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Page 1: Suicidal patients ppt

Suicidal patients

THE SUICIDAL PATIENT

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Development of a Suicidal Crisis: 1.) faced with a problem that is preceived as unsovable 2.) view problem as continuing despite best efforts to solve it 3.) see suicide as only solution 4.) disregard all other problem solving options 5.) believe that dealth will bring relief

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Hopelessness and suicide: Suicidal individuals tend to believe that their difficulties as

both unendurable and unsolvable. View difficulties as insurmountable and feel hopeless in the

face of these problems

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Schemata of suicidal patients: 1.) vunerability to loss or abandonment in conjunction with a

belief that others are rejecting, judgemental, and hold unreasonably high expectations for them

2.) perceptions of personal incompetence and helplessness 3.) poor distress tolerance 4.) a perception of defectiveness and unlovability 5.) a belief that it is important to impress others

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who are fighting any of these things are at a higher risk for suicide: psychiatric disorder life event stressor, physical illness, personality disorder, social problems

Any individual who presents with suicide symptoms is at risk Prior suicide attempts is a major predictor of suicide Suicide is sometimes an impulsive act

Its not only the life event that is intolerable it is the emotional state that accompanies it

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High risk patients need a safe environment and it is the responsibility of the practitioner to ensure and assess that. A patient who have lethal, immediate, and precise suicidal plans will require a safe environment or hospitalization.

Questions about suicide plan, method, and when intended outcome with a precise plan with lethal means arranged for the next 24-48 hours constitutes high risk

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Factors to Assess Routinely: A comprehensive suicide risk assessment evaluation of

demographic characteristics, recent life stressors, psychiatric diagnosis, and family history of suicide

Feelings of hopelessness and helplessness and if the client believes that living another day is an endless cycle of emotional pain and distress that will only end by taking their life

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Assessments & Qestionaires:1.reasons for living scale (Linehan, 1985) to measure adaptive

characteristics in suicide;

scale for suicide ideation (Beck et al., 1971);

hopelessness scale/Beck Hopelessness Scale (Beck, 1993; Beck et al.,

1974b) to assess degree of suicide risk;

prediction of suicide scale (Beck et al., 1974a);

Los Angeles suicide prevention scale (Los Angeles Center for Suicide

Prevention, 1973);

Beck Depression Inventory II (Beck, 1978; Beck & Steer 1987; Beck et al.,

1961; Beck et al., 1996);

Scale for Assessment of Suicidal Potentiality (Battle, 1985);

PATHOS screening questionnaire (following adolescent deliberate self-harm)

(Kingsbury, 1993).

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Crisis-intervention model:Continuing therapy model:

Treatment Modalities:

"primary assumption is that feeling

suicidal is an acute crisis that will pass,

the second assumption is that it is

possible to prevent suicide"

(Pulakos,1993).

"the idea that suicide can be prevented

leads to an emphasis on assessment

and identifying those at high risk"

(Pulakos, 1993).

therapists should assess for suicidality

in depth and repeat idly , hospitalization

is an important therapy adjunt to this

therapy.

focuses more on suicidal behavior and

attempted suicide

"there is an assumption that suicidal

thoughts and behavior may result from

chronic behavior pattern rather than an

acute crisis. chronic suicidal behavior is

viewed as an interpersonal or problem

solving behavior that reflects a persons

style of realting to the world" (Pulakos,

1993)."this is an assumption that

suicidality is a part of the persons life

style" (Pulakos, 1993).

"emphasizes reframing the suicidal

behavior as a problem solving behavior

and working with it as you would any

maladaptive behavior" (Pulakos,1993).

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References: Overholser, J. C., Braden, A., & Dieter, L. (2012). Understanding suicide

risk: identification of high-risk groups during high-risk times. Journal Of Clinical Psychology, 68(3), 349-361.

doi:10.1002/jclp. 20859   Pulakos, J. (1993). Two models of suicide treatment: Evaluation and recommendations. American Journal Of Psychotherapy, 47(4),

603   Ruddell, P., & Curwen, B. (2002). Understanding suicidal ideation and

assessing for risk. British Journal Of Guidance & Counselling, 30(4), 363-372. doi:10.1080/0306988021000025583

Yufit, R., & Lester, D. (2005). Assessment, treatment, and prevention of suicidal behavior. Hoboken, New Jersey: John Wiley & Sons, Inc.


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