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| best therapy for suicidal ideation: Cognitive Therapy for Suicidal Patients Amy Wenzel, Gregory K. Brown (Ph. D.), Aaron T. Beck, 2009 Cognitive Therapy for Suicidal Patients: Scientific and Clinical Applications crystallizes more than 3 decades of basic, clinical, and therapeutic research, providing a comprehensive review of the psychological factors associated with suicidal behavior. The authors describe their cognitive model of suicide, the instruments they developed to classify and assess suicidal behavior, and effective cognitive intervention techniques for suicidal individuals. The book includes a step-by-step protocol for cognitive therapy that is vividly illustrated in an extended case study. Individual chapters are dedicated to applying the protocol with special populations and overcoming challenges when working with suicidal patients.--pub. desc. |
| best therapy for suicidal ideation: Brief Cognitive-Behavioral Therapy for Suicide Prevention Craig J. Bryan, M. David Rudd, 2018-06-13 An innovative treatment approach with a strong empirical evidence base, brief cognitive-behavioral therapy for suicide prevention (BCBT) is presented in step-by-step detail in this authoritative manual. Leading treatment developers show how to establish a strong collaborative relationship with a suicidal patient, assess risk, and immediately work to establish safety. Proven interventions are described for building emotion regulation and crisis management skills and dismantling the patient's suicidal belief system. The book includes case examples, sample dialogues, and 17 reproducible handouts, forms, scripts, and other clinical tools. The large-size format facilitates photocopying; purchasers also get access to a webpage where they can download and print the reproducible materials. |
| best therapy for suicidal ideation: The Suicidal Thoughts Workbook Kathryn Hope Gordon, 2021-07-01 If you or someone you love is dealing with a crisis right now, please call 1-800-273-8255 to reach the National Suicide Prevention Lifeline. You can also text HOME to 741741 to reach a crisis counselor at the Crisis Text Line. A compassionate guide to managing suicidal thoughts and finding hope If you’re struggling with suicidal thoughts, please know that you are not alone and that you are worthy of help. Your life and well-being matter. When you’re suffering, life’s challenges can feel overwhelming and even insurmountable. This workbook is here to help you find relief and solutions when suicidal thoughts take over. Grounded in cognitive behavioral therapy (CBT), this compassionate workbook offers practical tools to guide you toward a place of hope. It will help you identify your reasons for living, manage intense emotions and painful thoughts, and create a safe environment when you are in a crisis. You’ll also find ways to strengthen social connections, foster self-compassion, and rediscover activities that bring joy and meaning to your life. This workbook is here to support you. However you are feeling at this moment, remember the following: You are worth it, you are loved, and you matter. |
| best therapy for suicidal ideation: Treating Suicidal Behavior M. David Rudd, Thomas E. Joiner, M. Hasan Rajab, 2004-07-26 This manual provides an empirically supported approach to treating suicidality that is specifically tailored to todays managed care environment. Structured yet flexible, the model is fully compatible with current best practice standards. The authors establish the empirical and theoretical foundations for time-limited treatment and describe the specific tasks involved in assessment and intervention. The book then details effective ways to conduct a rapid case conceptualization and outpatient risk assessment, determine and implement individualized treatment targets, and monitor treatment outcomes. Outlined are clear-cut intervention techniques that focus on symptom management, restructuring the patients suicidal belief system, and building such key skills as interpersonal assertiveness, distress tolerance, and problem solving. Other topics covered include the role of the therapeutic relationship, applications to group work and longer-term therapy, the use of medications, patient selection, and termination of treatment. Illustrated with helpful clinical examples, the book features numerous table, figures, and sample handouts and forms, some of which may be reproduced for professional use. |
| best therapy for suicidal ideation: Reducing Suicide Institute of Medicine, Board on Neuroscience and Behavioral Health, Committee on Pathophysiology and Prevention of Adolescent and Adult Suicide, 2002-10-01 Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health. |
| best therapy for suicidal ideation: The Neurobiological Basis of Suicide Yogesh Dwivedi, 2012-06-25 With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications. |
| best therapy for suicidal ideation: American Psychiatric Association Practice Guidelines American Psychiatric Association, 1996 The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria. |
| best therapy for suicidal ideation: Dialectical Behavior Therapy with Suicidal Adolescents Alec L. Miller, 2017-05-19 Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional dysregulation in teens and implementing individual, family, and group-based interventions. Insightful guidance on everything from orientation to termination is enlivened by case illustrations and sample dialogues. Appendices feature 30 mindfulness exercises as well as lecture notes and 12 reproducible handouts for Walking the Middle Path, a DBT skills training module for adolescents and their families. Purchasers get access to a Web page where they can download and print these handouts and several other tools from the book in a convenient 8 1/2 x 11 size. See also Rathus and Miller's DBT? Skills Manual for Adolescents, packed with tools for implementing DBT skills training with adolescents with a wide range of problems.ÿ |
