Galynker

The Suicidal Crisis

Clinical Guide to the Assessment of Imminent Suicide Risk

• Broschiertes Buch

Produktbeschreibung

The Suicidal Crisis is the first book to help clinicians evaluate the risk of imminent suicidal behavior. What sets the Suicidal Crisis apart is its clinical focus on those at the highest risk. The text contains sixty individual case studies of acutely suicidal individuals, detailed instructions on how to conduct risk assessments, and test cases with answer keys. Another unique feature is a discussion of how clinicians' emotional responses to acutely suicidalindividuals may help identify those at highest risk.

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Produktdetails

• Verlag: Oxford University Press
• Seitenzahl: 344
• Erscheinungstermin: 16. November 2017
• Englisch
• Abmessung: 231mm x 155mm x 15mm
• Gewicht: 499g
• ISBN-13: 9780190260859
• ISBN-10: 0190260858
• Artikelnr.: 49207070

Autorenporträt

Dr. Igor I. Galynker is a clinical and research psychiatrist with broad interests in suicide prevention, bipolar disorder, behavioral addictions, and the role of family in psychiatric illness. He has published on these topics in professional journals and in the lay press and has authored a book on family involvement in psychiatric treatment. The Suicidal Crisis, Clinical Guide to the Assessment of Imminent Suicide Risk is the culmination of his work on pre-suicidal affective states and short-term suicide risk.

