The suicidal crisis: clinical guide to the assessment of imminent suicide risk
Most people who die by suicide see a clinician prior to taking their lives. Therefore, one of the most difficult determinations clinicians must be able to make is whether any given patient is at risk for suicide in the immediate future. The Suicidal Crisis, Clinical Guide to the Assessment of Immine...
Gespeichert in:
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York, NY, United States of America
Oxford University Press
[2023]
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| Ausgabe: | Second edition |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | Most people who die by suicide see a clinician prior to taking their lives. Therefore, one of the most difficult determinations clinicians must be able to make is whether any given patient is at risk for suicide in the immediate future. The Suicidal Crisis, Clinical Guide to the Assessment of Imminent Suicide Risk, is the first book written specifically to help clinicians evaluate the risk of such imminent suicidal behavior. The Suicidal Crisis is an essential work for every mental health professional and for anyone who would like to have a framework for understanding suicide. Written by master clinician Dr. Igor Galynker, the book presents methods for a systematic and comprehensive assessment of short-term suicide risk and for conducting risk assessment interviews in different settings. Dr. Galynker describes suicide as an attempt of a vulnerable individual to escape an unbearable life situation, which is perceived as both intolerable and inescapable. What sets the Suicidal Crisis apart from the other books of its kind is its sharp focus on those at the highest risk. It presents a wealth of clinical material within the easy-to-understand and intuitive framework of the Narrative-Crisis model of suicidal behavior. The book contains sixty individual case studies of actual suicidal individuals and their interviews, detailed instructions on how to conduct such interviews, and risk assessment test cases with answer keys. A unique feature of the book, not found in any other book on suicide, is a discussion of how clinicians' emotional responses to acutely suicidal individuals may help identify those at highest risk.In this timely and extensively updated edition Galynker provides a method for understanding the suicidal process, and of identifying those at the highest risk for taking their lives. Any clinician who works with suicidal individuals and anybody who knows someone who has considered suicide will find the book an essential and illuminating read |
| Beschreibung: | xvi, 521 Seiten Diagramme 157 x 236 mm |
| ISBN: | 9780197582718 0197582710 |
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| 520 | |a Most people who die by suicide see a clinician prior to taking their lives. Therefore, one of the most difficult determinations clinicians must be able to make is whether any given patient is at risk for suicide in the immediate future. The Suicidal Crisis, Clinical Guide to the Assessment of Imminent Suicide Risk, is the first book written specifically to help clinicians evaluate the risk of such imminent suicidal behavior. The Suicidal Crisis is an essential work for every mental health professional and for anyone who would like to have a framework for understanding suicide. Written by master clinician Dr. Igor Galynker, the book presents methods for a systematic and comprehensive assessment of short-term suicide risk and for conducting risk assessment interviews in different settings. Dr. Galynker describes suicide as an attempt of a vulnerable individual to escape an unbearable life situation, which is perceived as both intolerable and inescapable. What sets the Suicidal Crisis apart from the other books of its kind is its sharp focus on those at the highest risk. It presents a wealth of clinical material within the easy-to-understand and intuitive framework of the Narrative-Crisis model of suicidal behavior. The book contains sixty individual case studies of actual suicidal individuals and their interviews, detailed instructions on how to conduct such interviews, and risk assessment test cases with answer keys. A unique feature of the book, not found in any other book on suicide, is a discussion of how clinicians' emotional responses to acutely suicidal individuals may help identify those at highest risk.In this timely and extensively updated edition Galynker provides a method for understanding the suicidal process, and of identifying those at the highest risk for taking their lives. Any clinician who works with suicidal individuals and anybody who knows someone who has considered suicide will find the book an essential and illuminating read | ||
