The case against no-suicide contracts: The commitment to treatment statement as a practice alternative.

This article reviews the literature on the use of Ã’no-suicide contractsÓ in clinical practice, including conceptual discussions, patient and clinician surveys, and a few empirical studies on clinical utility. Our primary conclusion is that no-suicide contracts suffer from a broad range of conceptual, practical, and empirical problems. Most significantly, they have no empirical support for[…]

Chinese workers Foxconned.

The suicide nets are still there. Foxconn, the giant electronics manufacturing subcontractor, installed them in 2010, a year when fourteen workers died after jumping from the ledges and windows of crowded dormitories. In addition to the wide mesh nets, stretched low over the streets of Foxconn’s company towns, the corporation has twenty-four-hour “care centers,” “no[…]

No-Suicide Contracts (IN: Assessment, Treatment, and Prevention of Suicidal Behavior, edited by R I Yufit & D Lester)

This chapter describes no-suicide contracts, places them in context, details the existing research on no-suicide contracts, & makes some recommendations about their use. Appendices include examples of no-suicide contracts for use with outpatients, inpatients, children aged 6-8 years, children aged 9-11 years, youth aged 12-17 years, & 2 versions of a verbal agreement. (52 refs.)

Suicidal Behaviours Among Polish Youth in Light of the Following Papers: Suicidal Behaviour in Children and Adolescents. Parts 1 and 2

In this letter to the editor, the author observes that literature reviews by Steele & Doey (2007) seem to indicate that in both America & Europe a broad definition of attempted suicide prevails. This term is used interchangeably with deliberate self-harm which is not informative as to whether or not suicidal intent accompanied the self-harm.[…]

Chronic Suicidality and Borderline Personality

This article compares acute suicide ideation with chronic suicide ideation, specifically their different meanings, relationships with Axis I & Axis II disorders, intrapsychic functions, approaches to assessment, & interventions. The potential risks of acute hospitalization of the chronically suicidal borderline personality disorder patient are discussed as well as a longitudinal, multidimensional treatment strategy for the[…]

In Session With Jan Fawcett, MD: Diagnosis, Treatment, and Management of Suicide

In this interview, Dr. Fawcett answered the following questions: How common is suicide among patients seen by health care professionals? In what settings are patients most at risk? What can physicians do in cases where the patient is chronically suicidal? What are the indicators that most predict a suicide attempt? Have the demographics of suicide[…]

The Efficacy of No-Suicide Contracts With Clients in Counseling on an Outpatient Basis

Clients at 2 outpatient facilities who self-identified as having expressed suicidal thoughts or engaged in suicidal behaviours during some point in their counselling treatement were invited to participate in a survey to assess their perception of the relative effectiveness of 22 treatment methods in order to determine the perceived efficacy of no-suicide contracts as compared[…]

Contracting for Safety With Patients: Clinical Practice and Forensic Implications

A literature review was done to assess empirical support for contracts for safety. Legal cases in which this practice was employed are reviewed to examine its effect on outcome. Studies were obtained from a PubMed search. Overall, empirically based evidence to support the use of the contract for safety in any population is very limited,[…]

About No-Suicide Contracts

In this letter to the editor, the author comments on an article by Resnick on the assessment & treatment of suicidal patients, including the use of no-suicide contracts. Waltz states clinicians should not conclude from Resnick’s comments that no-suicide contracts are worthless. Resnick’s response, in which he reiterates his point clinicians should not allow these[…]

Effectiveness of Close Watch Precautions in Suicidal Patients

In this letter to the editor, Aldrich comments on an article by Busch et al (2003) on inpatient suicide. He discusses the apparent ineffectiveness of close watch precautions & no-suicide contracts for suicidal patients. He asserts the frequent failure of these procedures is due in part to their self-fulfilling prophecy that suicidal patients have already[…]