedom of movement: coping with uncertainty. Safety interventions. Part VII: Aftermath of Suicide and Psychiatrist Reactions. Aftermath of suicide: the clinician's role. Psychiatrist reactions to patient suicide. Part VIII: Special Topics. Combined murder-suicide. Legal perspective on suicide assessment and management. Patient suicide and litigation. Clinically based risk management of the suicidal patient: avoiding malpractice litigation. Appendix. Index.
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