| 650 | 4 | |a Psychiatry / BIC2 | |
| 856 | 4 | 2 | |m Digitalisierung UB Regensburg - ADAM Catalogue Enrichment |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034990208&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
Datensatz im Suchindex
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Contents Acknowledgments 1. Introduction and Overview The Ticking Time Bomb of the American Suicide Health Crisis What Is Imminent Suicide? Long-Term versus Imminent Suicide Risk: Who versus When Lack of Tests for Suicide Prediction The Problem of "Non-Disclosure” Suicide Crisis Syndrome The Narrative-Crisis Model of Suicide One-Informant versus Multi-Informant Suicide Risk Assessments Using Clinicians’ Emotions in Suicide Prevention Risk Stratification versus Clinical Judgment How To Use Vie Suicidal Crisis A Roadmap for Comprehensive Assessment References 2. Psychological Models of Suicide With Shira Barzilay and Olivia C. Lawrence Introduction Historical Perspective Shneidman's Theory of Psychache Suicide as Escape from Seit The Cry of Pain/Arrested Flight Model Cognitive Vulnerability Model Fluid Vulnerability Model Beck's Diathesis-Stress Model Mann’s Stress-Diathesis Model Joiners Interpersonal Model Thwarted Belongingness Perceived Burdensomeness Acquired Capability Opponent Processing O'Connor’s Integrated Motivational-Volitional Model of Suicide Klonsky ’s Three-Step Theory of Suicide Summary References xv 1 1 4 5 8 9 11 13 15 17 18 20 21 23 32 32 33 34 36 37 39 41 42 46 47 48 48 49 49 50 52 54 55
VÜÎ CONTENTS 3. The Narrative-Crisis Model of Suicide « Introduction Trait versus State Risk Factors n2 o3 Static versus Dynamic Risk Factors M The Narrative-Crisis Model: Overview Long-Term Risk Factors The Suicidal Narrative The Suicide Crisis Syndrome The Long-Term Risk Component Stressful Life Events The Suicidal Narrative: The Subacute Component The Suicide Crisis Syndrome: The Acute Component Model Flexibility: Narrative-Driven versus Crisis- Driven Suicidal Behaviors Conclusion References c 5 n5 4. Long-Term or Chronic Risk Factors Demographics Gender and Age Sexual Orientation and Identity Race, Ethnicity, and Geographic Region Psychological Factors Impulsivity Hopelessness and Pessimism Perfectionism Fearlessness and Pain Insensitivity Attachment Style Historical Factors History of Mental Illness History of Suicide Attempts Suicide in the Family Suicide Exposure and Practicing Childhood Trauma Parenting Style Social Factors Cultural Attitudes and Immigration Status Moral, Philosophical, and Religious Objections Suicide Clusters COVID-19 Pandemic Case Examples Interview Algorithm Case 1: High Risk for Imminent Suicide Case 2: Moderate Risk for Imminent Suicide on m» o9 “3 "4 "5 'o S1 81 SI 82 S3 SI SI S5 S3 So S" SS SS W 92 92 93 91 95 95 96 98 9S 99 99 102 104
CONTENTS Case 3: Low Risk for Imminent Suicide Test Case I References 5. Stressful Life Events With Olivia C. Lawrence, Inna Goncearenco, andKimia Ziafat Introduction Work and Financial Hardship Economic Hardship Business or Work Failure Case 4 Loss of Home Case 5 Case 6 Relationship Conflict Romantic Rejection Case 7 Intimate Relationship Conflict Case 8 Parents in Conflict with Children Case 9 Serious Medical Illness Recent Diagnosis Case 10 Prolonged and Debilitating Illness Case 11 Acute and Chronic Pain Case 12 Serious Mental Illness Recent Diagnosis Case 13 Recent Hospitalization Case 14 Illness Exacerbation and Acute Episodes Case 15 Medication Changes: Initiation, Discontinuation, or Nonadherence Case 16 Recent Suicide Attempt Case 17 Attempt Lethality Case 18 Recent Substance Misuse Drug and Alcohol Use Disorder Acute Alcohol Intoxication and Recent Drug Use IX 107 110 113 120 120 121 121 122 122 123 124 124 125 125 126 126 127 128 129 129 129 130 131 132 133 134 134 134 135 136 139 140 142 142 146 147 148 148 150 151 151 152
