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The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management

Author: Liza H. Gold

Publisher: American Psychiatric Pub

Published: 2020-03-08

Total Pages: 480

ISBN-13: 1615372849

Charged with updating the preeminent text on suicide, the new editors of The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management opted not to simply revise existing chapters, but instead to steer a bold course, expanding, reconfiguring, and remaking the third edition to reflect the latest research, nomenclature, and clinical innovations. The editorial team and contributors -- two-thirds of whom are new to this edition -- have taken the intersection of suicide with both mental health and psychosocial issues as their organizing principle, exploring risk assessment and epidemiology in special populations, such as elderly patients, college students, military personnel, and the incarcerated as well as patients with a variety of psychological disorders, including bipolar spectrum, personality, depressive, anxiety, posttraumatic stress, and other disorders and schizophrenia. In addition, the book discusses treatment options (such as cognitive-behavioral therapy, dialectical behavioral therapy, and pharmacotherapy) and settings (such as emergency services, outpatient, inpatient, and civil commitment) in detail, with clinical cases to contextualize the material. The new and revised content is extensive: A chapter on the influence of sleep and sleep disorders on suicide risk has been included that considers possible mechanisms for this link and discusses practical ways of assessing and managing sleep disorders to mitigate suicide risk. Nonsuicidal self-injury, the prevalence of which is particularly high among youth, is addressed in detail, differentiating it from and comparing it to suicide attempts, discussing risk assessment, considering safety interventions, examining treatment options, and exploring suicide contagion. No text on suicide would be complete without a serious exploration of the role of social media and the internet. The book presents an update on current research as it pertains to social networking and behavior, information access, and artificial intelligence and software, and includes suggestions for clinicians treating patients at risk for suicide. Physician-assisted dying (PAD), also referred to as "aid-in-dying," is arguably a form of suicide, and the book includes a thoughtful chapter considering the ethical and practical implications of PAD, the murky professional and legal obligations that may arise, the demographics of these patients, the settings and conditions under which PAD may occur, and the role of the attendant clinicians. A number of pedagogical features are included to help the reader learn and remember the material, including key clinical concepts and abundant case examples. Its diverse range of perspectives, broad relevance to a wide variety of clinicians, and absolutely authoritative coverage makes this new edition of The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management a worthy and indispensable successor.

The American Psychiatric Publishing Textbook of Suicide Assessment and Management

Author: Robert I. Simon

Publisher: American Psychiatric Pub

Published: 2012

Total Pages: 772

ISBN-13: 1585624144

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This new edition of Textbook of Suicide Assessment and Management follows the natural sequence of events in evaluating and treating patients: assessment, major mental disorders, treatment, treatment settings, special populations, special topics, prevention, and the aftermath of suicide.

The American Psychiatric Publishing Textbook of Suicide Assessment and Management

Author: Robert I. Simon

Publisher: Amer Psychiatric Pub Incorporated

Published: 2006

Total Pages: 660

ISBN-13: 9781585622139

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Suicide risk assessment is a core competency that mental health professionals are expected to acquire during their training, yet the reality of potential suicides can prove daunting for busy practitioners faced with an overload of information on the subject. This book meets that challenge head-on by providing clinically useful information for anyone encountering patients at risk for suicide. The American Psychiatric Publishing Textbook of Suicide Assessment and Management calls on the authority of 40 expert contributorsincluding members of the APA's Workgroup on Suicidal Behaviors, who developed the APA Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviorsreflecting a wide range of clinical and forensic experience. The authors provide informative cases accompanied by analysis that integrates clinical findings with textual discussion, along with chapter-end "key points," in order to help practitioners ? understand demographic, gender, and cultural variables in suicide risk? use psychological tests and scales in assessment? assess risk in special populations, such as children and adolescents and the elderly, and jail and prison inmates? determine treatment options: psychopharmacological/ECT, psychodynamic, and collaborative (or "split") treatment ? manage suicide risk in the context of major mental disorders (depression, bipolar disorder, schizophrenia, anxiety, personality disorders, and substance-related disorders), with specific guidelines for risk assessment? address suicide risk in outpatient, emergency, and inpatient and partial hospitalization settings, patient safety versus freedom of movement, and strategies for increasing the safety factor in various aspects of practice In addition to addressing the many facets of patient careincluding cautioning against a suicide risk factor created by limitations of benefits in managed-care situationsthe book also discusses clinician care: how practitioners can cope with the anxiety and fatigue arising from treating suicidal patients, the professional's role following a patient's suicide, legal issues involving standard of care and liability, and risk management guidelines for avoiding malpractice litigation. Suicide risk exists along an ever-changing continuum. This book underscores that risk assessment is a process, not an event. It clearly shows how sound assessment can lead to more effective management of patients at high risk for suicide.

