Given the isolating nature of suicidal ideation and actions, it s
all too easy for clinicians conducting a suicide assessment to find
themselves developing tunnel vision, becoming overly focused on the
client s individual risk factors. Although critically important to
explore, these risks and the danger they pose can t be fully
appreciated without considering them in relation to the person s
resources for safely negotiating a pathway through his or her
desperation. And, in turn, these intrapersonal risks and resources
must be understood in context in relation to the interpersonal
risks and resources contributed by the client s significant others.
In this book, Drs. Douglas Flemons and Leonard M. Gralnik, a
family therapist and a psychiatrist, team up to provide a
comprehensive relational approach to suicide assessment. The
authors offer a Risk and Resource Interview Guide as a means of
organizing assessment conversations with suicidal clients. Drawing
on an extensive research literature, as well as their combined 50+
years of clinical experience, the authors distill relevant topics
of inquiry arrayed within four domains of suicidal experience:
disruptions and demands, suffering, troubling behaviors, and
desperation.
Knowing what questions to ask a suicidal client is essential,
but it is just as important to know how to ask questions and how to
join through empathic statements. Beyond this, clinicians need to
know how to make safety decisions, how to construct safety plans,
and what to include in case note documentation. In the final
chapter, an annotated transcript serves to tie together the ideas
and methods offered throughout the book.
Relational Suicide Assessment provides the theoretical
grounding, empirical data, and practical tools necessary for
clinicians to feel prepared and confident when engaging in this
most anxiety-provoking of clinical responsibilities."
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