By Robert I. Simon
Robert I. Simon, M.D., a preeminent psychiatrist and prolific writer near to legislation and psychiatry, deals a realistic and empathic advisor for clinicians grappling with that almost all serious of questions: How am i able to shield my sufferers from themselves? even though even the main conscientious psychiatrist can't hinder each suicide, suicide threat will be assessed, controlled, and decreased. Dr. Simon recognizes that the pro atmosphere during which clinicians now perform is usually inhospitable to the time-consuming activity of knowing the sufferer; but recognize thy sufferer is his subject and vital. Readers will enjoy the instructive case examples and statement. Suicide threat evaluate is a center competency that pulls on either artwork and technology. In combating sufferer Suicide: medical evaluate and administration, Dr. Simon synthesizes his medical event, the shared medical reviews of co-workers, and the evidence-based psychiatric literature to create an insightful consultant which will be an integral part in any practising psychiatrist s library.
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Extra resources for Preventing Patient Suicide: Clinical Assessment and Management
There was no difference in subjective and objective depression, hopelessness, or stressful life events. The authors concluded that greater moral objection to suicide and lower aggression level in terms of selfharm in religiously affiliated patients may act as protective factors against suicide attempts. However, religious beliefs may not necessarily be a protective factor against suicide. In some patients, religious beliefs can be challenged by severe mental illness. ” A devout, severely depressed patient hurled “blasphemous” insults at God.
Imminence is another word for prediction. The patient who points a loaded gun at his or her head or is perched on a bridge is a high-risk psychiatric emergency. But individuals have been “talked out” of pulling the trigger or jumping. Persons intent on committing suicide are usually ambivalent until the last moment. Suicide risk is in constant flux. It is imperative to identify, treat, and manage the patient’s acute risk factors that are driving a suicide crisis than to undertake the impossible task of trying to predict whether or when a suicide attempt may occur.
Pdf. Accessed January 15, 2010. Hollander E, Posner N, Cherkasky S: Neuropsychiatric aspects of aggression and impulse control disorders, in The American Psychiatric Press Textbook of Neuropsychiatry and Behavioral Neuroscience, 4th Edition. Edited by Yudofsky SC, Hales RE. Washington, DC, American Psychiatric Press, 2002, pp 579–596 Institute of Medicine: Reducing Suicide: A National Imperative. Washington, DC, National Academic Press, 2001, pp 2–4 Isometsa ET, Lonnqvist JK: Suicide attempts preceding completed suicide.
Preventing Patient Suicide: Clinical Assessment and Management by Robert I. Simon