Management of the Suicidal Patient

Glenn A. Melvin, Kelly Posner, Barbara H. Stanley, Maria A. Oquendo, Michelle B. Riba

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Researchpeer-review

Abstract

Management of the suicidal patient is a challenging clinical task, yet a core competency in psychiatry. Assessing suicidal risk requires rapport, and aims to determine diagnosis, demographic and clinical risk and protective risk factors. Treatment approaches to suicidal ideation and behavior (suicidality) focus on management of the underlying disorder or direct treatment of the suicidality. Few treatments have empirical support for the management of suicidality. Of the pharmacological treatments, lithium and clozapine have evidence of efficacy as do the psychotherapies cognitive behavioral therapy and dialectical behavior therapy. Newer antidepressants have been associated with reduced suicide rates.

Original languageEnglish
Title of host publicationPsychiatry
Subtitle of host publicationThird Edition
PublisherJohn Wiley & Sons
Pages2478-2490
Number of pages13
Volume2
ISBN (Print)9780470065716
DOIs
Publication statusPublished - 8 Aug 2008
Externally publishedYes

Keywords

  • Depression
  • Psychiatric assessment
  • Psychopathology
  • Psychopharmacology
  • Psychotherapy
  • Suicidal behavior
  • Suicidal ideation
  • Suicide
  • Suicide risk assessment
  • Suicide risk factors

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