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Treatment of suicidal people takes three forms: prevention - strategies to avert conditions leading to suicide; intervention - treatment and care during the crisis; and postvention - response after the event has occurred. Unlike other current literature, here the focus is on the state of the art of intervention. This type of examination is essential, because suicidal people themselves are in need of such treatments - crisis intervention, psychotherapy, psychopharmacology and hospitalization. Written by professionals in the field, the Treatment of Suicidal People allows readers to participate in a learning experience. First is a case presentation of an individual - Arthur Inman - and his long road toward suicide, as chronicled in his personal diary. The seond section puts forth guidelines for the evaluation of suicide risk and crisis intervention. A focus on more sustained efforts in psychotherapy is next, a theme which is continued in the fourth part by addressing psychiatric issues that are essential for treatment of highly disturbed and lethal patients. The following section examines a number of clinical and legal issues that transcend any one population of suicidal people, and any particular treatment approach or context. And lastly, the volume returns to Arthur Inman, with case consultations providing alternative perspectives and recommendations on his treatment. Suicide and related forms of self-injurious behaviour can be circumvented, if the involved professionals are sufficiently trained in assessment and prevention.
This book is a representation of the current state of our understanding of suicide and the practice of suicide prevention. Part I outlines suicidology's history and development. It consists of four chapters: an outline of the evolution of contemporary suicidology as a professional career, a look at suicidology of one hundred years ago, a close examination of the definitions of suicide, and an examination of the political culture and public policy choices in suicidology. Currently in the Western world, suicide is a conscious act of self-induced annihilation, best understood as a multidimensional malaise in a needful individual who defines an issue for which suicide is perceived as the best solution. To understand this self-induced annihilation, one should also understand violence. Part II presents four chapters: an explication of violence and its legacy, the role of trauma and violence in subsequent suicidal behavior, homicide with specific reference to elderly Anglo females, and terrorism and hostage taking. The very person who takes his/her life may be least aware of the psychological reasons for doing so. Part III consists of a study of unconscious processes in suicide, and an explication of the confusions of the body, self, and others in suicidal states. Mental health clinicians must deal with suicide in the lives of many people across various ages. Part IV presents an essay on suicidal children, identifying these youngsters as having serious developmental problems, and a review of adolescent suicidal behavior. Various approaches to knowledge are encouraged in suicidology. Part V consists of a review of the literature, exemplified by two cases: an outline of the psychological autopsyin forensic suicidology and the explication of a suicide's videotape, addressing the question, "When someone commits suicide, who is responsible?" The intense personal study of suicidal lives is also necessary. Part VI consists of the careful study of the medical records of Adolf Hitler, and an examination through newly found documents of the sub-intended death of Herman Melville. Cultural elements in the suicidal event must also be understood. Part VII presents a view of Japanese suicide and recent trends of suicide and its prevention in Japan. The saga of suicide does not end with death. Survivors of suicide often need professional attention. Part VIII presents what happens to the significant others who remain behind after the suicidal death, and a study of the lives of the survivors of suicide of ninety-three New York City policemen who killed themselves between 1934 and 1940. Is suicide of the terminally ill the same as other suicides? Death with dignity, euthanasia, assisted suicide, planned death are all forms that describe such a death. Part IX examines the right to die and its consideration from the different cultural perspectives of the Netherlands, Germany, and the United States.
Treatment of suicidal people takes three forms: prevention - strategies to avert conditions leading to suicide; intervention - treatment and care during the crisis; and postvention - response after the event has occurred. Unlike other current literature, here the focus is on the state of the art of intervention. This type of examination is essential, because suicidal people themselves are in need of such treatments - crisis intervention, psychotherapy, psychopharmacology and hospitalization. Written by professionals in the field, the Treatment of Suicidal People allows readers to participate in a learning experience. First is a case presentation of an individual - Arthur Inman - and his long road toward suicide, as chronicled in his personal diary. The seond section puts forth guidelines for the evaluation of suicide risk and crisis intervention. A focus on more sustained efforts in psychotherapy is next, a theme which is continued in the fourth part by addressing psychiatric issues that are essential for treatment of highly disturbed and lethal patients. The following section examines a number of clinical and legal issues that transcend any one population of suicidal people, and any particular treatment approach or context. And lastly, the volume returns to Arthur Inman, with case consultations providing alternative perspectives and recommendations on his treatment. Suicide and related forms of self-injurious behaviour can be circumvented, if the involved professionals are sufficiently trained in assessment and prevention.
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