The American Psychiatric Publishing Textbook of Suicide Assessment and Management

by Simon, Robert I.

• ISBN13: 9781585624140
• ISBN10: 1585624144
• Edition: 2nd
• Format: Hardcover
• Copyright: 2012-04-01
• Publisher: AMERICAN PSYCHIATRIC PUBLISHING INC

Summary

The second edition of The American Psychiatric Publishing Textbook of Suicide Assessment and Managementhas been extensively updated and expanded to more thoroughly reflect the challenges clinicians face in assessing and managing suicide risk-and ultimately in preventing tragedy. The number of chapters has been increased approximately 20%, from 28 to 34. In addition, 22 new chapter authors were recruited for the second edition, representing nearly half of the 50 authors from the first edition, to allow the reader to obtain a more varied and sometimes new point of view. Focusing on core competencies where appropriate, the book offers many new features: An extensively revised organization of sections and chapters to coincide with the natural sequence of events in evaluating and treating patients. Depending on where clinicians are in this series of events, they may more readily access information they need. A robust and entirely new section on suicide prevention that includes chapters on lethal means restrictions, suicide prevention programs, and current research related to prevention A chapter on suicide in the military, which was added to address the critical social challenge of depression and posttraumatic stress disorder in soldiers returningfrom Iraq and Afghanistan An entire chapter on the role of the Internet in subjecting people to intimidation, humiliation, and the exposure of private acts to the public sphere. Cyberbullying is an emergent problem, that clinicians should know about. An extensive review of neurobiological findings related to the risk and completion of suicide, many of which have been reported since the last edition was published A thoughtful discussion of the myriad issues raised by managed care, including "split" treatment, involving two clinicians managing a patient's care. A thorough exploration of the essential aspects of suicide risk assessment. Unlike physicians in other fields, psychiatrists treating patients at risk for suicide do not have access to diagnostic procedures and laboratory tests to assist them. With this new edition of The American Psychiatric Publishing Textbook of Suicide Assessment and Management, clinicians can hone their assessment skills and ensure that their knowledge of suicide assessment and management is current, evidence-based, and comprehensive. When dealing with patients at risk for self-harm, nothing less will do.

Author Biography

Robert I. Simon, M.D., is Clinical Professor of Psychiatry and Director of the Program in Psychiatry and Law at Georgetown University School of Medicine in Washington, D.C., and Chairman of the Department of Psychiatry at Suburban Hospital, Johns Hopkins Medicine, in Bethesda, Maryland. Robert E. Hales, M.D., M.B.A., is Joe P. Tupin Professor and Chair of the Department of Psychiatry and Behavioral Sciences at the University of California-Davis School of Medicine in Sacramento, California; Medical Director of the Sacramento County Mental Health Services in Sacramento, Calfornia; and Editor-in-Chief of American Psychiatric Publishing.

Table of Contents

Contributors	p. ix
Foreword	p. xv
Preface	p. xxiii
Acknowledgments	p. xxv
Suicide Risk Assessment
Suicide Risk Assessment: Gateway to Treatment and Management	p. 3
The Interpersonal Art of Suicide Assessment: Interviewing Techniques for Uncovering Suicidal Intent, Ideation, and Actions	p. 29
The Clinical Risk Assessment Interview	p. 57
Cultural Competence in Suicide Risk Assessment	p. 75
Psychological Testing in Suicide Risk Management	p. 89
Major Mental Disorders
Depressive Disorders	p. 109
Anxiety Disorders	p. 123
Substance-Related Disorders	p. 143
Bipolar Disorder	p. 159
Schizophrenia	p. 177
Personality Disorders	p. 189
Treatment
Psychopharmacotherapy and Electroconvulsive Therapy	p. 211
Cognitive Therapy for Suicide Prevention	p. 233
Psychodynamic Treatment	p. 251
Split Treatment: Coming of Age	p. 263
Treatment Settings
Emergency Services	p. 283
Outpatient Treatment	p. 303
Inpatient Psychiatric Treatment	p. 315
Patient Safety and Freedom of Movement: Coping With Uncertainty	p. 331
Special Populations
Children, Adolescents, and College Students	p. 349
The Elderly	p. 367
Suicide Prevention in Jails and Prisons	p. 389
Clinical Management of Suicide Risk With Military and Veteran Personnel	p. 405
Suicide and Gender	p. 453
Special Topics
Neurobiology of Suicidal Behavior	p. 481
Combined Murder-Suicide	p. 501
Suicide and the Internet	p. 515
Patient Suicide and Litigation	p. 539
Therapeutic Risk Management of the Suicidal Patient	p. 553
Prevention
Suicide Prevention by Lethal Means Restrictions	p. 581
Suicide Prevention Programs	p. 593
Suicide Research: Knowledge Gaps and Opportunities	p. 621
Aftermath of Suicide and the Psychiatrist
Psychiatrist Reactions to Patient Suicide	p. 637
Aftermath of Suicide: The Clinician's Role	p. 651
Case Scenario Questions for Self-Study	p. 667
Answer Guide to Case Scenario Questions for Self-Study	p. 675
Index	p. 687
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