Igor Galynker

The Suicidal Crisis

Clinical Guide to the Assessment of Imminent Suicide Risk

• Broschiertes Buch

Produktbeschreibung

The Suicidal Crisis has everything clinicians need to evaluate the risk of imminent suicide. What sets it apart is its clinical focus on those at the highest risk--the book includes individual case studies of acutely suicidal individuals, detailed instructions on how to conduct risk assessments, test cases with answer keys, and empirically validated Suicidal Crisis risk assessment scales.

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Produktdetails

• Verlag: Oxford University Press Inc
• 2 Revised edition
• Seitenzahl: 544
• Erscheinungstermin: 4. April 2023
• Englisch
• Abmessung: 235mm x 157mm x 29mm
• Gewicht: 766g
• ISBN-13: 9780197582718
• ISBN-10: 0197582710
• Artikelnr.: 66276316

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 extensively on these topics in professional journals and in the lay press and has authored an acclaimed book on family involvement in psychiatric treatment.

Inhaltsangabe

* CHAPTER 1: INTRODUCTION AND OVERVIEW
* 1. The Ticking Time Bomb of the American Suicide Epidemic
* 2. What is Imminent Suicide
* 3. Long-Term vs. Imminent Suicide Risk: Who vs. When
* 4. Lack of Tests for Suicide Prediction
* 5. The Problem of "Non-Disclosure"
* 6. The Suicide Crisis Syndrome
* 7. The Narrative Crisis Model of Suicide
* 8. One-Informant vs. Multi-Informant Suicide Risk Assessments
* 9. Using Clinicians' Emotions in Suicide Prevention
* 10. Risk Stratification vs. Clinical Judgment
* 11. How to Use the Suicidal Crisis
* 12. A Roadmap for Comprehensive Assessment
* 13. References
* CHAPTER 2: PSYCHOLOGICAL MODELS OF SUICIDE
* with Olivia Lawrence and Shira Barzilay
* 1. Introduction
* 2. Historical Perspective
* 3. Shneidman's Theory of Psychache
* 4. Suicide as Escape from Self
* 5. The Cry of Pain/Arrested Flight Model
* 6. Cognitive Vulnerability Model
* 7. Fluid Vulnerability Model
* 8. Beck's Diathesis-Stress Model
* 9. Mann's Stress-Diathesis Model
* 10. Joiner's Interpersonal Model
* 11. O'Connor's Integrated Motivational-Volitional Model of Suicide
* 12. Klonsky's Three-Step Theory of Suicide
* 13. Summary
* 14. References
* CHAPTER 3: THE NARRATIVE-CRISIS MODEL OF SUICIDE
* 1. Introduction
* 2. Trait vs. State Risk Factors
* 3. Static vs. Dynamic Risk Factors
* 4. The Narrative Crisis Model Overview
* 5. The Long-Term Risk Component
* 6. Stressful Life Events
* 7. The Suicidal Narrative Subacute Component
* 8. The Suicidal Crisis
* 9. Model Flexibility: Narrative-Driven vs. Crisis-Driven Suicidal
Behaviors
* 10. Conclusion
* 11. References
* CHAPTER 4: LONG-TERM OR CHRONIC RISK FACTORS
* 1. Demographics
* 1.1. Gender and Age
* 1.2. Sexual Orientation and Identity
* 1.3. Race, Ethnicity, and Geographical Region
* 2. Psychological Factors
* 2.1. Impulsivity
* 2.2. Hopelessness and Pessimism
* 2.3. Perfectionism
* 2.4. Fearlessness and Pain Insensitivity
* 2.5. Attachment Style
* 3. Historical Factors
* 3.1. History of Mental Illness
* 3.2. History of Suicide Attempts
* 3.3. Suicide in the Family
* 3.4. Suicide Exposure and Practicing
* 3.5. Childhood Trauma
* 3.6. Parenting Style
* 4. Social Factors
* 4.1. Cultural Attitudes and Immigration Status
* 4.2. Moral, Philosophical and Religious Objections
* 4.3. Suicide Clusters
* 5. COVID-19 Pandemic
* 6. Case Examples
