9781572306141

Treating Suicidal Behavior An Effective, Time-Limited Approach

by ; ;
  • ISBN13:

    9781572306141

  • ISBN10:

    1572306149

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2000-11-14
  • Publisher: The Guilford Press

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

Purchase Benefits

  • Free Shipping On Orders Over $35!
    Your order must be $35 or more to qualify for free economy shipping. Bulk sales, PO's, Marketplace items, eBooks and apparel do not qualify for this offer.
  • Get Rewarded for Ordering Your Textbooks! Enroll Now
List Price: $80.00 Save up to $8.00
  • Rent Book $72.00
    Add to Cart Free Shipping

    TERM
    PRICE
    DUE

Supplemental Materials

What is included with this book?

  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.
  • The Rental copy of this book is not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

Summary

Structured yet flexible, this empirically supported approach to treating suicide behavior is specifically tailored to today's managed care environments. Outlined are intervention techniques that focus on symptom management, restructuring the patient's suicidal belief system and building key skills such as interpersonal assertiveness and problem solving.

Author Biography

M. David Rudd, PhD, ABPP, is Professor of Psychology and Director of Clinical Training at Baylor University. He also maintains a part-time private practice. Dr. Rudd received his doctorate from the University of Texas at Austin and completed postdoctoral training at the Beck Institute in Philadelphia. He is the author of over 60 articles and book chapters.

Thomas Joiner, PhD, is Professor of Psychology and Director of the Psychology Clinic at Florida State University. He completed his doctoral training at the University of Texas at Austin. Dr. Joiner has authored over 100 articles and book chapters in the areas of depression, eating disorders, and suicidality.

M. Hasan Rajab, PhD, is Associate Professor in the Department of Psychiatry and Behavioral Science at Texas A&M Health Science Center. Dr. Rajab completed his doctoral training in biostatistics at Texas A&M University. He is the author of several articles addressing a range of issues in methodology and biostatistics.

