Since the first edition of Clinical Manual for Assessment and
Treatment of Suicidal Patients was published in 2005, advances have
been made that increase our understanding of suicidal and
self-destructive behavior. Although clinicians cannot unerringly
predict which patients will die by suicide, they can focus more
successfully on early identification of suicidal behavior and
effective intervention, and this new edition of the clinical manual
thoroughly explores not only assessment of suicidality but what
comes after an at-risk patient has been identified. The authors
argue that treating specific psychiatric disorders is not enough to
prevent suicide, and they offer clinicians the necessary
information and strategies to bridge that gap. The authors' main
premise is that suicide is a dangerous and short-term
problem-solving behavior designed to regulate or eliminate intense
emotional pain-a quick fix where a long-term effective solution is
needed-and this understanding is the underpinning of the assessment
and treatment strategies the authors recommend. The content of this
new edition has been thoroughly reviewed and revised, and
substantive changes have been made to specific chapters to ensure
that the book represents the most current thinking and research,
while retaining the strengths of the previous edition. * The
chapter on assessment has been revised to put the fundamental
components of effective treatment in a clinical, case-oriented
context and includes an easy-to-use assessment protocol that allows
clinicians to determine where individual patients stand on seven
dimensions (cognitive rigidity, problem-solving deficits,
heightened mental pain, emotionally avoidant coping style,
interpersonal deficits, self-control deficits, and environmental
stress and social support deficits).* The many issues involved in
the use of psychotropic medications in suicidal patients are
addressed in a new chapter, which includes information on the
relevant classes of drugs (such as antidepressants and antianxiety
agents) and the issues that may arise with their use, including
side effects, degree of lethality, and tendency to aggravate
suicidality on introduction and withdrawal of the medication. * The
chapter on special populations has been expanded to include
adolescents, elders, and patients with co-occurring substance abuse
or psychosis. Because of additional vulnerabilities, treating these
groups may call for the use of added or special techniques to
ensure the best therapeutic outcomes.* Primary care physicians are
the first point of contact for many patients, and they may require
additional preparation in order to assess and respond to those
experiencing suicidal thoughts. The chapter "Suicidal Patients in
Primary Care" explores strategies for screening, recognizing, and
assessing risk; treating the initial crisis; and developing a
crisis management plan.* "Tips for Success" appear at intervals,
and "The Essentials" are included at the end of each chapter,
highlighting the most important concepts. In addition, there are
scores of helpful charts and exercises. Practical, accessible, and
reader-friendly, the Clinical Manual for Assessment and Treatment
of Suicidal Patients is not an academic book but rather is one
designed to become an indispensable part of clinicians' working
libraries.
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