| best therapy for suicidal ideation: Clinical Manual for Assessment and Treatment of Suicidal Patients John A. Chiles, Kirk D. Strosahl, Laura Weiss Roberts, 2018-08-23 Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend. The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter Suicidal Patients in Primary Care explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. Tips for Success appear at intervals, and The Essentials are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises. Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries. |
| best therapy for suicidal ideation: Helping the Suicidal Person Stacey Freedenthal, 2017-09-13 Helping the Suicidal Person provides a highly practical toolbox for mental health professionals. The book first covers the need for professionals to examine their own personal experiences and fears around suicide, moves into essential areas of risk assessment, safety planning, and treatment planning, and then provides a rich assortment of tips for reducing the person’s suicidal danger and rebuilding the wish to live. The techniques described in the book can be interspersed into any type of therapy, no matter what the professional’s theoretical orientation is and no matter whether it’s the client’s first, tenth, or one-hundredth session. Clinicians don’t need to read this book in any particular order, or even read all of it. Open the book to any page, and find a useful tip or technique that can be applied immediately. |
| best therapy for suicidal ideation: How I Stayed Alive When My Brain Was Trying to Kill Me, Revised Edition Susan Rose Blauner, 2019-06-25 NOW WITH A NEW CHAPTER AND AN UPDATED RESOURCES SECTION Suicide has touched the lives of nearly half of all Americans, yet it is rarely talked about openly. In her highly acclaimed book, Susan Blauner—a survivor of multiple suicide attempts—offers guidance and hope for those contemplating ending their lives and for their loved ones. “Each word written with thoughtful intent; each story told with the deepest of honesty and humility, and in doing so Blauner puts forward a life-saving book.—Daniel J. Reidenberg, PsyD, Executive Director, Suicide Awareness Voices of Education (www.save.org) “I continued to romanticize my death by suicide: who would find me; what I’d look like. I spent hundreds of hours planning my funeral, imagining the remorse of my family and friends. I wrote good-bye letters, composed wills, and disrupted the lives of everyone close to me. Then reality hit.”—Susan Rose Blauner The statistics on suicide are staggering. The World Health Organization estimates that nearly 800,000 people die by suicide every year, which is one person every 40 seconds, and for each completed suicide there may be twenty or more attempts. In How I Stayed Alive When My Brain Was Trying to Kill Me, Susan Blauner is the perfect emissary for a message of hope and a program of action for these millions of people. A survivor of multiple suicide attempts, she explains the complex feelings and fantasies that surround suicidal thoughts. In a direct, nonjudgmental, and loving voice, she offers affirmations and suggestions for those experiencing life-ending thoughts, and for their friends and family. With an introduction by Bernie Siegel, M.D., this important, timely book has now been updated with a revised resources section, and a new chapter on the author’s experiences since the book’s initial publication. |
| best therapy for suicidal ideation: Helping People Overcome Suicidal Thoughts, Urges and Behaviour Lorraine Bell, 2021-03-30 Helping People Overcome Suicidal Thoughts, Urges and Behaviour draws together practical and effective approaches to help individuals at risk of suicide. The book provides a framework and outlines skills for anyone working with adults who present with suicidal thoughts or intent. Part 1 introduces a basic understanding of our knowledge about suicide and UK policy; Part 2 outlines the research into the treatment of suicidality and the general principles for working in the safest possible way. Part 3 outlines ten key psychological skills in the context of evidence-based best practice. The book also discusses the role of health and social care professionals in the prevention of suicide in the context of Covid-19. The book will be a valuable addition to the resources of professionals including psychotherapists, nurses, social workers, occupational therapists, prison and probation officers, drug and alcohol workers, general practitioners and support staff in any health or social care context. |
| best therapy for suicidal ideation: ASSIP – Attempted Suicide Short Intervention Program Konrad Michel, Anja Gysin-Maillart, 2016-12-19 An innovative and highly effective brief therapy for suicidal patients – a complete treatment Manual Attempted suicide is the main risk factor for suicide. The Attempted Suicide Short Intervention Program (ASSIP) described in this manual is an innovative brief therapy that has proven in published clinical trials to be highly effective in reducing the risk of further attempts. ASSIP is the result of the authors' extensive practical experience in the treatment of suicidal individuals. The emphasis is on the therapeutic alliance with the suicidal patient, based on an initial patient-oriented narrative interview. The four therapy sessions are followed by continuing contact with patients by means of regular letters. This clearly structured manual starts with an overview of suicide and suicide prevention, followed by a practical, step-by-step description of this highly structured treatment. It includes numerous checklists, handouts, and standardized letters for use by health professionals in various clinical settings. |