Table of Contents

I. ESTABLISHING A FOUNDATION FOR TREATMENT
What Do We Really Know about Treating Suicidality?: A Critical Review of the Literature
3(12)
The Available Literature: A Limited Database
4(2)
A Critical Review of Intervention Studies: Do Simple Procedural Changes Make a Difference?
6(2)
Implications for Clinical Practice
8(1)
A Critical Review of Treatment Studies: An Emerging Trend for Cognitive-Behavioral Therapy
8(3)
Implications for Clinical Practice
11(1)
The Therapeutic Relationship in Treating Suicidality: Attachment, Hope, and Survival
12(1)
Implications for Clinical Practice
13(1)
Unanswered Questions: The Challenge Awaits Us
14(1)
A Cognitive-Behavioral Model of Suicidality
15(29)
Existing Theoretical Models of Suicidal Behavior: A Brief Overview
15(2)
Static and Dynamic Variables Predicting Suicidality
17(1)
Application of Theory and Empirical Findings in Treatment: The Problem of Limited Clinical Relevance
18(2)
Basic Assumptions of Cognitive Theory and Therapy: Implications for Suicidality
20(3)
The Essential Requirements for a Cognitive-Behavioral Model of Integrating Empirical Findings and Ensuring Clinical Relevance
23(1)
The Suicidal Mode as a Cognitive-Behavioral Model of Suicidality: An Elaboration and Specific Application of Beck's Theory of Modes and Psychopathology
24(3)
Defining the Suicidal Mode: Characteristics of the Various Systems
27(6)
Completing the Suicidal Mode: Individual Case Conceptualization
33(7)
Implications of the Suicidal Mode for the Organization, Content, and Process of Treatment
40(1)
Theoretical Flexibility of the Suicidal Mode for Psychotherapy Integration
41(1)
The Therapeutic Relationship in Cognitive-Behavioral Therapy: Three Fundamental Assumptions
42(2)
An Overview of the Treatment Process
44(35)
Completing the Clinical Picture: Understanding Severity, Chronicity, and Diagnostic Complexity
45(1)
Identifying Treatment Components
46(3)
An Overview of the Goals for Each Treatment Component
49(1)
An Overview of the Steps in Treatment Planning
50(2)
Understanding the Treatment Process: Treatment Components and Corresponding Levels
52(1)
Defining the Component Levels
53(2)
Symptom Management Component
55(3)
Cycling through Components and Levels
58(2)
The Role of Medications
60(1)
Skill-Building Component
61(1)
Personality Development Component
62(1)
Variation in Therapist Role
63(1)
A Clinical Example of Acute Suicidality: The Case of Mr. E
64(2)
Monitoring the Treatment Process
66(1)
Process Tasks and Markers
66(4)
Provocations and Resistance in the Therapeutic Relationship: How a Clear Organizational Framework Helps
70(1)
Quantifying Change: How to Measure and Monitor Change in Treatment
70(1)
Treatment Withdrawal and Noncompliance
71(1)
Ensuring Treatment Fidelity
72(1)
Termination: When, Why, and How
73(1)
Interpersonal Process Groups and Booster Sessions
73(1)
The Role of the treatment Team
74(1)
The Need for Long-Term Care in a Time-Limited World
75(4)
II. ASSESSMENT AND TREATMENT
Treatment Course and Session-by-Session Guidelines
79(21)
The Beginning of Treatment: Sessions 1--4
81(13)
Sessions 5--10: Symptom Management, Cognitive Restructuring, Reducing and Eliminating Suicidal Behaviors
94(2)
Sessions 10--19: Emphasis on Skill Building
96(2)
Sessions 19--20: A Shift toward Personality Development and Longer-Term Treatment
98(2)
The Evaluation Process and the Initial Interviews
100(26)
Risk Assessment Goals: The Importance of Establishing a Baseline for Ongoing Monitoring
104(1)
Treatment Conceptualization and Consent: Setting the Stage
105(12)
The Use and Role of Psychometric Testing
117(4)
Establishing the Therapeutic Relationship
121(5)
Assessing Suicide Risk
126(22)
Distinguishing between Risk Assessment and Prediction: Defining the Nature of Clinical Responsibilities
127(1)
The Importance of Precise Terminology: Saying What We Know and Knowing What We Say
128(3)
Essential Components of a Clinical Risk Assessment Interview
131(4)
Tips on Eliciting Information on Intent and Self-Control
135(1)
Risk Categories: Baseline, Acute, Chronic High Risk, and Chronic High Risk with Acute Exacerbation
136(2)
Rating Severity: A Continuum of Suicidality
138(3)
Clinical Documentation and the Process of Risk: The Concept of Risk Monitoring
141(2)
The Role of Chronicity and Time in Risk Assessment
143(1)
Clinical Decision Making, Management, and Treatment
143(2)
Ongoing Monitoring of Treatment Outcome and Evaluation
145(2)
The Persistence of Suicidal Thoughts: A Potentially Misleading Marker of Treatment Outcome
147(1)
Crisis Intervention and Initial Symptom Management
148(22)
Key Tasks of Crisis Intervention
149(4)
Ensuring the Patient's Safety
153(1)
Self-Monitoring during Crises
154(1)
Teaching the Patient to Rate Discomfort: A Self-Monitoring Task
154(4)
Completing the Suicidal Thought Record
158(1)
Depicting the Suicidal Cycle: The Suicidal Mode in Action
159(1)
Using Mood Graphs
160(2)
Improving Distress Tolerance and Reducing Impulsivity: The Importance of Emphasizing That Bad Feelings Do Not Last Forever
162(1)
Targeting Source Hopelessness: A Different Kind of Problem Solving
163(2)
Symptom Matching: Improving Level of Functioning over the Short Term
165(1)
The Importance of Structure: Providing a Crisis Response Plan
166(4)
Reducing and Eliminating Suicide-Related Behaviors
170(28)
Identifying Behavioral Targets in Treatment: Understanding the Suicidal Mode
170(3)
Distinguishing between Suicidal Acts and Instrumental Behaviors
173(2)
Dealing with Mixed Messages
175(1)
Identifying the Suicidal Cycle
176(2)
The Process of Behavioral Change: Reducing and Eliminating Suicidal Behavior
178(5)
Inhibiting the Suicidal Cycle during Crisis States: Late-Cycle Intervention
183(1)
Substitute Behaviors and Purposeful Hypervigilance: Early-Cycle Intervention
184(2)
Shaping Behavior: A Process of Gradual Change
186(1)
Exposure-Based Strategies: Role Playing, Cue Exposure, and Behavioral Rehearsal
187(1)
Contingency Management and Treatment Success
187(2)
Targeting Treatment Disruptions
189(2)
Provocation(s): The Currency of Interpersonal Relatedness in Suicidality
191(3)
Handling Provocation in Treatment
194(3)
The Evolution of Hope and the Elimination of Suicidal Behavior: A Few Concluding Words
197(1)
Cognitive Restructuring: Changing the Suicidal Belief System and Building a Philosophy for Living
198(28)
Private Meaning and the Suicidal Belief System: The Role of Automatic Thoughts and Intermediate and Core Beliefs
198(5)
A Straightforward Strategy for Cognitive Change
203(5)
Dealing with Poor Motivation and Treatment Noncompliance
208(1)
Building a Philosophy for Living: Change and Acceptance as New Rules
209(2)
Prevailing, Facilitating, and Compensatory Modes in Chronic Suicidality: Developing Adaptive Modes and Acknowledging Personal Qualities and Characteristics
211(1)
The Therapeutic Belief System: Therapy-Specific Beliefs
212(6)
Outlining the Therapeutic Belief System
218(4)
The Therapeutic Belief System of the Therapist Treating Suicidality: Monitoring Thoughts, Feelings, and Behaviors in Treatment
222(2)
Evaluating the Relationship: Patience, Determination, and Consistency
224(2)
Skill Building: Developing Adaptive Modes and Ensuring Lasting Change
226(25)
Conceptualizing Skill Deficits in Cognitive-Behavioral Therapy for Suicidality
226(2)
Targeting Skill Deficits
228(6)
A Model for Problem Solving: Learning to Identify, Evaluate, and Pursue Alternatives to Suicide
234(3)
Emotion Regulation Ability: The Art of Feeling Better When Suicidal
237(2)
Self-Monitoring
239(2)
Distress Tolerance
241(1)
Interpersonal Skills: Learning to Be Assertive, Attentive, and Responsive
242(1)
Anger Management: Early Identification, Appropriate Expression, and the Importance of Empathy, Acceptance, and Forgiveness
243(4)
Skill Building and Personality Change: One and the Same?
247(1)
Changing Interpersonal Process: Integrating Group Treatment
247(4)
References 251(10)
Index 261

Rewards Program

Write a Review