Harvard Medical School Guide to Suicide Assessment and Intervention / Edition 1by Douglas G. Jacobs, Harvard Medical School, Douglas Jacobs
Pub. Date: 12/28/1998
More than 30,000 deaths in the United States each year-more than 80 per day-are a result of suicide. Suicide is the primary cause of early death among psychiatric patients and an issue in one quarter of all psychiatric malpractice lawsuits.The fundamental question is, How can clinicians identify patients who may be at risk for suicide and take the necessary steps
More than 30,000 deaths in the United States each year-more than 80 per day-are a result of suicide. Suicide is the primary cause of early death among psychiatric patients and an issue in one quarter of all psychiatric malpractice lawsuits.The fundamental question is, How can clinicians identify patients who may be at risk for suicide and take the necessary steps to reduce that risk-This essential resource-edited by Douglas G. Jacobs, Harvard Medical School's nationally recognized expert on suicide and depression-is a compendium of the most current research and authoritative thought on the topic of suicide. Each of the volume's forty-eight contributors is an expert on an aspect of suicide assessment and intervention. The breadth of knowledge offered in this handbook speaks to the fact that suicide is a complex, multidimensional clinical problem that requires a wide range of methods for effective assessment and treatment.This hands-on guide is written for those who have the common yet complex task of assessing suicidality in a patient or client-psychiatrists, primary care physicians, school counselors, psychologists, psychotherapists, and other mental health professionals. The book helps professionals determine the risk level for suicidal or at-risk patients and recommends a suicide assessment protocol that can be effectively incorporated into clinical practice. The authors also provide guidelines for intervening when a person is at risk for harming himself or herself.Comprehensive in scope, the book offers a wealth of information and practical advice on specific topics, including working with special at-risk populations such as adolescents, the physically ill, and those with major mental illness, alcoholism, or borderline personality disorder. The book also addresses the somatic treatment of the suicidal patient, including important new findings about the possible antisuicidal effect of lithium. In addition, the guide contains important cautions rega
Table of Contents
Foreword, Joseph T. Coyle, M.D.
Preface, Douglas G. Jacobs, M.D.
Suicide Assessment: An Overview and Recommended Protocol (D. Jacobs, et al.).
Epidemiology of Suicide (E. Moscicki).
A Community Psychiatry Approach to Preventing Suicide (R. Dorwart & M. Ostacher).
The Psychodynamic Understanding of Suicide (J. Maltsberger).
Perturbation and Lethality: A Psychological Approach to Assessment and Intervention (E. Shneidman).
The Neurobiology of Suicidal Behavior (J. Mann & V. Arango).
Profiles of Completed Suicides (J. Fawcett).
Self-Mutilation (A. Favazza).
Standard Protocol for Assessing and Treating Suicidal Behaviors for Patients in Treatment (M. Linehan).
Murder Suicide: Phenomenology and Clinical Implications (M. Nock & P. Marzuk).
Excerpts from Academic Conference and Recognition of Suicidal Risks Through the Psychologic Examination (L. Havens).
Critical Points in the Assessment and Management of Suicide Risk (J. Motto).
Can Suicide Ever Be Eradicated?: A Personal Journey (P. Cantor).
Suicide and Manic-Depressive Illness: An Overview and Personal Account (K. Jamison).
Lifetime Risk of Suicide in Major Affective Disorders (D. Clark & A. Goebel-Gabbri).
Suicide and Schizophrenia (M. Tsuang, et al.).
Substance Abuse and Suicide (R. Weiss & M. Hufford).
Borderline Personality Disorder (T. Davis, et al.).
Trauma and Suicide (J. Chu).
Antisuicidal Effect of Lithium Treatment in Major Mood Disorders (R. Baldessarini & L. Tondo).
Treatment of the Suicidal Patient with Psychotropic Drugs and ECT (C. Salzman).
The Inpatient Management of Suicidality (G. Jacobson).
ECT and Suicide (E. Metzger).
Suicide in Children and Adolescents (S. Goldman & W. Beardslee).
Suicide in the Elderly (D. Steffens & D. Blazer).
Suicide-Prevention Contracts: Advantages, Disadvantages, and and Alternative Approach (M. Miller).
Guidlines for Conducting a Suicide Review (S. Stelovich).
Medical Settings and Suicide (M. Kelly, et al.).
Suicide Assessment in the Primary Care Setting (M. Miller & R. Paulsen).
Suicide, Assisted Suicide, and Euthanasia (H. Hendin).
Liability Issues and Liability Prevention in Suicide (T. Gutheil).
Appendix A: Guidelines for Identification, Assessment, and Treatment for Suicidality.
Appendix B: Risk Management Foundation of the Harvard Medical Institutions.
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