Mental health articles

OF mental health care and mentally ill

suicide

American Foundation for Suicide Prevention

American Foundation for Suicide Prevention The American Foundation for Suicide Prevention (AFSP)  has developed a Web-based depression screening instrument in which an experienced clinician reviews responses and sends a personalized, confi dential assessment to the student’s self-assigned user name on the website. Students whose responses suggest signifi cant psychological diffi culties are urged to meet […]

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Practice recommendations for suicidal patients

Working with suicidal patients is often diffi cult and psychologically draining. More often than not the clinician is working at two levels at once. Suicidal patients almost always have an underlying psychological or psychiatric disorder which fi nds expression in suicidal behavior. Hence the clinician must treat the underlying emotional, cognitive, or perceptual dysfunction. At […]

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Psychopharmacology for suicide: general considerations

Psychopharmacology for suicide: general considerations Medications and medication management may be helpful with certain diagnostic conditions and related symptoms associated with suicidality (Maris, Berman, & Silverman, 2000). In these cases, symptom reduction is necessary for cognitive, behavioral, or verbal modes of clinical intervention to succeed. One of the most exciting advances in understanding the genetic […]

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Collaborative Assessment and Management of Suicidality

Collaborative Assessment and Management of Suicidality This approach is a novel clinical protocol designed to quickly identify and effectively engage suicidal outpatients in their own clinical care (Jobes, 2000, 2003b; Jobes & Drozd, 2004). The approach taken by collaborative assessment and management of suicidality (CAMS) emphasizes a thorough and collaborative assessment of suicidality at every […]

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Dialectical behavior therapy (DBT) for suicidal behaviors

Dialectical behavior therapy (DBT) for suicidal behaviors Dialectical behavior therapy (DBT) (Linehan, 1993a, 1993b) is an evidencebased outpatient psychotherapy for chronically “parasuicidal” adults diagnosed with borderline personality disorder. Parasuicide is defi ned as acute, deliberate nonfatal self-injury or harm that includes suicide attempts and nonsuicidal self-injurious behaviors (Linehan, 1993a). Suicidal behaviors are considered to be […]

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Cognitive-behavioral therapy (CBT) for suicide attempters

Cognitive-behavioral therapy (CBT) for suicide attempters Cognitive-behavioral therapy (CBT) has been shown to be an effective intervention for depressive symptoms (Beck, Rush, Shaw, & Emery, 1978, 1979; Clarke, Rohde, Lewinsohn, Hops, & Seeley, 1999). Cognitive therapy postulates three primary areas of maladaptive thinking: (a) the “cognitive triad”: the idiosyncratic and negative view of self, experience, […]

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Empirical treatment literature for suicidal behaviors

Empirical treatment literature for suicidal behaviors Much of the limited suicide treatment literature is not specifi c to the late adolescent and young adult suicidal patient. Indeed, in general there has been a lack of research in the treatment of suicidality (Hawton et al., 1998; Linehan, 1997; Rudd, 2000). Linehan (1997) scrutinized all investigations that […]

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Psychodynamic Psychotherapy for suicidal adolescents

Psychodynamic Psychotherapy for suicidal adolescents Beyond theoretical and clinical discussions, there is unfortunately no direct empirical support for the effi cacy of psychodynamic treatment of suicidal adolescents or young adults. While there is little dispute that psychodynamic theories have much to offer both clinically and conceptually, some caution about psychodynamic psychotherapy’s usefulness is in order […]

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treatment for suicide prevention

treatment for suicide prevention A number of studies are emerging which elucidate the psychology of suicide and suicidal behaviors, particularly the hopelessness, absence of future thinking, lack of problem-solving skills, tendency toward impulsivity, and presence of psychological pain (Berman et al., 2006). These larger conceptual constructs are not necessarily diagnosis specifi c (Henriques, Beck, & […]

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hospitalization for suicide attempts

hospitalization for suicide attempts Given the stigma, managed care constraints, signifi cantly reduced numbers of available inpatient beds, and other issues, hospitalizations are not the answer for every suicidal student. Indeed, the need for hospitalization, management while hospitalized, and postdischarge planning are all tinged with medicallegal implications and liability issues for clinicians, other counseling center […]

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