Managing Suicide Risk in Primary Care / Edition 1

by Craig J. Bryan PsyD, M. David Rudd PhD

Overview

Primary care is the new frontier for preventing suicide and Bryan and Rudd are its pioneers, offering wisdom and guidance based on their experience in bridging behavioral health care to the primary health care setting. This is a truly significant reference.

Lanny Berman, PhD, ABPP
Executive Director, American Association of Suicidology
President, International Association for Suicide Prevention

In their pragmatic and useful book titled Managing Suicide Risk in Primary Care, Bryan and Rudd provide an essential reference guide for health care professionals working in primary care settings."--PsycCRITIQUES

This book offers a comprehensive approach that can help the physician become competent to assess and intervene with suicidal risk as well as lessen his or her anxiety when dealing with patients at suicide risk. Needless to say, this can be a life and death matter for some patients... One of the great strengths of this book is how they have adapted insights and interventions from traditional mental health care for the uniqueness of primary care... I highly recommend this book for any professional working in primary care. It will be taken off the shelf for reference and reviewed many times in the course of a career.--Family Medicine Journal

Roughly forty-five percent of individuals who commit suicide make contact with a primary medical provider in the month prior to their death; nearly twenty percent make contact within one day of their death. This practical guide demonstrates how the primary care setting-an increasingly important provider of mental health treatment-can be an effective place for preventing suicide and providing ameliorative care.

Firmly grounded in the clinical realities of primary care, Bryan and Rudd address the key issues that often plague behavioral health consultants (BHCs) in such settings where appointments are brief, patient contact is limited, and decision making and treatment are collaborative. They offer effective strategies for BHCs to manage patients across a suicidal crisis beginning with the development of procedures prior to crisis, steps to take during a crisis, planning for post-crisis care, transition to specialty mental health facilities, and legal issues.

Key Features:

• Targets techniques for suicide assessment and prevention in primary care settings
• Addresses the clinical realities of working in a primary care setting and how to adapt them to the needs of suicidal patients
• Covers clinical protocols, legal issues, and risk management
• Discusses the formation of collaborative relationships with patients and staff
• Provides brief interventions with suicidal patients and post-crisis strategies
• Written by leading specialists in behavioral health, primary care, and suicidology

Product Details

ISBN-13:	9780826110718
Publisher:	Springer Publishing Company
Publication date:	11/19/2010
Pages:	216
Product dimensions:	6.00(w) x 9.00(h) x 0.70(d)

About the Author

Dr. Craig J. Bryan, PsyD, is Assistant Professor in the Department of Psychiatry at the University of Texas Health Science Center.

M. David Rudd PhD is Dean of the College of Social and Behavioral Sciences at the University of Utah and scientific director for the National Center for Veterans Studies at the U.

Table of Contents

Introduction vii

Chapter 1 Why Primary Care? 1

Chapter 2 The Behavioral Health Consultant Model 23

Chapter 3 Foundations for Effective Clinical Care 43

Chapter 4 Accurate and Brief Risk Assessment 71

Chapter 5 Strategies for Managing Suicide Risk in Primary Care 101

Chapter 6 Brief Interventions for Suicidal Patients 127

Chapter 7 Preparing for Crises 161

Chapter 8 Consulting With Primary Care Staff 183

Chapter 9 Special Concerns With Suicidal Patients in Primary Care 207

Chapter 10 Legal Issues in the Management of Suicide Risk in Primary Care 237

References 245

Index 269