| best therapy for suicidal ideation: Oxford Textbook of Suicidology and Suicide Prevention Danuta Wasserman, 2021-01-08 Part of the authoritative Oxford Textbooks in Psychiatry series, the new edition of the Oxford Textbook of Suicidology and Suicide Prevention remains a key text in the field of suicidology, fully updated with new chapters devoted to major psychiatric disorders and their relation to suicide. |
| best therapy for suicidal ideation: Suicide Assessment and Treatment Dana Worchel, Robin E. Gearing, 2010-04-29 Suicide is an event that cannot be ignored, minimized, or left untreated. However, all too often mental health professionals and health care practitioners are unprepared to treat suicidal clients. This text offers the latest guidance to frontline professionals who will likely encounter such clients throughout their careers, and to educators teaching future clinicians. The book discusses how to react when clients reveal suicidal thoughts; the components of comprehensive suicide assessments; evidence-based treatments such as crisis intervention, cognitive behavior therapy, dialectical behavior therapy, and more; and ethical and legal issues that may arise. Case studies, exercises, quizzes, and other features make this a must-have reference for graduate level courses. Key topics: Risk and identification of suicidal behaviors across the lifespan (children, adolescents, adults, and the elderly) The links between suicidality and mental illness (psychotic disorders, mood disorders, and substance abuse) Suicide risk among special populations (military personnel, LGBTQ individuals, the homeless, and more) A model for crisis intervention with suicidal individuals |
| best therapy for suicidal ideation: The Psychology of Suicide: From Research Understandings to Intervention and Treatment Yossi Levi-Belz, Yari Gvion, Alan Apter, 2019-07-11 Suicide is a highly complex and multifaceted phenomenon, with many contributing and facilitating factors and variables. However, given its being one of the most severe human behaviors, an obvious focus would be to identify the underlying psychological mechanisms and processes that may lead to suicidal ideation and behavior. This eBook is dedicated to studies exploring various approaches to the psychology of suicidal behavior as well as of non-suicidal self-injury (NSSI). The purpose of this eBook is to shed light on in-depth examinations of the current knowledge and empirical data regarding models, theories, and specific dimensions and variables that may help us increase the psychological understanding of suicidal phenomena. The specific goal is to identify particular psychological characteristics that may be used to develop prevention and intervention methods and programs. We believe that this eBook can contribute to the understanding of this behavior and help to develop specific tools, therapeutic guidelines, and programs that may help reduce the number of suicides occurring annually. This eBook is dedicated to our dearest friend, Dafni Assaf, who was one of the greatest leaders of the suicide prevention program in Israel. |
| best therapy for suicidal ideation: Treating Depressed and Suicidal Adolescents David A. Brent, Kimberly D. Poling, Tina R. Goldstein, 2011-06-16 Grounded in decades of research and the clinical care of thousands of depressed and suicidal teens, this highly accessible book will enhance the skills of any therapist who works with this challenging population. The authors describe the nuts and bolts of assessing clients and crafting individualized treatment plans that combine cognitive and behavioral techniques, emotion regulation interventions, family involvement, and antidepressant medication. Illustrated with many clinical examples, each chapter includes a concise overview and key points. Reproducible treatment planning forms and client handouts can also be downloaded and printed by purchasers in a convenient full-page size. |
| best therapy for suicidal ideation: Nonsuicidal Self-Injury E. David Klonsky, Jennifer Muehlenkamp, Stephen P. Lewis, Barent Walsh, 2011-01-01 Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods. |
| best therapy for suicidal ideation: Prolonged Exposure Therapy for Adolescents with PTSD Emotional Processing of Traumatic Experiences, Therapist Guide Edna B. Foa, Kelly R. Chrestman, Eva Gilboa-Schechtman, 2008-09-22 This program is specifically intended for adolescents suffering from posttraumatic stress disorder. Clients are exposed to safe but anxiety-provoking situations as a way of overcoming their trauma-related fears. Recounting the memory of the trauma also helps clients emotionally process their traumatic experiences in order to diminish PTSD symptoms. The workbook is designed for adolescent use and includes teen-friendly forms to reinforce the skills learned in therapy. |
| best therapy for suicidal ideation: Managing Suicidal Risk David A. Jobes, 2016-06-20 This book has been replaced by Managing Suicidal Risk, Third Edition, ISBN 978-1-4625-5269-6. |
