Three Days to Resolve a Crisis

This article describes an alternative to psychiatric hospital admission for those in crisis who are suicidal risks. The Emergency Treatment Unit of the Connecticut Mental Health Centre, run jointly by the State & Yale University, offers a short-term program limited to 3 days for crisis-ridden patients who are sufficiently disturbed to require emergency care away […]

The Telephone Call – Conversation or Therapy

This article discusses differences in social & therapeutic relationships in telephone calls. It is proposed that staff who work on the telephone be trained to differentiate these relationships & be trained for involvement in the latter. Possible patient expectations which occur as results of participation in a conversational call by caller & telephone therapist are […]

Narcissistic Collusion in the Treatment of Adolescent Conduct Disorders Who Present With Parasuicide

This article deals with the prevention & treatment of conduct disorders & attempted suicide in children & adolescents. The author has found that narcissistic collusion is a useful approach in initial contact as this type of patient is usually so alienated from societal values that he cannot establish a bond with anyone who insists on […]

Suicide Prevention by Longterm Contact

This study tested variations of the hypothesis that an isolated, depressed person would respond favorably to regular, long-term contact with a concerned other & that such contact would exert a suicide prevention influence on this type of person. 2661 patients admitted to psychiatric facilities because of depressive or suicidal states were divided into treatment & […]

Bereavement Counselling: Does it Work?

Reviews the literature to demonstrate the effectiveness of bereavement services in decreasing the risk of psychiatric & psychosomatic difficulties associated with the death of a loved one. 3 types of services are reviewed: professional, voluntary & self-help. Evidence suggests these services are helpful, especially for those who perceive their families to be unsupportive. Important factors […]

Losing to Children: A Developmental Necessity

Discusses the possible need of parents to allow their children to win games against them in order to build self-esteem & decrease risk of suicide potential. (LJ)

Followup Treatment and Aftercare of Discharged Schizophrenic Patients

A program of sociotherapeutic & psycopharmacological treatment of discharged schizophrenic patients is described. An important aspect of the aftercare program is the use of volunteers recruited from the community. The volunteers participate in an educational program, in which they meet schizophrenic patients & receive information on the symptomatology & treatment of psychosis. In addition to […]

Nursing Approaches to the Suicidal Patient

A Reciprocal Control Approach to the Treatment of Repeated Parasuicide

Patterson and Reid’s formulation of coercive versus reciprocal control offers a theoretical model for understanding both parasuicide and nontherapeutic exchanges between treatment staff and repeat suicide attempters. An interpersonal treatment program, derived from the Patterson & Reid formulation, which has been consistently associated with positive changes in the course of hospitalization for moderate-risk inpatients, is […]

Four-Year Follow-Up of Veterans Treated on a Small Alcoholism Treatment Ward

A 4-year follow-up of veteran’s treated on a small alcoholism ward revealed that only 16% of those who completed treatment had no further drinking incidents reported on their V.A. records.