The American Psychiatric Publishing Textbook of Suicide Assessment and Management

Author: Robert I. Simon

Publisher:

Published: 2007-04-02

Total Pages: 696

ISBN-13: 1585626481

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Providing clinically useful information for mental health professionals encountering patients at risk, The American Psychiatric Publishing Textbook of Suicide Assessment and Management calls on the authority of 40 expert contributors reflecting a wide range of clinical and forensic experience.

A Clinician’s Guide to Suicide Risk Assessment and Management

Author: Joseph Sadek

Publisher: Springer

Published: 2018-11-21

Total Pages: 113

ISBN-13: 3319777734

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This book offers mental health clinicians a comprehensive guide to assessing and managing suicide risk. Suicide has now come to be understood as a multidimensionally determined outcome, which stems from the complex interaction of biological, genetic, psychological, sociological and environmental factors. Based on recent evidence and an extensive literature review, the book provides straightforward, essential information that can easily be applied in a wide variety of disciplines.

Assessing and Managing Suicide Risk

Author: Robert I. Simon

Publisher: American Psychiatric Pub

Published: 2008-05-20

Total Pages: 262

ISBN-13: 1585627267

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Patient suicide is an unavoidable occupational hazard of psychiatric practice. Indeed, it is the rare clinician who does not struggle, even agonize, over the complex task of assessing and managing the risk of suicide in patients. Patient suicides account for the greatest number of malpractice suits filed against psychiatrists and for the greatest number of settlements and verdicts covered by professional liability insurers. In this book, written by a clinician for clinicians, Dr. Simon, an established expert in psychiatry and law, offers A solid, easy-to-understand review of how medical malpractice law applies to patient suicides. He discusses the standards of care physicians must meet, the conditions associated with malpractice liability, and how best to minimize risks of litigation. Extensive references to peer-reviewed literature on suicide and recent malpractice cases, including those triggered by patient suicides, which give insight into the latest developments in both the scientific community and the courts. Much-needed practical advice, including advice on working with suicide risk assessments and suicide prevention contracts, on treating suicidal patients in various settings (outpatient, inpatient, collaborative, and emergency), and on coping with issues arising in the aftermath of a patient's suicide (documentation, confidentiality, and survivor care). Clearly defined risk management guidelines that will help clinicians avoid litigation or establish a sound legal defense if sued for malpractice. Numerous case examples that make the theoretical discussions and clinically based risk management guidelines that follow come alive. Rich in advice that draws on the author's more than 40 years of clinical experience, this book serves as an essential aid to clinicians.

Preventing Patient Suicide

Author: Robert I. Simon

Publisher: American Psychiatric Pub

Published: 2010-08-24

Total Pages: 235

ISBN-13: 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.

Evidence-Based Treatment Approaches for Suicidal Adolescents

Author: Michele Berk, Ph.D.

Publisher: American Psychiatric Pub

Published: 2019-03-12

Total Pages: 366

ISBN-13: 161537163X

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The book includes a chapter, written by the treatment developer(s), on each of the six treatments that have been shown in randomized controlled trials to reduce suicidal and/or self-harm behavior in adolescents with prior histories of these behaviors.