| best therapy for suicidal ideation: 13 Things Mentally Strong People Don't Do Amy Morin, 2014-12-23 Kick bad mental habits and toughen yourself up.—Inc. Master your mental strength—revolutionary new strategies that work for everyone from homemakers to soldiers and teachers to CEOs. Everyone knows that regular exercise and weight training lead to physical strength. But how do we strengthen ourselves mentally for the truly tough times? And what should we do when we face these challenges? Or as psychotherapist Amy Morin asks, what should we avoid when we encounter adversity? Through her years counseling others and her own experiences navigating personal loss, Morin realized it is often the habits we cannot break that are holding us back from true success and happiness. Indulging in self-pity, agonizing over things beyond our control, obsessing over past events, resenting the achievements of others, or expecting immediate positive results holds us back. This list of things mentally strong people don't do resonated so much with readers that when it was picked up by Forbes.com it received ten million views. Now, for the first time, Morin expands upon the thirteen things from her viral post and shares her tried-and-true practices for increasing mental strength. Morin writes with searing honesty, incorporating anecdotes from her work as a college psychology instructor and psychotherapist as well as personal stories about how she bolstered her own mental strength when tragedy threatened to consume her. Increasing your mental strength can change your entire attitude. It takes practice and hard work, but with Morin's specific tips, exercises, and troubleshooting advice, it is possible to not only fortify your mental muscle but also drastically improve the quality of your life. |
| best therapy for suicidal ideation: Ethics in Psychotherapy and Counseling Kenneth S. Pope, Melba J. T. Vasquez, 2016-01-26 The ethics book no psychology student or professional should be without Thoroughly updated and expanded to include recent research findings, landmark legal decisions, the Hoffman Investigation Report, and changes in the ethical guidelines of the American Psychological Association and the Canadian Psychological Association, the new 5th edition of Ethics in Psychotherapy and Counseling covers the latest developments in ethical thinking, standards, and practice. You'll learn how to strengthen your ethical awareness, judgement, and decision-making. Distinguished Emeritus Professor Don Meichenbaum described the 5th edition as 'a MUST READ book for both beginning and seasoned clinicians' and Professor David H. Barlow wrote, 'A stunningly good book. . . . If there is only one book you buy on ethics, this is the one.' Covers the many changes and challenges brought about by new technology, EHRs, videoconferencing, and texting, as well as practicing across state and provincial borders Discusses moral distress and moral courage Includes 5 chapters on different aspects of critical thinking about ethical challenges, including a chapter on 'Ethics Placebos, Cons, and Creative Cheating: A User's Guide' Deals with complex issue of culture, race, religion, sexual identity, sexual orientation, and politics Provides steps to strengthen ethics in organizations Offers guidance on responding to ethics, licensing, and malpractice complaints—not to imply that you'll need to after reading this book! Keeps the focus on practical, creative approaches to the responsibilities, challenges, and opportunities encountered by therapists and counselors in their work. |
| best therapy for suicidal ideation: Suicide: A Global Perspective Maurizio Pompili, 2012-09-19 In the year 2000, approximately one million people died from suicide: a global mortality rate of 16 per 100,000, or one death every 40 seconds. In the last 45 years suicide rates have increased by 60% worldwide. Suicide is now among the three leading causes of death among those aged 15-44 years (both sexes); these figures do not include suicide attempts up to 20 times more frequent than completed suicide. Suicide worldwide is estimated to represent 1.8% of the total global burden of disease in1998, and 2.4% in countries with market and former socialist economies in 2020. Although traditionally suicide rates have been highest among the male elderly, rates among young people have been increasing to such an extent that they are now the group at highest risk in a third of countries, in both developed and developing countries. Mental disorders (particularly depression and substance abuse) are associated with more than 90% of all cases of suicide; however, suicide results from many complex sociocultural factors and is more likely to occur particularly during periods of socioeconomic, family and individual crisis situations (e.g., loss of a loved one, employment, honour). The economic costs associated with completed and attempted suicide are estimated to be in the billions of dollars. One million lives lost each year are more than those lost from wars and murder annually in the world. It is three times the catastrophic loss of life in the tsunami disaster in Asia in 2005. Every day of the year, the number of suicides is equivalent to the number of lives lost in the attack on the World Trade Center Twin Towers on 9/11 in 2001. Everyone should be aware of the warning signs for suicide: Someone threatening to hurt or kill him/herself, or taking of wanting to hurt or kill him/herself; someone looking for ways to kill him/herself by seeking access to firearms, available pills, or other means; someone talking or writing about death, dying or suicide, when these actions are out of the ordinary for the person. Also, high risk of suicide is generally associated