Download Lifelines: Clinical Perspectives on Suicide by Ellen L. Bassuk M.D., Andrew D. Gill M.D., Stephen C. PDF

By Ellen L. Bassuk M.D., Andrew D. Gill M.D., Stephen C. Schoonover M.D. (auth.), Ellen L. Bassuk M.D., Stephen C. Schoonover M.D., Andrew D. Gill M.D. (eds.)

Suicide is a resource of never-ending disquiet. one of many few deadly effects of psychiatric affliction, it's a probability to sufferers, and a vexation to therapists that places medical judgment to the final word attempt. It arouses countertransference reactions of surprising intensity-helplessness and guilt while the suicide is profitable; nervousness and anger whilst it's used as a manipulative device. For as Samuel Johnson used to be conscious while he com­ mented that many "commit suicide, as a passionate guy will stab an­ other," it's not merely an break out from hopeless depression yet an expression of the main violent rage. To all those that take care of suicidal sufferers, this e-book will come as a welcome consultant. all of the authors represented the following brings a wealth of scientific expe­ rience to endure at the topic lower than dialogue. The mental and bi­ ological determinants of melancholy are easily and obviously delineated to supply a foundation for realizing the techniques underlying suicide, for judging its chance, and for combating its incidence. unique de­ scriptions of the range of mental and pharmacological remedies of the suicidal sufferer are complemented by means of vast discussions of different settings during which such sufferers should be encountered, even if those be an in-patient unit, an out-patient sanatorium, a clinical ward, an emergency room, or a personal office.

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Extra info for Lifelines: Clinical Perspectives on Suicide

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Baltimore, Penguin Books, 1964 6. Rosen D: The serious suicide attempt: epidemiological and follow-up study of 886 patients. Am J Psych 127:764-770, 1970 7. Guze S, Robins E: Suicide and primary affective disorders. Brit J Psych 117:437-438, 1970 8. Mayfield R, Montgomery D: Alcoholism, alcohol intoxication and suicide attempts. Arch Gen Psychiatry 27:349-353, 1972 9. Murphy G, Armstong J, Hernele S, et al: Suicide and alcoholism. Arch Gen Psychiatry 36:65-69, 1979 10. Nelson S, Grunebaum H: A follow-up study of wrist slashers.

J am Psych 24:17-19, 1968 II Therapeutic Approaches 1: Methods for Immediate Containment 3 Crisis Therapies Stephen C. D. Harvard Medical School 1. INTRODUCTION Crisis therapies include a range of brief interventions unified by a common set of techniques and principles. 1 In addition to short-term individual approaches, group, couple, family, and network therapies are employed. Methods reflect varied conceptual frameworks including ego supportive, psychodynamic, cognitive, and behavioral. These therapies usually attempt to restore the patient to a precrisis level of functioning and to prevent the consolidation of symptoms into a psychiatric disorder.

Reference 24. bReference 25. cReference 26. dReference 27. "Reference 28. 'Reference 11. 2. Clinical Applications Vera's suicidal intent can be evaluated by using Beck's scales of suicidal ideation and hopelessness as general guidelines. Although Vera had been ruminating about leaving the car engine running in her garage when her husband was away on a business trip, her attitude toward implementing this was ambivalent. She was fearful that she would be unable to maintain control. Her expressed reason for wanting to die was to escape from the "sick, empty feelings" and her despair about her inability to change her situation.

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