- 1.THE SUICIDAL PATIENTSuicidal patients
2. 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 3. 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 4. 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 5. 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 6. 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 7. 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 8. 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); prevention Los Angeles suicide 1973); scale (Los Angeles Center for Suicide Prevention, II (Beck, 1978; Beck & Steer 1987; Beck Depression Inventory al., 1996); Beck et al., 1961; Beck et Scale for Assessment of Suicidal Potentiality (Battle, 1985); PATHOS screening questionnaire (following adolescent deliberate self-harm) (Kingsbury, 1993). 9. Treatment Modalities: Crisis-intervention model: assumption is that feeling "primaryis an acute crisis that will suicidal 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). should assess for therapists in depth and repeat idly suicidality , hospitalization is an important therapy adjunt to this therapy.Continuing therapy model: focuses more on suicidal behavior and attempted suicide an assumption that "there isthoughts and behavior suicidal 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). the suicidal "emphasizesareframingsolving behavior as problem behavior and working with it as you would any maladaptive behavior" (Pulakos,1993). 10. http://www.youtube.com/watch?v=z6idLnw4DY8 11. 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.