with hopelessness; rage, uncontrolled anger, seeking revenge; acting reckless or engaging in risky activities, seemingly without thinking; feeling trapped – like there’s no way out; increased alcohol or drug use; withdrawing from friends, family and society, anxiety, agitation, unable to sleep or sleeping all the time; dramatic mood changes; no reason for living; no sense of purpose in life. Table 1: Understanding and helping the suicidal individual should be a task for all. Suicide Myths How to Help the Suicidal Person Warning Sights of Suicide Myth: Suicidal people just want to die. Fact: Most of the time, suicidal people are torn between wanting to die and wanting to live. Most suicidal individuals don’t want death; they just want to stoop the great psychological or emotional pain they are experiencing -Listen; -Accept the person’s feelings as they are; -Do not be afraid to talk about suicide directly -Ask them if they developed a plan of suicide; -Expressing suicidal feelings or bringing up the topic of suicide; -Giving away prized possessions settling affairs, making out a will; -Signs of depression: loss of pleasure, sad mood, alterations in sleeping/eating patterns, feelings of hopelessness; Myth: People who commit suicide do not warn others. Fact: Eight out of every 10 people who kill themselves give definite clues to their intentions. They leave numerous clues and warnings to others, although clues may be non-verbal of difficult to detect. -Remove lethal means for suicide from person’s home -Remind the person that depressed feelings do change with time; -Point out when death is chosen, it is irreversible; -Change of behavior (poor work or school performance) -Risk-taking behaviors -Increased use of alcohol or drugs -Social isolation -Developing a specific plan for suicide Myth: People who talk about suicide are only trying to get attention. They won’t really do it. Fact: Few commit suicide without first letting someone know how they feel. Those who are considering suicide give clues and warnings as a cry for help. Over 70% who do threaten to commit suicide either make an attempt or complete the act. -Express your concern for the person; -Develop a plan for help with the person; -Seek outside emergency intervention at a hospital, mental health clinic or call a suicide prevention center Myth: Don’t mention suicide to someone who’s showing signs of depression. It will plant the idea in their minds and they will act on it. Fact: Many depressed people have already considered suicide as an option. Discussing it openly helps the suicidal person sort through the problems and generally provides a sense of relief and understanding. Suicide is preventable. Most suicidal individuals desperately want to live; they are just unable to see alternatives to their problems. Most suicidal individuals give definite warnings of their suicidal intentions, but others are either unaware of the significance of these warnings or do not know how to respond to them. Talking about suicide does not cause someone to be suicidal; on the contrary the individual feel relief and has the opportunity to experience an empathic contact. Suicide profoundly affects individuals, families, workplaces, neighbourhoods and societies. The economic costs associated with suicide and self-inflicted injuries are estimated to be in the billions of dollars. Surviving family members not only suffer the trauma of losing a loved one to suicide, and may themselves be at higher risk for suicide and emotional problems. Mental pain is the basic ingredient of suicide. Edwin Shneidman calls such pain “psychache” [1], meaning an ache in the psyche. Shneidman suggested that the key questions to ask a suicidal person are ‘Where do you hurt?’ and ‘How may I help you?’. If the function of suicide is to put a stop to an unbearable flow of painful consciousness, then it follows that the clinician’s main task is to mollify that pain. Shneidman (1) also pointed out that the main sources of psychological pain, such as shame, guilt, rage, loneliness, hopelessness and so forth, stem from frustrated or thwarted psychological needs. These psychological needs include the need for achievement, for affiliation, for autonomy, for counteraction, for exhibition, for nurturance, for order and for understanding. Shneidman [2], who is considered the father of suicidology, has proposed the following definition of suicide: ‘Currently in the Western world, suicide is a conscious act of self-induced annihilation, best understood as a multidimensional malaise in a needful individual who defines an issue for which the suicide is perceived as the best solution’. Shneidman has also suggested that ‘that suicide is best understood not so much as a movement toward death as it is a movement away from something and that something is always the same: intolerable emotion, unendurable pain, or unacceptable anguish. Strategies involving restriction of access to common methods of suicide have proved to be effective in reducing suicide rates; however, there is a need to adopt multi-sectoral approaches involving other levels of intervention and activities, such as crisis centers. There is compelling evidence indicating that adequate prevention and treatment of depression, alcohol and substance abuse can reduce suicide rates. School-based interventions involving crisis management, self-esteem enhancement and the development of coping skills and healthy decision making have been demonstrated to reduce the risk of suicide among the youth. Worldwide, the prevention of suicide has not been adequately addressed due to basically a lack of awareness of suicide as a major problem and the taboo in many societies to discuss openly about it. In fact, only a few countries have included prevention of suicide among their priorities. Reliability of suicide certification and reporting is an issue in great need of improvement. It is clear that suicide prevention requires intervention also from outside the health sector and calls for an innovative, comprehensive multi-sectoral approach, including both health and non-health sectors, e.g., education, labour, police, justice, religion, law, politics, the media. |
