Chapter 8: Suicide
Chain analysis; safety planning; psychoeducation; building hope and addressing reasons for living; and learning and using adaptive strategies from CBT and DBT to deal with specific problems.
Cognitive-behavioral therapy for suicide prevention includes which 5 phases?
Safety planning
During this phase of cognitive-behavioral therapy for suicide prevention, clients work with the therapist to develop a prioritized list of internal and external coping strategies and social supports that can be relied on during a suicidal crisis.
Chain analysis
During this phase of cognitive-behavioral therapy for suicide prevention, the client describes all the events, stressors, thoughts, interpersonal conflicts, and other factors, such as drug use, that led to the suicide attempt. This information allows the mental health professional to devise a specific treatment plan based on the client's unique circumstances.
Learning and using adaptive strategies from CBT and DBT to deal with specific problems
During this phase of cognitive-behavioral therapy for suicide prevention, the client is given homework that involves making use of strategies learned in therapy.
Building hope and addressing reasons for living
During this phase of cognitive-behavioral therapy for suicide prevention, the therapist helps the client articulate reasons for hope and for staying alive. This might involve spending time with friends and family, plans for the future, or things the client would like to do or accomplish. Coping strategies make more sense if there is hope for the future.
Start a conversation so they can share their thoughts and feelings; listen calmly, empathetically, and without judgment; and seek help.
If someone else is emotionally distressed or expressing suicidal thoughts you should
Cognitive-behavioral therapy and dialectical behavior therapy
Psychotherapy techniques proven to reduce suicide risk include
1) Maintaining contact and establishing a relationship; 2) obtaining necessary information; 3) evaluating suicidal potential; 4) clarifying the nature of the caller's distress; 5) assessing strengths and resources; 6) recommending and initiating an action plan.
What are the 6 crisis intervention techniques used by suicide prevention lifelines?
Low serotonin, genetic and epigenetic effects, alcohol effects, sleep difficulties, physical illness or disability.
What are the biological risk factors for suicide?
Guilt, attempts to understand and make meaning of the tragedy, development of risky behaviors, and changed relationships with friends.
What are the four consistent themes of survivor interviews?
Childhood abuse, mental illness, hopelessness, psychache, impulsivity, prior attempts.
What are the psychological risk factors for suicide?
Isolation, relationship conflict, loss of partner, bullying.
What are the social risk factors for suicide?
Financial decline, male gender, suicide contagion, access to firearms, cultural alienation
What are the sociocultural risk factors for suicide?
Economic pressure, dual caregiver responsibilities, and age-related changes in health.
What are the stresses and challenges that middle-aged adults commonly face?
5-HIAA
What chemical is produced when the body metabolizes serotonin?
Reawakening and reinforcing the desire to live, expanding perceptual outlook by reducing suicide myopia, enhancing social connectedness, and increasing the repertoire of coping skills.
What four protective techniques are especially effective preventing suicide?
They may impair your judgment or make you more likely to act impulsively. They may cause your suicidal thoughts to become even stronger.
Why is it important to avoid alcohol or recreational drugs if you are depressed or experiencing suicidal thoughts?
Suicidologist
A professional who studies the manifestation, dynamics, and prevention of suicides.
psychache
A term created to describe the unbearable psychological hurt, pain, and anguish associated with suicide. Schneidman.
Psychoeducation
During this phase of cognitive behavioral therapy for suicide prevention, the client and family learn about suicide prevention safety issues and strategies for regulating emotions.
Nonsuicidal self-injury
Self-harm intended to provide relief from negative feelings or to induce a positive mood state.
Recognize risk factors and intervene before suicide occurs
The best way to prevent suicide is to
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The strength of the relationship between alcohol and suicide may result from alcohol-induced myopia, a constriction of cognitive and perceptual processes (Rogers). Alcohol use may increase personal distress by focusing peoples' thoughts on negative aspects of their personal situations. Alcohol does seem to constrict cognitive and perceptual processes. Although drinking may relieve depression and anxiety by distracting the person from their problem, it is equally likely to intensify distress by narrowing the person's focus and increasing attention to problems. Cha.