X CONTENTS Case 19 Alcohol and Drug Withdrawal Case 20 Adolescents Children in Conflict with Parents Case 21 Ongoing Childhood and AdolescentAbuse and Neglect Bullying Case 22 Case 23 Internet and Social Media Screen Time Internet Addiction Cyberbullying COVID-19 Pandemic References 6. Suicidal Narrative The Seven Stages of the Suicidal Narrative Stage 1: Unrealistic Life Goals Case 24 Case 25 Stage 2: Entitlement to Happiness Case 26 Case 27 Stage 3: Failure to Redirect to More Realistic Goals Case 28 Case 29 Stage 4: Humiliating Personal or Social Defeat Case 30 Case 31 Stage 5; Perceived Burdensomeness Case 32 Case 33 Stage 6: Thwarted Belongingness Case 34 Case 35 Stage 7: Perception of No Future Case 36 Case 37 Constructing the Suicidal Narrative Probing the Suicidal Narrative: An Interview Algorithm Case Examples Case 38: High Risk for Imminent Suicide 15-1 154 15ο 157 15~ 159 160 L( 2 163 IM io? lob Ho 16, 168 1 69 187 1ST 192 193 195 197 202 203 205 20* 208 209 212 212 214 215 216 217 220 221 222 224 226 227 230 232 232
CONTENTS Case 39: Moderate Risk for Imminent Suicide Case 40: Low Risk for Imminent Suicide Test Case 2 References 7. Suicide Crisis Syndrome Distinction between Chronic Long-Term and Acute Short-Term Suicide Risk Suicide Warning Signs Suicidal Ideation and Suicide Intent Suicidal Ideation Suicide Intent and Plan Case 41 Case 42 Suicide Crisis Syndrome SCS Diagnostic Structure Clinical Utility of the SCS Suicide-Specific Modifiers for SCS Suicide Crisis Syndrome Criteria and Symptoms Criterion A: Frantic Hopelessness/Entrapment Case 41 —Continued Case 42—Continued Criterion ВI : Affective Disturbance Case41—Continued Case 42—Continued Criterion B2: Loss of Cognitive Control Case 41—Continued Case 42—Continued Criterion B3: Hyperarousal Case 41—Continued Case 42—Continued Criterion B4: Acute Social Withdrawal SCS Assessment Algorithm The Full SCS Assessment The One-Minute Assessment Case Examples—Continued from Chapter6 Case 38: High Risk for Imminent Suicide—Continued Case 39: Moderate Risk for Imminent Suicide—Continued Case 40: Low Risk for Imminent Suicide—Continued Test Case 3 References XÎ 236 240 245 249 256 256 257 259 259 261 262 264 266 266 269 272 278 278 282 283 284 289 292 294 299 301 302 304 305 306 306 307 312 312 312 320 327 332 340
xii CONTENTS 8. Emotional Response to Suicidal Patients in the .Assessment ot Imminent Suicide Risk 352 With Benedetta Imbastaro, Olivia C. Lawrence. Inna Goncearenco, and Kimia Ziajai Introduction 352 The Need for New Approaches in Risk Asse»ment 3'2 Clinician’s Emotional Responses to Suicidal Patients and Their Underlying Mechanisms '5 ' Experimental Evidence for Clinician’s Emotional Responses 35' Clinicians’ Defense Mechanisms in Psychotherapy with Suicidal Patients 35o Reaction Formation 3‘~ Case 43 35“ Repression 35s Case 44 35s Turning against the Self 35s Case 45 35° Projection 350 Case 46 3tO Denial mo Case47 З6 Rationalization Зо 1 Case 58 3ol Clinicians’ Pattern of Emotional Response 362 From Rescue Fantasy to Helplessness and Anger Зь-l Case 49 3M Countertransference Love 3o‘ Case 50 3oS Countertransference Hate зм Clinicians’ Conflicting Emotional Responses in the Prediction of Imminent Suicide 37 0 Relevance of Clinician Emotional Response in Clinical Practice 372 A Predictive Factor in Suicide Risk Assessment 372 How to Appraise the Emotional Response 373 Incorporating Clinicians’ Emotional Responses in Patient Suicide Risk Assessment—A Quantitative Measure 375 A Practical Method for Assessing Ones Emotional Response 376 Case 51 378 Case Examples 379 Case 52: High Risk for Imminent Suicide—Reaction Formation 379 Case 53: High Riskfor Imminent Suicide—Repression and Denial 380 Case 54: Low Risk for Imminent Suicide 382 Conclusion 384 References 386
CONTENTS 9. Conducting Short-Term Risk Assessment Interviews Comprehensive Short-Term Risk Assessment Outline Long-Term Risk Factors Stressful Life Events Suicidal Narrative Suicide Crisis Syndrome Suicidal Ideation, Intent, and Plan Preliminary Risk Assessment Clinician’s Emotional Response Final Risk. Assessment Suicidal Ideation and Intent: Self-Report and Its Limitations Development and Use of Suicide Risk Assessment Instruments Short-Term Risk Assessment Instruments Risk Assessment Interview Strategies Comprehensive Interview Case 55; Comprehensive Short-term Risk Assessment Interview Example The Brief MARIS Interview The MARIS Interview Strategy Case 56; Brief MARIS Interview Example Expanded MARIS Interview Case 57,- Expanded MARIS Interview Example The Case of Eerie Calm Case 58 Appendix A: The Suicide Crisis Inventory-2 (SCI-2) Subscales (Dimensions) Appendix B: The Modular Assessment of Risk for Imminent Suicide (MARIS-2) Part 1: Self-Report SCI-SF Part 2: Clinician Assessment TRQ-SF Appendix C: Suicide Crisis Syndrome Checklist (SCS-C) References 10. The Narrative-Crisis Model of Suicide as a Framework for Suicide Prevention H7r/i hma Goncearenco, Lakshmi Chennapragada, and Megan L. Rogers Introduction Overview of the Narrative-Crisis Model Empirical Support for the Narrative-Crisis Model Utilizing the Narrative-Crisis Model as a Framework for Clinical Intervention Lethal Means Counseling Treatment of the Suicide Crisis Syndrome xiii 391 392 392 394 397 399 402 403 403 404 404 406 406 415 417 419 430 431 432 437 438 444 447 448 457 457 457 458 459 460 465 465 465