| best therapy for suicidal ideation: The Neurobiology of Suicide David M. Stoff, Joseph John Mann, 1997 As the ninth leading cause of death in the United States, suicide poses a major public health problem. Rather than scrutinizing the psychological and sociocultural factors that enhance risk, this work, in contrast, focuses on the biological determinants of suicide. It presents recent studies in suicide on basic research models, neurobiological factors, and treatment strategies. A critical theme addressed is the translation of findings from these studies across basic, neurobiological, and treatment domains. |
| best therapy for suicidal ideation: The Surgeon General's Call to Action to Prevent Suicide , 1999 |
| best therapy for suicidal ideation: Treatment Approaches with Suicidal Adolescents James K. Zimmerman, Gregory M. Asnis, 1995-04-03 This practical guide reviews current knowledge regarding the biological, psychological and social risk factors for adolescent suicide. Contains clinical guidelines for a variety of treatment modalities such as crisis intervention; psychopharmacological management; intervention; family-centered, psychodynamic, cognitive/behavior and group therapies. Features a program for increasing adolescent participation in outpatient therapy and considers possible future directions of treatment. |
| best therapy for suicidal ideation: The Suicidal Crisis Igor Galynker, 2023 The Suicidal Crisis has everything clinicians need to evaluate the risk of imminent suicide. What sets it apart is its clinical focus on those at the highest risk--the book includes individual case studies of acutely suicidal individuals, detailed instructions on how to conduct risk assessments, test cases with answer keys, and empirically validated Suicidal Crisis risk assessment scales. |
| best therapy for suicidal ideation: Suicide Science Thomas Joiner, M. David Rudd, 2007-05-08 Suicide kills and maims victims; traumatizes loved ones; preoccupies clinicians; and costs health care and emergency agencies fortunes. It should therefore demand a wealth of theoretical, scientific, and fiduciary attention. But in many ways it has Why? Although the answer to this question is multi-faceted, this volume not. supposes that one answer to the question is a lack of elaborated and penetrating theoretical approaches. The authors of this volume were challenged to apply their considerable theoretical wherewithal to this state of affairs. They have risen to this challenge admirably, in that several ambitious ideas are presented and developed. Ifever a phenomenon should inspire humility, it is suicide, and the volume’s authors realize this. Although several far-reaching views are proposed, they are pitched as first approximations, with the primary goal of stimulating still more conceptual and empirical work. A pressing issue in suicide science is the topic of clinical interventions, and clinical approaches more generally. Here too, this volume contributes, covering such topics as therapeutics and prevention, comorbidity, special populations, and clinicalrisk factors. |
| best therapy for suicidal ideation: Treating Trauma in Dialectical Behavior Therapy Melanie S. Harned, 2022-04-13 Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use. |
| best therapy for suicidal ideation: Relational Suicide Assessment Douglas Flemons, Leonard Gralnik, 2013-04-23 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. |
| best therapy for suicidal ideation: Suicide Prevention Samuel J. Knapp, Samuel Knapp, 2020 This book offers essential information about assessing, managing, and providing mental health treatment for suicidal adult outpatients. Suicide is a heartbreaking phenomenon that is the result of innumerable factors embedded in the personal histories and experiences of each patient. Yet despite this complexity, research has uncovered commonalities that can enable mental health practitioners to successfully treat suicidal patients. In this book, author Sam Knapp guides readers through the full process of treating suicidal patients, from screening to relapse prevention, using effective, research-informed interventions. He explains suicidal behavior through ideation-to-action theories of suicide, and argues for the application of principle-based ethics when making treatment decisions. He emphasizes the importance of a strong therapeutic relationship, and respecting patient autonomy as much as possible in such circumstances. Throughout, Suicide Prevention makes current research on suicide accessible and useful to practicing mental health providers, connecting it with practical approaches and case examples informed by the author's extensive clinical experience. |
| best therapy for suicidal ideation: Diagnostic and Statistical Manual of Mental Disorders (DSM-5) American Psychiatric Association, 2021-09-24 |