* 6.1. Case 1: High Risk for Imminent Suicide
* 6.2. Case 2: Moderate Risk for Imminent Suicide
* 6.3. Case 3: Low Risk for Imminent Suicide
* 7. Test Case 1
* 8. References
* CHAPTER 5: STRESSFUL LIFE EVENTS
* with Olivia Lawrence, Inna Goncearenco, Ehsan Moazen-Zadeh and Kimia
Ziafat
* 1. Introduction
* 2. Adults
* 2.1. Work and Financial Hardship
* 2.1.1. Economic Hardship
* 2.1.2. Business or Work Failure
* 2.1.3. Loss of Home
* 2.2. Relationship Conflict
* 2.2.1. Romantic Rejection
* 2.2.2. Intimate Relationship Conflict
* 2.2.3. Parents in Conflict with Children
* 2.3. Serious Medical Illness
* 2.3.1. Recent Diagnosis
* 2.3.2. Prolonged and Debilitating Illness
* 2.3.3. Acute and Chronic Pain
* 2.4. Serious Mental Illness
* 2.4.1. Recent Diagnosis
* 2.4.2. Recent Hospitalization
* 2.4.3. Recent Suicide Attempt
* 2.4.4. Attempt Lethality
* 2.4.5. Illness Exacerbation and Acute Episodes
* 2.4.6. Medication Changes: Initiation, Discontinuation, and
Non-adherence
* 2.5. Recent Substance Misuse
* 2.5.1. Drug and Alcohol Use Disorder
* 2.5.2. Acute Alcohol Intoxication and Recent Drug Use
* 2.5.3. Alcohol and Drug Withdrawal.
* 3. Adolescents
* 3.1. Children in Conflict with Parents
* 3.2. Ongoing Childhood and Adolescent Abuse and Neglect
* 3.3. Bullying
* 4. Internet and Social Media
* 4.1. Screen Time
* 4.2. Internet Addiction
* 4.3. Cyberbullying
* 5. COVID-19 Pandemic
* 6. References
* CHAPTER 6 SUICIDAL NARRATIVE
* 1. The Seven Stages of the Suicidal Narrative
* 1.1. Stage 1: Unrealistic Life Goals
* 1.2. Stage 2: Entitlement to Happiness
* 1.3. Stage 3: Failure to Redirect to More Realistic Goals
* 1.4. Stage 4: Humiliating Personal or Social Defeat
* 1.5. Stage 5: Perceived Burdensomeness
* 1.6. Stage 6: Thwarted Belongingness
* 1.7. Stage 7: Perception of No Future
* 2. Constructing the Suicidal Narrative
* 3. Probing the Suicidal Narrative: an Interview Algorithm.
* 4. Case Examples
* 4.1. Case 38: High Risk for Imminent Suicide
* 4.2. Case 39: Moderate Risk for Imminent Suicide
* 4.3. Case 40: Low Risk for Imminent Suicide
* 4.4. Test Case 2
* 5. References
* CHAPTER 7: SUICIDE CRISIS SYNDROME
* 1. Distinction Between Chronic Long-Term Suicide Risk and Acute
Short-Term Suicide Risk
* 2. Suicide Warning Signs
* 3. Suicidal Ideation and Intent
* 3.1. Suicidal Ideation
* 3.2. Suicide Intent and Plan
* 4. Suicide Crisis Syndrome
* 4.1. SCS Diagnostic Structure
* 4.2. Clinical Utility of SCS
* 4.3. Suicide Specific Modifiers for SCS
* 4.3.1. Suicidal Ideation as a Modifier
* 4.3.2. Suicidal Behavior Disorder as a Modifier
* 4.3.3. Acute Suicidal Affective Disturbance as a Modifier
* 4.3.4. The Argument in Support of the Three Modifiers
* 5. Suicide Crisis Syndrome Criteria and Symptoms
* 5.1. Criterion A: Frantic Hopelessness/Entrapment
* 5.2. Criterion B1: Affective Disturbance
* 5.2.1. Emotional Pain
* 5.2.2. Rapid Spikes of Negative Emotions
* 5.2.3. Extreme Anxiety
* 5.2.4. Acute Anhedonia
* 5.3. Criterion B2: Loss of Cognitive Control
* 5.3.1. Ruminations
* 5.3.2. Cognitive Rigidity
* 5.3.3. Failed Thought Suppression
* 5.3.4. Ruminative Flooding
* 5.4. Criterion B3: Hyperarousal
* 5.4.1. Agitation and Irritability
* 5.4.2. Hypervigilance
* 5.4.3. Insomnia
* 5.5. Criterion B4: Acute Social Withdrawal
* 5.6. SCS Assessment Algorithm
* 5.6.1. The Full SCS Assessment
* 5.6.2. The One-Minute Assessment
* 6. Case Examples
