Catalogue


Preventing patient suicide : clinical assessment and management /
Robert I. Simon.
edition
1st ed.
imprint
Washington, DC : American Psychiatric Pub., c2011.
description
xiii, 221 p. : ill. ; 23 cm.
ISBN
1585629340 (pbk. : alk. paper), 9781585629343 (pbk. : alk. paper)
format(s)
Book
Holdings
More Details
imprint
Washington, DC : American Psychiatric Pub., c2011.
isbn
1585629340 (pbk. : alk. paper)
9781585629343 (pbk. : alk. paper)
contents note
Suicide risk assessment : gateway to treatment and management -- Enhancing suicide risk assessment : evidence-based psychiatry -- Assessing and enhancing protective factors against suicide -- Behavioral risk assessment of the guarded suicidal patient -- Psychiatric disorders and suicide risk -- Sudden improvement of the high risk suicidal patient : real or feigned? -- Acute and chronic high risk suicidal patients : crisis management -- Safety management of the suicidal patient : coping with uncertainty -- Gun safety management of suicidal patients : a collaborative approach -- Suicide risk assessment forms : clinician beware -- Imminent suicide, passive suicidal ideation, and other intractable myths -- Quality assurance review of suicide risk assessments : reality and remedy -- Therapeutic risk management of the suicidal patient : clinical-legal dilemmas.
catalogue key
7302873
 
Includes bibliographical references and index.
A Look Inside
About the Author
Author Affiliation
Robert I. Simon, M.D., is Clinical Professor of Psychiatry and Director of the Program in Psychiatry and Law in the Department of Psychiatry at Georgetown University School of Medicine in Washington, D.C. He is also Chairman of the Department of Psychiatry at Suburban Hospital, Johns Hopkins Medicine, in Bethesda, Maryland.
Excerpts
Flap Copy
Robert I. Simon, M.D., a preeminent psychiatrist and prolific author on the subject of law and psychiatry, offers a pragmatic and empathic guide for clinicians grappling with that most critical of questions: How can I protect my patients from themselves? Though even the most conscientious psychiatrist cannot prevent every suicide, suicide risk can be assessed, managed, and reduced. Dr. Simon acknowledges that the professional environment in which clinicians now practice is often inhospitable to the time-consuming task of understanding the patient; yet "Know thy patient" is his theme and imperative. Readers will benefit from the instructive case examples and commentary.Suicide risk assessment is a core competency that draws on both art and science. In Preventing Patient Suicide: Clinical Assessment and Management, Dr. Simon synthesizes his clinical experience, the shared clinical experiences of colleagues, and the evidence-based psychiatric literature to create an insightful guide which should be an essential component in any practicing psychiatrist's library.
Flap Copy
Robert I. Simon, M.D., a preeminent psychiatrist and prolific author on the subject of law and psychiatry, offers a pragmatic and empathic guide for clinicians grappling with that most critical of questions: How can I protect my patients from themselves? Though even the most conscientious psychiatrist cannot prevent every suicide, suicide risk can be assessed, managed, and reduced. Dr. Simon acknowledges that the professional environment in which clinicians now practice is often inhospitable to the time-consuming task of understanding the patient; yet "Know thy patient" is his theme and imperative. Readers will benefit from the instructive case examples and commentary. Suicide risk assessment is a core competency that draws on both art and science. In Preventing Patient Suicide: Clinical Assessment and Management, Dr. Simon synthesizes his clinical experience, the shared clinical experiences of colleagues, and the evidence-based psychiatric literature to create an insightful guide which should be an essential component in any practicing psychiatrist's library.
Flap Copy
Robert I. Simon, M.D., a preeminent psychiatrist and prolific author on the subject of law and psychiatry, offers a pragmatic and empathic guide for clinicians grappling with that most critical of questions: How can I protect my patients from themselves? Though even the most conscientious psychiatrist cannot prevent every suicide, suicide risk can be assessed, managed, and reduced. Dr. Simon acknowledges that the professional environment in which clinicians now practice is often inhospitable to the time-consuming task of understanding the patient; yet "Know thy patient" is his theme and imperative. Readers will benefit from the instructive case examples and commentary. Suicide risk assessment is a core competency that draws on both art and science. In Preventing Patient Suicide: Clinical Assessment and Management , Dr. Simon synthesizes his clinical experience, the shared clinical experiences of colleagues, and the evidence-based psychiatric literature to create an insightful guide which should be an essential component in any practicing psychiatrist's library.
Reviews
Review Quotes
"Simon wades through the wealth of research on risk and protective factors with impressive agility, providing a heuristic checklist of individual, clinical, situational, interpersonal, and demographic factors to assess. More than this, he highlights the central importance of the therapeutic relationship as an agent of risk management and adaptive change."- Joseph J. Guido, PsycCRITIQUES , February 2011
"This book is an excellent source of information, not only for those new to seeing patients in mental healthcare settings, but also for veteran clinicians. Chapters are relatively brief, but contain volumes of evidence-based data meant to improve a clinician's knowledge, with the added benefit of improving patient safety. The chapter regarding suicide risk assessment forms is vital, and the chapters outlining a complete suicide risk assessment (i.e. including assessing positive factors against suicide risk) are very well done. Overall, this is an outstanding book typical of Dr. Simon's efforts."- Steven T. Herron, M.D., DOODY'S PUBLISHERS' CLUB , March 2011
This item was reviewed in:
SciTech Book News, December 2010
To find out how to look for other reviews, please see our guides to finding book reviews in the Sciences or Social Sciences and Humanities.
Summaries
Main Description
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 Managementprovides 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.
Main Description
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.
Table of Contents
Forewordp. ix
Prefacep. xi
Acknowledgmentsp. xiii
Assessment
Suicide Risk Assessment: A Gateway to Treatment and Managementp. 3
Enhancing Suicide Risk Assessment Through Evidence-Based Psychiatryp. 39
Assessing and Enhancing Protective Factors Against Suicide Riskp. 51
Behavioral Risk Assessment of the Guarded Suicidal Patientp. 59
Psychiatric Disorders and Suicide Riskp. 71
Sudden Improvement in Patients at High Risk for Suicide: Real or Feigned?p. 83
Management
Patients at Acute and Chronic High Risk for Suicide: Crisis Managementp. 97
Safety Management of the Patient at Risk for Suicide: Coping With Uncertaintyp. 115
Gun Safety Management of Suicidal Patients: A Collaborative Approachp. 135
Suicide Risk Assessment Forms: Clinician Bewarep. 151
Imminent Suicide, Passive Suicidal Ideation, and Other Intractable Mythsp. 159
Quality Assurance Review of Suicide Risk Assessments: Reality and Remedyp. 177
Therapeutic Risk Management of the Patient at Risk for Suicide: Clinical-Legal Dilemmasp. 187
Appendix: Suicide Risk Assessment Self-Testp. 203
Indexp. 215
Table of Contents provided by Ingram. All Rights Reserved.

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