| best therapy for suicidal ideation: I Had a Black Dog Matthew Johnstone, 2012-03-01 'I Had a Black Dog says with wit, insight, economy and complete understanding what other books take 300 pages to say. Brilliant and indispensable.' - Stephen Fry 'Finally, a book about depression that isn't a prescriptive self-help manual. Johnston's deftly expresses how lonely and isolating depression can be for sufferers. Poignant and humorous in equal measure.' Sunday Times There are many different breeds of Black Dog affecting millions of people from all walks of life. The Black Dog is an equal opportunity mongrel. It was Winston Churchill who popularized the phrase Black Dog to describe the bouts of depression he experienced for much of his life. Matthew Johnstone, a sufferer himself, has written and illustrated this moving and uplifting insight into what it is like to have a Black Dog as a companion and how he learned to tame it and bring it to heel. |
| best therapy for suicidal ideation: Building a Life Worth Living Marsha M. Linehan, 2021-01-05 Marsha Linehan tells the story of her journey from suicidal teenager to world-renowned developer of the life-saving behavioral therapy DBT, using her own struggle to develop life skills for others. “This book is a victory on both sides of the page.”—Gloria Steinem “Are you one of us?” a patient once asked Marsha Linehan, the world-renowned psychologist who developed Dialectical Behavior Therapy. “Because if you were, it would give all of us so much hope.” Over the years, DBT had saved the lives of countless people fighting depression and suicidal thoughts, but Linehan had never revealed that her pioneering work was inspired by her own desperate struggles as a young woman. Only when she received this question did she finally decide to tell her story. In this remarkable and inspiring memoir, Linehan describes how, when she was eighteen years old, she began an abrupt downward spiral from popular teenager to suicidal young woman. After several miserable years in a psychiatric institute, Linehan made a vow that if she could get out of emotional hell, she would try to find a way to help others get out of hell too, and to build a life worth living. She went on to put herself through night school and college, living at a YWCA and often scraping together spare change to buy food. She went on to get her PhD in psychology, specializing in behavior therapy. In the 1980s, she achieved a breakthrough when she developed Dialectical Behavioral Therapy, a therapeutic approach that combines acceptance of the self and ways to change. Linehan included mindfulness as a key component in therapy treatment, along with original and specific life-skill techniques. She says, You can't think yourself into new ways of acting; you can only act yourself into new ways of thinking. Throughout her extraordinary scientific career, Marsha Linehan remained a woman of deep spirituality. Her powerful and moving story is one of faith and perseverance. Linehan shows, in Building a Life Worth Living, how the principles of DBT really work—and how, using her life skills and techniques, people can build lives worth living. |
| best therapy for suicidal ideation: Improving Care to Prevent Suicide Among People with Serious Mental Illness National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Board on Children, Youth, and Families, Health and Medicine Division, Board on Health Care Services, 2019-04-19 Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop. |
| best therapy for suicidal ideation: Attachment Based Family Therapy Guy Diamond, |
| best therapy for suicidal ideation: Treating Suicidal Clients & Self-Harm Behaviors Meagan N. Houston, 2017-10-02 Developed from years of working with the most challenging suicidal cases, Dr. Meagan N. Houston has created a workbook to prepare you for all the intricacies that affect clients' choices to live or die. Treating Suicidal Clients & Self-Harm Behaviors is filled with proven assessments, unique worksheets and action-based methods to help your clients navigate and survive the turbulent periods of their lives where suicidal and/or self-harm behaviors appear to be their primary options to cope. This complete resource also includes underlying etiology, varying life factors, and mental health concerns that influence suicidal and self-destructive behaviors. * Downloadable assessments, worksheets and guides * Therapy approaches for Non-Suicidal Self-Injury (NSSI) and suicidal behavior * Applying crisis management skills, DBT and CBT to treatment * Ethical and legal issues related to working with suicidal behavior * Incorporating technology into treatment * Strategies for specific populations |
| best therapy for suicidal ideation: Mindfulness-Based Cognitive Therapy with People at Risk of Suicide J. Mark G. Williams, Melanie Fennell, Rebecca Crane, Sarah Silverton, 2017-03-24 Grounded in extensive research and clinical experience, this book describes how to adapt mindfulness-based cognitive therapy (MBCT) for participants who struggle with recurrent suicidal thoughts and impulses. Clinicians and mindfulness teachers are presented with a comprehensive framework for understanding suicidality and its underlying vulnerabilities. The preliminary intake interview and each of the eight group mindfulness sessions of MBCT are discussed in detail, highlighting issues that need to be taken into account with highly vulnerable people. Assessment guidelines are provided and strategies for safely teaching core mindfulness practices are illustrated with extensive case examples. The book also discusses how to develop the required mindfulness teacher skills and competencies. Purchasers get access to a companion website featuring downloadable audio recordings of the guided mindfulness practices, narrated by Zindel Segal, Mark Williams, and John Teasdale. (Published in hardcover as Mindfulness and the Transformation of Despair: Working with People at Risk of Suicide.) See also Mindfulness-Based Cognitive Therapy for Depression, Second Edition, by Zindel Segal, Mark Williams, and John Teasdale, the authoritative presentation of MBCT. |