The American Psychiatric Publishing Textbook of Forensic Psychiatry

Author: Robert I. Simon

Publisher: American Psychiatric Pub

Published: 2004

Total Pages: 626

ISBN-13: 9781585620876

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General clinicians conduct most forensic psychiatric examinations and provide most psychiatric testimony. Yet these clinicians often receive little or no training in forensic psychiatry, leaving them ill prepared to meet the inevitable ethical and legal challenges that arise. Both timely and informative, this textbook is the first reference designed and written for both the general clinician and the experienced forensic psychiatrist. Here, 28 recognized experts introduce the forensic subjects that commonly arise in clinical practice. Unique in the literature, this outstanding collection covers • Introductory subjects—Organized psychiatry and forensic practice; the legal system and the distinctions between therapeutic and forensic roles; business aspects of starting a forensic practice; the role of the expert witness; the differences between the ethics of forensic and clinical psychiatry; the use of DSM in the courtroom; and issues that arise in working with attorneys• Civil litigation—The standard of care and psychiatric malpractice; civil competency; issues in conducting evaluations for personal injury litigation; personal injury claims of psychiatric harm; and disability determination and other employment-related psychiatric evaluations• Criminal justice—Competency to stand trial and insanity evaluations; the use of actuarial and clinical assessments in the evaluation of sexual offenders; psychiatry in correctional settings; and the relationship between psychiatry and law enforcement, including mental health training, crisis negotiation, and fitness for duty evaluations• Special topics—Assessment of malingering; evaluations of children and adolescents; violence risk assessments; the use of prediction instruments to determine "dangerousness"; and the evolving standard of expert psychological testimony Each chapter is organized around case examples and includes a review of key concepts, practical guidelines, and references for further reading. A study guide is also available for use in teaching, in studying, and in preparing for the forensic board examination. This practical textbook makes this interesting specialty accessible to trainees and seasoned practitioners. With its detailed glossary of legal terms, subject index, and index of legal cases, it will be a welcome addition to all psychiatric residency and forensic fellowship programs.

Gun Violence and Mental Illness

Author: Liza H. Gold, M.D.

Publisher: American Psychiatric Pub

Published: 2015-11-17

Total Pages: 482

ISBN-13: 1585624985

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Perhaps never before has an objective, evidence-based review of the intersection between gun violence and mental illness been more sorely needed or more timely. Gun Violence and Mental Illness, written by a multidisciplinary roster of authors who are leaders in the fields of mental health, public health, and public policy, is a practical guide to the issues surrounding the relation between firearms deaths and mental illness. Tragic mass shootings that capture headlines reinforce the mistaken beliefs that people with mental illness are violent and responsible for much of the gun violence in the United States. This misconception stigmatizes individuals with mental illness and distracts us from the awareness that approximately 65% of all firearm deaths each year are suicides. This book is an apolitical exploration of the misperceptions and realities that attend gun violence and mental illness. The authors frame both pressing social issues as public health problems subject to a variety of interventions on individual and collective levels, including utilization of a novel perspective: evidence-based interventions focusing on assessments and indicators of dangerousness, with or without indications of mental illness. Reader-friendly, well-structured, and accessible to professional and lay audiences, the book: * Reviews the epidemiology of gun violence and its relationship to mental illness, exploring what we know about those who perpetrate mass shootings and school shootings. * Examines the current legal provisions for prohibiting access to firearms for those with mental illness and whether these provisions and new mandated reporting interventions are effective or whether they reinforce negative stereotypes associated with mental illness. * Discusses the issues raised in accessing mental health treatment in regard to diminished treatment resources, barriers to access, and involuntary commitment.* Explores novel interventions for addressing these issues from a multilevel and multidisciplinary public health perspective that does not stigmatize people with mental illness. This includes reviews of suicide risk assessment; increasing treatment engagement; legal, social, and psychiatric means of restricting access to firearms when people are in crisis; and, when appropriate, restoration of firearm rights. Mental health clinicians and trainees will especially appreciate the risk assessment strategies presented here, and mental health, public health, and public policy researchers will find Gun Violence and Mental Illness a thoughtful and thought-provoking volume that eschews sensationalism and embraces serious scholarship.