Preventing Patient Suicide

Preventing Patient Suicide
Author: Robert I. Simon
Publisher: American Psychiatric Pub
Total Pages: 235
Release: 2010-08-24
Genre: Medical
ISBN: 1585629472

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Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation". Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. Key points at the end of each chapter that identify critical information. A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

Preventing Patient Suicide

Preventing Patient Suicide
Author: Robert I. Simon
Publisher: American Psychiatric Pub
Total Pages: 0
Release: 2011
Genre: Medical
ISBN: 9781585629343

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Robert I. Simon, M.D., a preeminent psychiatrist and prolific author on the subject of law and psychiatry, offers a pragmatic and empathic guide for clinicians grappling with that most critical of questions: How can I protect my patients from themselves? Though even the most conscientious psychiatrist cannot prevent every suicide, suicide risk can be assessed, managed, and reduced. Dr. Simon acknowledges that the professional environment in which clinicians now practice is often inhospitable to the time-consuming task of understanding the patient; yet "Know thy patient" is his theme and imperative. Readers will benefit from the instructive case examples and commentary. Suicide risk assessment is a core competency that draws on both art and science. In Preventing Patient Suicide: Clinical Assessment and Management, Dr. Simon synthesizes his clinical experience, the shared clinical experiences of colleagues, and the evidence-based psychiatric literature to create an insightful guide which should be an essential component in any practicing psychiatrist's library.

Reducing Suicide

Reducing Suicide
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 512
Release: 2002-10-01
Genre: Medical
ISBN: 0309169437

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Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.

Improving Care to Prevent Suicide Among People with Serious Mental Illness

Improving Care to Prevent Suicide Among People with Serious Mental Illness
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 131
Release: 2019-04-19
Genre: Medical
ISBN: 0309486947

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Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop.

Advances in Patient Safety

Advances in Patient Safety
Author: Kerm Henriksen
Publisher:
Total Pages: 526
Release: 2005
Genre: Medical
ISBN:

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v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Suicide Prevention

Suicide Prevention
Author: Tatiana Falcone
Publisher: Springer
Total Pages: 311
Release: 2018-05-18
Genre: Medical
ISBN: 3319743910

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This volume is a guide for the hospital workforce related to suicide prevention. Written by experts in the field, this text is the only one that also includes the revised DSM-5 guidelines. It is also the first to cover both prevention in one concise guide, offering a well-rounded approach to long- and short-term prevention. The book begins by establishing the neurobiology of suicide before discussing the populations at risk for suicide and the various environments where they may present. The book addresses the epidemiology, including groups at heightened risk; etiology, including several types of risk factors; prevention, including large-scale community-based activities; and postvention, including the few evidence-based approaches that are currently available. Unlike any other text on the market, this book does not simply focus on one particular demographic; rather, the book covers a wide range of populations and concerns, including suicide in youths, racial minorities, patients suffering from serious mental and physical illnesses, psychopharmacological treatment in special populations, and a wide array of challenging scenarios that are often not addressed in the very few up-to-date resources available. Suicide Prevention is an outstanding resource for psychiatrists, psychologists, hospitalists, primary care doctors, nurses, social workers, and all medical professionals who may interface with suicidal patients.

Suicide Prevention

Suicide Prevention
Author:
Publisher:
Total Pages: 0
Release: 2007
Genre: Medical protocols
ISBN: 9781599401607

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Patient suicide is consistently the number one sentinel event reported to The Joint Commission. Every suicide is a tragedy that begins with the immediate victim and extends to the family, friends, and caregivers. The fact that most suicides are considered preventable adds to the impact of each occurrence. Suicide Prevention: Toolkit for Implementing National Patient Safety Goal 15A aims at equipping hospitals with the tools and guidance needed to prepare leaders, staff, and the environment of care for the accurate identification and successful management of the patient at risk for suicide. Unique features and benefits: summary of the problem of suicide risk and prevention in the general hospital setting; tips for conducting a nursing assessment and developing a nursing plan for the suicidal patient; hand-off information and modified Situation-Background-Assessment-Recommendation (SBAR) technique; tracer methodology tools for monitoring care; guide for monitoring the suicidal patient; guidelines and considerations for discharge planning; guidance for managing a family member at risk of suicide; and case studies and practical strategies for coping with suicidal patients. The accompanying CD-ROM features customizable forms and checklists for use in implementing National Patient Safety Goal 15 and video presentations explaining the goal.

Preventing Suicide

Preventing Suicide
Author: Who
Publisher:
Total Pages:
Release: 2014
Genre: Suicide
ISBN: 9789240693166

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Preventing Suicide

Preventing Suicide
Author: Karen Mason
Publisher: InterVarsity Press
Total Pages: 237
Release: 2014-08-01
Genre: Religion
ISBN: 0830896473

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Many pastors, chaplains and pastoral counselors play a vital role as agents of hope to people who are struggling, but most of them feel overwhelmed and unprepared to prevent suicides. Informed by her work as a psychologist, Karen Mason's guide to suicide prevention is an essential resource for proactive pastors.

The Neurobiological Basis of Suicide

The Neurobiological Basis of Suicide
Author: Yogesh Dwivedi
Publisher: CRC Press
Total Pages: 485
Release: 2012-06-25
Genre: Medical
ISBN: 143983881X

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With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.