| best therapy for suicidal ideation: PTSD Research Quarterly , 1992 |
| best therapy for suicidal ideation: Rapid Acting Antidepressants , 2020-06-29 The Advances in Pharmacology series presents a variety of chapters from the best authors in the field. - Includes the authority and expertise of leading contributors in pharmacology - Presents the latest release in the Advances in Pharmacology series |
Management and Treatment of Suicidality in Patients with …
These two agents helpful for “acute” suicidal ideation. 4. ECT. Helpful in reducing suicidal urges quickly in inpt setting. 5. Ketamine. A glutamate . N-methly-D-aspartate (NMDA) receptor …
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Understanding available resources for the management of suicidal ideation and suicidal behaviors. Understanding the crisis care system to provide navigation and handoff, as needed, …
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family therapy, depression, suicidal ideation, systematic review Depression is one of the most common mental disorders in children and adolescents, with an ... Even with the best evidence …
A SUICIDE PREVENTION TOOLKIT Safety plans to prevent …
Suicidal thoughts can burden people and hold them hostage. Experiencing these thoughts is to experience “absolute darkness, hopelessness, pain,” and nothing ... Otherwise, co-developing …
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prevention related to occupational therapy. Occupational therapists need to consider the mental health status of their clients and recognize that suicidal ideation is a significant occupational …
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suicide, clinical populations and their relationship to suicide and suicidal ideation, a practical approach to suicide assessment, and the benefits and limitations of struc-tured assessments. …
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Dos and don’ts of managing a client who is suicidal Source: Mills et al. 2009 Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol …
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health services for suicidal ideation and distress (King et al., 2015). Asynchronous methods of intervention may be useful for those experiencing crisis as well. Unguided web-based …
Suicidal Thinking and Threats: Helping Handout for Home
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Suicide Prevention How-to Guide | AMA - American …
BEST PRACTICE: Screening recommendations for youth vary based on their age. Best practice is to screen all youth 12 years and up, screen youth ages 8–11 who present with an MH …
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compatible with other theories, may be best equipped to explain the non-linear time-course of suicidal ideation and attempts. Longitudinal studies over various time-frames (minutes, hours, …
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The online treatment of suicidal ideation: A randomised controlled trial of an unguided web‐based intervention. Behaviour Research and Therapy, 119 , 103406.
Safety Planning Guide - SPRC
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In a review of best practices for using things such as text messaging, Sude (2013) writes that text messaging is becoming more popular with counselors. When Jordan gave Toni this additional …
Patient Safety Plan Template
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COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS)
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either suicidal ideation or a history of suicide attempt) Other (See Recommendations 16 and 21. a) •Periodic caring communications (following hospitalization for suicide risk) •Reduce access …
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Responding to Suicidal Ideation in Play Therapy
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• This document may decrease future suicidal ideation and behaviors. Developed by: Dr. Barbara Stanley, PhD. Professor of Clinical Psychology in Department of Psychiatry at Columbia ... • …
Acute Suicide Risk - Recognizing Suicidal Crises - Veterans …
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as Suicide Risk Screening Tool - NIMH
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The Suicide Behaviors Questionnaire-Revised (SBQ-R)
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Modifiable predictors of suicidal ideation during …
course of suicidal ideation was best captured by two trajectories, a favorable and an unfavorable trajectory comprising 173 and 76 ... and if used during therapy, may improve the course of ...
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suicidal ideation, self-harm, and suicide attempts among youth. 2 What Research Tells Us Current evidence on effectiveness of the following programs included in the guide to treat suicidal …
as Brief Suicide Safety NIMH TOOLKIT: ADULT OUTPATIENT …
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Assessment, Evaluation, and Treatment of Suicidality
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A SUICIDE PREVENTION TOOLKIT Safety plans to prevent …
not experiencing intense suicidal thoughts. It may be written after a suicidal crisis, but not during, as at this What is a safety plan? A suicidal crisis refers to “a suicide attempt or an incident in …