Inhaltsangabe

* 1. Introduction
* a. Our inability to predict imminent suicide
* b. Long-term and imminent suicide risk
* c. Lack of instruments for suicide prediction
* d. Clinical approach to imminent risk assessment
* e. Multimodal assessments
* f. One-informant vs. Multi-informant assessments
* g. How to use the Clinical Guide A roadmap for comprehensive
assessment
* 2. Chapter One: Psychological Models of Suicide
* a. Introduction
* b. Historical Perspective
* c. Shneidman's Theory of Psychache
* d. Suicide as Escape from Self
* e. Suicide Crisis Syndrome (SCS) and the Positive Feedback Model of
Suicide
* f. The Cry of Pain/Arrested flight Models
* g. Cognitive Vulnerability Model
* h. Fluid Vulnerability Model
* i. Beck's Diathesis-Stress Model
* j. Mann's Stress-Diathesis Model
* k. Joiner's Interpersonal Model
* l. O'Connor's Integrative Motivational-Volitional Model
* m. Summary
* 3. Chapter Two: The Narrative-Crisis Model of Suicide
* a. Introduction
* i. Trait vs. State risk factors
* ii. Static vs. dynamic risk factors
* b. The Narrative-Crisis Model Overview
* c. The Trait Vulnerability Component
* d. The Narrative Component
* e. The Crisis Component
* f. Model Flexibility
* i. Narrative-Driven vs. Crisis-Driven Suicides
* g. Conclusion
* 4. Chapter Three: Trait Vulnerability Assessment
* a. Demographics
* i. Age, Race, and Ethnicity
* ii. Gender
* iii. LGBT
* b. History of Mental Illness and Suicide Attempts
* i. History of Mental Illness
* ii. History of Suicide Attempts
* c. Childhood History
* i. Childhood Trauma
* ii. Parenting Style
* iii. Attachment Style
* d. Traits
* i. Impulsivity
* ii. Hopelessness and Pessimism
* iii. Perfectionism
* iv. Fearlessness and Pain Insensitivity
* e. Cultural Acceptability
* i. Cultural Attitudes and Immigration
* ii. Immigration Status
* iii. Moral, Philosophical, and Religious Objections
* iv. Regional Affiliation
* v. Suicide in the Family
* vi. Suicide Clusters
* vii. Suicide Exposure and Practicing
* f. Case Examples
* g. Test Cases
* 5. Chapter Four: Stressful Life Events
* a. Introduction
* b. Work and Career
* i. Economic Hardship
* ii. Business or Work Failure
* iii. Loss of Home
* c. Relationship Conflict
* i. Romantic Rejection
* ii. Intimate Relationship Conflict
* iii. Parents in Conflict with Children
* iv. Children in Conflict with Parents
* v. Ongoing Childhood and Adolescent Abuse and Neglect
* vi. Bullying
* d. Serious Medical Illness
* i. Recent Diagnosis
* ii. Prolonged and Debilitating Illness
* iii. Acute and Chronic Pain
* e. Serious Mental Illness
* i. Recent Diagnosis
* ii. Recent Hospitalization
* iii. Recent Suicide Attempts
* iv. Attempt Lethality
* v. Exacerbation and Acute Episodes
* vi. Medication Changes; Initiation, Discontinuation, or
Non-compliance
* f. Recent Substance Misuse
* i. Drug and Alcohol Use Disorder
* ii. Acute Alcohol Intoxication and Recent Drug Use
* iii. Drug or Alcohol Withdrawal
* 6. Chapter Five: Suicidal Narrative
* a. Introduction: The Seven Phases of the Suicidal Narrative
* b. Phase 1: Unrealistic Life Goals
* c. Phase 2: Entitlement to Happiness
* d. Phase 3: Failure to redirect to more realistic goals
* e. Phase 4: Humiliating personal or social defeat
* f. Phase 5: Perceived burdensomeness
* g. Phase 6: Thwarted belongingness
* h. Phase 7: Perception of no future
* i. Constructing the Suicidal Narrative
* j. Case Examples
* k. Test Cases
* 7. Chapter Six: Suicidal Crisis
* a. Chronic Suicide Risk vs. Suicide Crisis
* b. Suicide Warning Signs
* c. Suicide Crisis Syndrome
* i. Entrapment
* ii. Ruminative Flooding
* iii. Panic-Dissociation
* iv. Emotional Pain
* v. Fear of Dying
* d. Suicidal Ideation and Intent
* e. Entrapment
* i. Desperation
* f. Affective Disturbance
* i. Emotional Pain
* ii. Depressive Turmoil
* iii. Panic-Dissociation
* 1. Frantic Anxiety
* 2. Fear of Dying
* iv. Anhedonia
* g. Loss of Cognitive Control
* i. Ruminations
* ii. Cognitive Rigidity
* iii. Thought Suppression
* iv. Ruminative Flooding
* h. Agitation and Insomnia
* i. Suicidal Crisis Assessment Algorithm
* j. Case Examples
* k. Test Cases
* 8. Chapter Seven: Emotional Response
* a. Emotional response as a diagnostic tool
* b. Emotional Differentiation
* c. Mindfulness
* d. From rescue fantasy to helplessness and anger
* e. Countertransference Love
* f. Countertransference Hate
* g. Psychological Defenses:
* i. Reaction formation
* ii. Repression
* iii. Turning against the self
* iv. Projection
* v. Denial
* vi. Rationalization
* h. Assessing emotional response to the suicidal patient
* i. Case examples
* j. The effect our feelings have on suicidal patients
* 9. Chapter Eight: Conducting Short-Term Risk Assessment Interviews
* a. Comprehensive Short-Term Risk Assessment Outline
* b. Suicidal Ideation and Intent: Self-report and its Limitations
* c. Suicide Risk Assessment Instruments
* i. SAD PERSON scales
* ii. The Modular Assessment of Risk for Imminent Suicide (MARIS)
* d. Assessment Interview Strategies
* i. Comprehensive Interviews
* ii. MARIS Interview
* iii. Expanded MARIS interview
* e. The Case of Eerie Calm
* 10. Chapter Nine: Interventions
* a. Introduction
* b. Medications and Biological Interventions
* i. Clozapine
* ii. Lithium
* iii. Ketamine
* c. Psychosocial Interventions
* i. Dialectical Behavior Therapy (DBT)
* ii. Cognitive Behavioral Therapy for Suicidal Patients (CBT-SP)
* iii. Collaborative Assessment and Management of Suicidality (CAMS)
* iv. Attachment Based Family Therapy (ABFT)
* v. Safety Planning Interventions
* d. Alternative and Apps/Internet Intervention
* i. Mindfulness Meditation
* ii. Apps and Internet Tools
* e. Missing the bigger picture
* i. Risk Assessment and self-care
* f. Summary
* 11. Conclusion: Being Vigilant
* References