Resource Tag: CLINICAL ASSESSMENT

This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self‐harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self‐harm, what is the quality […]

We examine the interrelations among clinicians’ judgment of patients’ suicide risk, clinicians’ emotional responses, and standard risk factors in the short‐term prediction of suicidal thoughts and behaviors. Psychiatric outpatients (n = 153) with a lifetime history of suicide ideation/attempt and their treating clinicians (n = 67) were evaluated at intake. Clinicians completed a standard suicide risk instrument (modified SAD […]

Helping the Suicidal Person provides a highly practical toolbox for mental health professionals. The book first covers the need for professionals to examine their own personal experiences and fears around suicide, moves into essential areas of risk assessment, safety planning, and treatment planning, and then provides a rich assortment of tips for reducing the person’s […]

There are twice as many suicides as homicides in the United States, and the suicide rate is rising. Suicides increased 12% between 1999 and 2009. Mental health professionals often treat suicidal patients, and suicide occurs even among patients who are seeking treatment or are currently in treatment. Despite these facts, training of mental health professionals in […]

This review discusses suicide warning signs in clinical practice and has three simple goals: 1) to help practitioners differentiate in a clinically meaningful fashion between warning signs and risk factors for suicide; 2) to articulate the link among warning signs for suicide, hopelessness, and intent to die; and 3) to assist practitioners in applying warning […]

People diagnosed with fetal alcohol spectrum disorders (FASD) have neuropsychological deficits that may contribute to increased risk for suicide. This paper describes clinical profiles of eleven individuals with FASD and differentiates six who attempted suicide from five who did not, with regard to risk and protective factors. Attempters were more likely to have mental health […]

Suicide is a pervasive and complex issue that can challenge counselors through the course of their careers. Research and practice focus heavily on crisis management and imminent risk rather than early intervention strategies. Early intervention strategies can assist counselors working with clients who have suicidal ideation, but are not at imminent risk, or with clients […]

To ascertain how patient age influences suicide risk assessment, clinicians (N = 262) read an ambiguous vignette about Bill (aged either 39 or 79 years old) and subsequently rated BillÕs suicide risk and hospitalization needs. Suicide-risk ratings varied greatly and young clinicians rated BillÕs suicide risk and hospitalization needs higher when he was elderly (79 […]

Randomized studies examining the effect of training of mental health professionals in suicide prevention guidelines are scarce. We assessed whether professionals benefited from an e-learning supported Train-the-Trainer programme aimed at the application of the Dutch multidisciplinary suicide prevention guideline. Our results support the idea that an e-learning supported Train-the-Trainer programme is an effective strategy for […]

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The ColumbiaÐSuicide Severity Rating Scale (C-SSRS) was designed to quantify the severity of suicidal ideation and behavior. The authors examined the psychometric properties of the scale. These findings suggest that the C-SSRS is suitable for assessment of suicidal ideation and behavior in clinical and research settings. Contact us for a copy of this article, or […]

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ObsessiveÐcompulsive symptoms, particularly aggressive obsessions, are prevalent in schizophrenia patients and associated with other symptom severity, suicidal ideation and functional impairment. In a psychosis-risk cohort, obsessiveÐcompulsive diagnosis and symptoms were assessed in terms of prevalence and content, and for associations with clinical measures. ObsessiveÐcompulsive symptoms were prevalent in the CHR cohort, as was suicidal ideation. […]

In the past two decades, the potential association between the risk of suicidal ideation and behavior and the clinical use of pharmaceutical products has been debated among industry, regulators, and academia. A better understanding of the possible effects-favorable, unfavorable, or neutral-of pharmaceuticals on the risk of suicidal ideation and behavior may be required, especially for […]

This practical and informative text lays out the product of a number of years of clinical research into suicide behaviour and its prevention. While the focus is on non-affective psychosis and the schizophrenia-spectrum disorders, the mechanisms underlying suicide behaviour in this group may well underlie or at least influence suicide behaviour in other disorders. The […]

“…supported by the Defense Advance Research Project Agency (DARPA), and Space Warfare Systems Center Pacific under Contract N66001-11-4006. Also supported by the Intelligence Advanced Research Projects Activity (IAEPA) via the Department of Interior National Business Center contract number N10PC20221.”

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Versions of the Scale Used in Clinical Practice The Lifetime/Recent version allows practitioners to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior. Since Last Visit version of the scale assesses suicidality since the patientÕs last visit. This version is meant to assess patients who have completed at least one […]

A systematic search of popular and scholarly databases identified workshops that addressed general clinical competence in the assessment or management of suicide risk, targeted mental health professionals, and had at least one peer-reviewed publication. We surveyed workshop developers and examined empirical articles associated with each workshop. The state of workshop education is characterized by presenting […]

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Despite decades of research, the prediction of suicidal behavior remains limited. As a result, searching for more specific risk factors and testing their predictive power are central in suicidology. This strategy may be of limited value because it assumes linearity to the suicidal process that is most likely nonlinear by nature and which can be […]

This study presents the most relevant clinical issues to guide the initial procedures in psychiatric emergency care in childhood & adolescence. A non-systematic review was done. Clinical presentations are divided into relevant groups of symptoms according to their frequency & impact on patients & their families & include: aggressive behaviour, intoxications, suicidal behaviour, psychosis, anxiety […]

The objective of this study was to provide guidelines for the identification of suicide risk & protective factors & the management of suicidal persons in emergency settings. A literature review identified relevant & illustrative key cases. The clinical interview is the best method to evaluate suicidal risk & has a twofold purpose: providing emotional support […]