468 470 470 472
XÎV CONTENTS Treatment of the Suicidal Narrative Stress Management Digital Interventions Long-Term Risk Factors/Trait Vulnerabilities Cultural Considerations African Americans Hispanics American Indians/Alaskan Natives Asian Americans Cultural Competence Implications for Future Research and Clinical Practice Conclusions References Index |
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| index_date | 2024-07-03T23:39:55Z |
| indexdate | 2024-07-20T07:54:39Z |
| institution | BVB |
| isbn | 9780197582718 0197582710 |
| language | English |
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| spelling | Galynker, Igor I. 1954- Verfasser (DE-588)1152042122 aut The suicidal crisis clinical guide to the assessment of imminent suicide risk Igor Galynker Second edition New York, NY, United States of America Oxford University Press [2023] xvi, 521 Seiten Diagramme 157 x 236 mm txt rdacontent n rdamedia nc rdacarrier Most people who die by suicide see a clinician prior to taking their lives. Therefore, one of the most difficult determinations clinicians must be able to make is whether any given patient is at risk for suicide in the immediate future. The Suicidal Crisis, Clinical Guide to the Assessment of Imminent Suicide Risk, is the first book written specifically to help clinicians evaluate the risk of such imminent suicidal behavior. The Suicidal Crisis is an essential work for every mental health professional and for anyone who would like to have a framework for understanding suicide. Written by master clinician Dr. Igor Galynker, the book presents methods for a systematic and comprehensive assessment of short-term suicide risk and for conducting risk assessment interviews in different settings. Dr. Galynker describes suicide as an attempt of a vulnerable individual to escape an unbearable life situation, which is perceived as both intolerable and inescapable. What sets the Suicidal Crisis apart from the other books of its kind is its sharp focus on those at the highest risk. It presents a wealth of clinical material within the easy-to-understand and intuitive framework of the Narrative-Crisis model of suicidal behavior. The book contains sixty individual case studies of actual suicidal individuals and their interviews, detailed instructions on how to conduct such interviews, and risk assessment test cases with answer keys. A unique feature of the book, not found in any other book on suicide, is a discussion of how clinicians' emotional responses to acutely suicidal individuals may help identify those at highest risk.In this timely and extensively updated edition Galynker provides a method for understanding the suicidal process, and of identifying those at the highest risk for taking their lives. Any clinician who works with suicidal individuals and anybody who knows someone who has considered suicide will find the book an essential and illuminating read Psychiatry / BIC2 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034990208&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Galynker, Igor I. 1954- The suicidal crisis clinical guide to the assessment of imminent suicide risk Psychiatry / BIC2 |
| title | The suicidal crisis clinical guide to the assessment of imminent suicide risk |
| title_auth | The suicidal crisis clinical guide to the assessment of imminent suicide risk |
| title_exact_search | The suicidal crisis clinical guide to the assessment of imminent suicide risk |
| title_exact_search_txtP | ˜Theœ Suicidal Crisis Clinical Guide to the Assessment of Imminent Suicide Risk |
| title_full | The suicidal crisis clinical guide to the assessment of imminent suicide risk Igor Galynker |
| title_fullStr | The suicidal crisis clinical guide to the assessment of imminent suicide risk Igor Galynker |
| title_full_unstemmed | The suicidal crisis clinical guide to the assessment of imminent suicide risk Igor Galynker |
| title_short | The suicidal crisis |
| title_sort | the suicidal crisis clinical guide to the assessment of imminent suicide risk |
| title_sub | clinical guide to the assessment of imminent suicide risk |
| topic | Psychiatry / BIC2 |
| topic_facet | Psychiatry / BIC2 |
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