Relationship between clinicians’ inclination toward patients at risk for suicide and self-reported countertransference

Objectives We investigate the relationship between clinicians’ inclination toward treating patients at risk for suicide (PRS), and self-reported countertransference (CT). We consider these observed group differences to explore two competing interpretations for observed CT patterns from a primary study; whether CT patterns are more consistent with defensive attitudes or an adaptative CT montage. Method We used one-way ANOVA, […]

Associations between clinicians’ emotion regulation, treatment recommendations, and patient suicidal ideation

Objective This study examines how clinicians’ emotional responses to suicidal patients and their emotion regulation abilities are related to their treatment recommendations for these patients and to patients’ concurrent suicidal ideation and at one-month follow-up. Methods Adult psychiatric outpatients (N = 361) and the mental health professionals evaluating them for treatment (N = 43) completed self-report assessments following their […]

Telling a complicated grief: A psychodynamic study on mental health nurses’ countertransference reactions to patients’ suicidal behavior

A key element of suicide education, training and clinical supervision is enhancing emotional awareness about mental health professionals’ countertransference reactions, as emotional responses to patients’ suicidal behavior (SB) that may be unbeneficial to care. This study aimed to explore emotional responses to patients’ SB in mental health nurses (MHNs) according to a psychodynamic perspective. Twenty-eight […]

Systematic exploration of countertransference phenomena in the treatment of patients at risk for suicide

Despite its critical role in clinical suicidology, empirical evidence on the nature of countertransference (CT) to patients at risk for suicide (PRS) is lacking. This study aimed to provide a systematic description of CT phenomena to PRS. Psychiatrists, psychologists, and psychotherapists completed the Therapist Response Questionnaire (TRQ) online, with reference to a PRS. Factor analysis […]

Differences and similarities in instant countertransference towards patients with suicidal ideation and personality disorders

Background Previous findings showed that suicidal patients elicit mostly negative countertransference such as distress, hopelessness, feelings of inadequacy, and apprehension, and that a concurrent personality disorder is associated with more feelings of entrapment and mistreatment, among other adverse reactions. No studies were however conducted on instant countertransference (iCT), i.e., after a single encounter, for example […]

Distinctive emotional responses of clinicians to suicide-attempting patients — a comparative study.


The Father Transference During a pre-Suicide State(IN: Relating to Self-Harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention, ed. by S Briggs, A Lemma and W Crouch)


On Being Affected Without Being Infected: Managing Suicidal Thoughts in Student Counselling(IN: Relating to Self-Harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention, ed. by S Briggs, A Lemma and W Crouch)


Repeated Self-Injury: Perspectives From General Psychiatry


Book Review – Breakdown: Sex, Suicide, and the Harvard Psychiatrist by E McNamara


Suicide: What is in the Clinician’s Mind?


Treating the Suicidal Patient: Basic Principles

This article includes a discussion between D Shaffer and J T Maltsberger.

Therapeutic Empathy With the Suicidal Wish: Principles of Therapy With Suicidal Individuals

Suicide Survivors: Tips for Health Professionals

A Crude way of Loving: on Surviving the Trauma of Therapeutic Change With Borderline Patients in Group Psychotherapy


Psychotherapy Strategies and the Chronically Suicidal Patient


Suicide Risk: Assessing the Unpredictable


Suicide and Violence in the Medical Setting (IN: Principles of Medical Psychiatry, ed. by A Stoudemire and B S Fogel)

This chapter identifies characteristics of patients at high risk for violence & situations in the medical setting in which violence is likely to occur, particularly with relation to self-injurious & suicidal violence. The authors also describe techniques for interviewing, stabilization, & support to reduce the likelihood of violence in medical settings. (56 refs)

Dancing With Death: Technical and Countertransference Considerations in Psychodynamic Work With Suicidal and Self-Destructive Patients

This article presents the proceedings of the Erikson Institute Fall Conference, which took place at the Austen Riggs Center in October 2002. Overviews of the Conference’s presentations & workshops on psychotherapy with suicidal patients are presented.

Psychodynamic Conceptualization and Treatment of Suicidal Patients

This paper discusses psychodynamic perspectives of the conceptualization & treatment of suicidal patients. A review of psychoanalytic & psychodynamic perspectives is provided, along with representative case examples of these phenomena. Empirical studies are also reviewed, noting how recent research provides some meaningful insight into the object relations of suicidal patients. Finally, treatment issues are discussed. […]

Miscarriages of Psychoanalytic Treatment With Suicidal Patients

For commentary on this article by G Da Silva, please see SIEC #2005-058

Depression and Suicide (IN: Affective Disorders: Perspectives on Basic Research and Clinical Practice, ed. by T Kariya and M Nakagawara)

This chapter discusses the importance of having general practitioners familiar with the relationship between suicide & depression in Japan. The chapter also reviews studies on how to detect highly suicidal depressed patients, especially from clinical aspects. The chapter also examines pitfalls in evaluating suicide risk. The chapter includes a table of suicide risk factors for […]

Under the Influence of Unconscious Process: Countertransference in the Treatment of PTSD and Substance Abuse in Women

This aricle examines countertransference in therapists treating women with posttraumatic stress disorder or addictions. Vicarious traumatization, unconscious affects about addiction, & pressures within the treatment pull the therapist away from the patient at critical points & toward abandonment or collusive indulgence. Support in the form of process supervision can assist the therapist to acknowledge, identify, […]