* 6.1. Case 38: High Risk for Imminent Suicide, continued
* 6.2. Case 39: Moderate Risk for Imminent Suicide, continued
* 6.3. Case 40: Low Risk for Imminent Suicide, continued
* 6.4. Test Case 3
* 7. References
* CHAPTER 8: EMOTIONAL RESPONSE TO SUICIDAL PATIENTS IN THE ASSESSMENT
OF IMMINENT SUICIDE RISK
* with Benedetta Imbastaro, Olivia Lawrence, and Inna Goncearenco.
* 1. Introduction
* 1.1. The Need for New Approaches in Risk Assessment
* 2. Clinician's Emotional Responses to Suicidal Patients and their
Underlying Mechanisms
* 2.1. Experimental Evidence for Clinician's Emotional Responses
* 2.2. Clinicians' Defense Mechanisms in Psychotherapy with Suicidal
Patients
* 2.3. Clinicians' Pattern of Emotional Response
* 3. Relevance Of Clinician Emotional Response in Clinical Practice
* 3.1. A Predictive Factor in Suicide Risk Assessment
* 3.2. How to Appraise the Emotional Response
* 4. A Practical Method for Assessing One's Emotional Response
* 5. Case Examples
* 5.1. Case 52: High Risk for Imminent Suicide - Reaction Formation
* 5.2. Case 53: High Risk for Imminent Suicide - Repression and Denial
* 5.3. Case 54: Low Risk for Imminent Suicide
* 6. Conclusion
* 7. References
* CHAPTER 9: CONDUCTING SHORT-TERM RISK ASSESSMENT INTERVIEWS
* 1. Comprehensive Short-term Risk Assessment Outline
* 2. Suicidal Ideation and Intent: Self-report and its Limitations
* 3. Development and Use of Suicide Risk Assessment Instruments
* 3.1. The SAD PERSON scales
* 3.2. Columbia Suicide Severity Rating Scale (C-SSRS)
* 3.3. Suicide Tracking Scale (STS)
* 3.4. The Suicide Crisis Inventories (SCI)
* 3.5. The Suicide Crisis Syndrome Checklist (SCS-S)
* 3.6. The Modular Assessment of Risk for Imminent Suicide (MARIS)
* 4. Risk Assessment Interview Strategies
* 4.1. Comprehensive Interview
* 4.2. The Brief MARIS Interview
* 4.3. Expanded MARIS interview
* 5. The Case of Eerie Calm
* 6. Appendix A: The Suicide Crisis Inventory-2 (SCI-2)
* 7. Appendix B: The Modular Assessment of Risk for Imminent Suicide
(MARIS-2)
* 8. Appendix C: SCS Checklist (SCS-C)
* 9. References
* CHAPTER 10: THE NARRATIVE CRISIS MODEL OF SUICIDE AS A FRAMEWORK FOR
SUICIDE PREVENTION
* with Inna Goncearenco, Lakshmi Chennapragada, Ehsan Moazen-Zadeh and
Megan L. Rogers, PhD.
* 1. Introduction
* 2. Overview of the NCM
* 3. Empirical Support for the Narrative Crisis Model of Suicide
* 4. Utilizing the Narrative Crisis Model as a Framework for Clinical
Intervention
* 4.1. Lethal Means Counseling
* 4.2. Treatment of the Suicide Crisis Syndrome
* 4.2.1. Step 1: Pharmacological or Non-Pharmacological Somatic
Treatment
* 4.2.2. Step 2: Safety Planning
* 4.3. Treatment of the Suicidal Narrative
* 4.3.1. Collaborative Assessment and Management of Suicidality
* 4.3.2. Cognitive Behavioral Therapy for Suicide Prevention
* 4.3.3. Attempted Suicide Short Intervention Program
* 4.4. Stress Management
* 4.4.1. Dialectical Behavior Therapy
* 4.4.2. Mindfulness-Based Stress Reduction
* 4.4.3. Emotion Regulation Therapy
* 4.4.4. Attachment-Based Family Therapy
* 4.5. Digital Interventions
* 4.6. Long-Term Risk Factors/Trait Vulnerabilities
* 4.7. Cultural Considerations
* 4.7.1. African American
* 4.7.2. Hispanic
* 4.7.3. American-Indian/Alaskan Native
* 4.7.4. Asian American
* 4.7.5. Cultural Competence
* 5. Implications for Future Research and Clinical Practice
* 6. Conclusions
* 7. References