Helping the Suicidal Person: Tips and Techniques for Professionals

ISBN-13: 9781138946941 / Angielski / Twarda / 2017 / 274 str.

Stacey Freedenthal

Opis

Helping the Suicidal Person provides a highly practical toolbox for mental health professionals. 

Spis treści

I. Understanding Suicide and You  Tip 1: Reflect on Your Biases about Suicide  Tip 2: Take Stock of Your Experiences with Suicide (or Lack Thereof)  Tip 3: Confront "Suicide Anxiety"  Tip 4: Be Alert to Negative Feelings Toward the Suicidal Person  Tip 5: Reject the Savior Role  Tip 6: Maintain Hope  II. Overcoming the Taboo  Tip 7: Face Your Fears  Tip 8: Directly Ask about Suicidal Thoughts  Tip 9: Turn to Techniques for Eliciting Sensitive Information  Tip 10: Embrace a Narrative Approach: "Suicidal Storytelling"  Tip 11: Ask about Suicidal Imagery, Too  Tip 12: Uncover Fears of Hospitalization and Other Obstacles to Disclosure  III. Joining with the Suicidal Person  Tip 13: Recognize that, for Some People, You are an Enemy  Tip 14: Avoid Coercion and Control Whenever Possible  Tip 15: Resist the Urge to Persuade or Offer Advice  Tip 16: Understand the Person’s Reasons for Dying  Tip 17: Validate the Wish to Die  Tip 18: Acknowledge that Suicide is an Option  IV. Assessing Danger  Tip 19: Gather Remaining Essentials about Suicidal Thoughts and Behavior  Tip 20: Learn About Prior Suicidal Crises: The CASE Approach  Tip 21: Cautiously Use Standardized Questionnaires  Tip 22: Privilege Warning Signs Over Risk Factors  Tip 23: Screen for Access to Firearms  Tip 24: Inquire about Internet Use  Tip 25: Probe for Homicidal Ideation  Tip 26: Collect Information from Family, Professionals, and Others  V. Assessing Protective & Cultural Factors  Tip 27: Examine Reasons for Living  Tip 28: Identify Other Protective Factors  Tip 29: Pay Attention to Culture  Tip 30: Investigate Religious and Spiritual Views of Suicide VI. Putting It All Together: Estimating Risk  Tip 31: Solicit the Person’s Own Assessment of Suicide Risk  Tip 32: Estimate Acute Risk for Suicide  Tip 33: Estimate Chronic Risk for Suicide  Tip 34: Document Generously VII. Attending to Immediate Safety  Tip 35: Know When and Why to Pursue Hospitalization  Tip 36: Know When and Why Not to Pursue Hospitalization  Tip 37: Do Not Use a No-Suicide Contract  Tip 38: Collaboratively Develop a Safety Plan  Tip 39: Encourage Delay  Tip 40: Problem-Solve around Access to Firearms  Tip 41: Discuss Access to Other Means for Suicide, Too  Tip 42: In Case of Terminal Illness, Proceed Differently (Perhaps)  Tip 43: Seek Consultation VIII. Planning for Treatment  Tip 44: Make Suicidality the Focus  Tip 45: As Needed, Increase Frequency of Contact  Tip 46: Treat Chronic Suicidality Differently  Tip 47: Involve Loved Ones  Tip 48: Suggest a Physical Exam  Tip 49: Recommend an Evaluation for Medication  Tip 50: Continue to Monitor Suicidal Ideation  IX. Alleviating Psychological Pain  Tip 51: After Safety, Address Suffering  Tip 52: Look for Unmet Needs  Tip 53: Target Social Isolation  Tip 54: Use Grounding Exercises X. Exploring Motivations and Misgivings  Tip 55: Assume Nothing: Does the Person Want to Give Up Suicide?  Tip 56: Tap Into Ambivalence  Tip 57: Compare Reasons for Living and Dying  Tip 58: Invite the Person to Look for the "Catch"  Tip 59: Search for Exceptions  XI. Inspiring Hope  Tip 60: Frame Suicide as a Problem-Solving Behavior  Tip 61: Help Brainstorm an "Options List"  Tip 62: Teach the Problem-Solving Method  Tip 63: Nourish Future Plans and Goals  Tip 64: Incorporate a Hope Kit  Tip 65: Highlight Strengths  XII. Drawing from Cognitive Behavior Strategies  Tip 66: Connect Suicidal Thoughts to Other Thinking  Tip 67: Educate about Cognitive Distortions  Tip 68: Help Challenge Negative Thoughts  Tip 69: Elicit Coping Statements  Tip 70: Rescript Suicidal Imagery  Tip 71: Discourage Thought Suppression  Tip 72: Foster Acceptance of Suicidal Thoughts  XIII. Improving Quality of Life  Tip 73: Enhance Coping Skills  Tip 74: Cultivate Mindfulness  Tip 75: "Broaden and Build" Positive Emotions  Tip 76: Pair Behavioral Activation with Values  XIV. Moving Forward After a Suicide Attempt  Tip 77: Differentiate Between Suicidal and Non-Suicidal Self-Injury  Tip 78: Determine the Person’s Reaction to Having Survived  Tip 79: Conduct a Chain Analysis  Tip 80: Evaluate Where the Safety Plan Fell Short  Tip 81: Take Advantage of the "Teachable Moment"  Tip 82: Attend to the Therapeutic Relationship  Tip 83: Address the Trauma of the Suicide Attempt  Tip 84: Explore Shame and Stigma XV. Building Resilience  Tip 85: Warn about the Possibility of Relapse  Tip 86: Review Lessons Learned  Tip 87: Complete a Relapse Prevention Protocol  Tip 88: Propose a Letter to the Suicidal Self  Tip 89: Follow Up

O autorze

Stacey Freedenthal, PhD, LCSW, is an associate professor at the University of Denver Graduate School of Social Work. Her psychotherapy and consulting practice focuses on suicide assessment and intervention.