Relational Suicide Assessment: Risks, Resources, and Possibilities for Safety

Hardcover (Print)
Buy New
Buy New from
Used and New from Other Sellers
Used and New from Other Sellers
from $26.06
Usually ships in 1-2 business days
(Save 25%)
Other sellers (Hardcover)
  • All (6) from $26.06   
  • New (4) from $26.06   
  • Used (2) from $97.99   


A relational approach to evaluating your suicidal clients.
Given the isolating nature of suicidal ideation and actions, it’s all too easy for clinicians conducting a suicide assessment to find themselves developing tunnel vision, becoming overly focused on the client’s individual risk factors. Although critically important to explore, these risks and the danger they pose can’t be fully appreciated without considering them in relation to the person’s resources for safely negotiating a pathway through his or her desperation. And, in turn, these intrapersonal risks and resources must be understood in context—in relation to the interpersonal risks and resources contributed by the client’s significant others.
In this book, Drs. Douglas Flemons and Leonard M. Gralnik, a family therapist and a psychiatrist, team up to provide a comprehensive relational approach to suicide assessment. The authors offer a Risk and Resource Interview Guide as a means of organizing assessment conversations with suicidal clients. Drawing on an extensive research literature, as well as their combined 50+ years of clinical experience, the authors distill relevant topics of inquiry arrayed within four domains of suicidal experience: disruptions and demands, suffering, troubling behaviors, and desperation.Knowing what questions to ask a suicidal client is essential, but it is just as important to know how to ask questions and how to join through empathic statements. Beyond this, clinicians need to know how to make safety decisions, how to construct safety plans, and what to include in case note documentation. In the final chapter, an annotated transcript serves to tie together the ideas and methods offered throughout the book.Relational Suicide Assessment provides the theoretical grounding, empirical data, and practical tools necessary for clinicians to feel prepared and confident when engaging in this most anxiety-provoking of clinical responsibilities.

Read More Show Less

Editorial Reviews

Psychiatric Services
“[A] thoughtful and well-rounded approach to suicide assessment . . . . [A] well organized and thoroughly referenced book. . . . This book is a valuable read for all mental health professionals involved in suicide assessment. . . . Douglas Flemons and Leonard M. Gralnik deserve recognition. . .”
Contemporary Psychotherapy
“[A] comprehensive book, which should be welcomed by systemic practitioners and clinicians who are routinely undertaking suicide assessments.”
Journal of Nervous and Mental Disease
“Clinical vignettes and practical examples and suggestions can be found throughout the book, helping the reader to relate the principles described to different scenarios in clinical practice. . . . [G]ives an account of essential steps that constitute a complete assessment of suicidal behaviors and provides guidance for the novice clinician starting a career in mental health. Experienced clinicians may appreciate the authors’ poignancy, practical suggestions, and empathic perspective central to improving the care required by suicidal individuals.”
Rob McNeilly
“I recommend this book to any therapist who might find themselves dealing with potential suicide, and also to any therapist wanting todeepen and extend their clinical effectiveness. . . . [P]ractical, human ideas and approaches to this terrible dilemma.”
Journal of Marital and Family Therapy
“[O]ffers a thoughtful and thoroughly systemic way of assessing a client’s risk of lethality, and features a tone reflective of the empathic, collaborative style it advocates. . . . [W]ell organized . . . . Well written and thoroughly referenced . . . . [A] valuable, comprehensive resource for all marriage and family therapists, as well as mental health professionals, and would be appropriate for graduate student audiences and beginning clinicians in training.”
Midwest Book Review
“Informed and informative . . . exceptionally well written, organized and presented, making it a critically important contribution to professional and academic library Psychology/Psychiatry reference collections and supplemental studies reading lists.”
Read More Show Less

Product Details

  • ISBN-13: 9780393706529
  • Publisher: Norton, W. W. & Company, Inc.
  • Publication date: 4/22/2013
  • Pages: 272
  • Sales rank: 640,060
  • Product dimensions: 6.10 (w) x 9.40 (h) x 1.20 (d)

Meet the Author

Douglas Flemons, PhD, LMFT, is Professor of Family Therapy and Co-Director of the Office of Suicide and Violence Prevention at Nova Southeastern University in Fort Lauderdale, Florida.

Leonard M. Gralnik, MD, PhD, is an adult and child psychiatrist and lives in Hollywood, Florida.

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Terms of Use.
  • - Barnes & reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)