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An evidence‐based approach to evaluating and managing suicidal emergencies
Author(s) -
Kleespies Phillip M.,
Dettmer Elizabeth L.
Publication year - 2000
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/1097-4679(200009)56:9<1109::aid-jclp2>3.0.co;2-c
Subject(s) - psychology , medical diagnosis , suicide prevention , risk management , human factors and ergonomics , poison control , injury prevention , suicide risk , empirical research , medical emergency , applied psychology , risk analysis (engineering) , medicine , philosophy , management , epistemology , pathology , economics
This article presents a framework for making suicide risk estimations, as well as recommendations for the management of suicidal emergencies, that are useful to the practitioner. It provides a review of existing empirical data concerning factors significantly related to acute suicidal behaviors within high‐risk diagnoses. Findings across studies are categorized into risk profiles (as proposed by Clark & Fawcett, 1992) that are meant to aid the clinician in the application of recent research. The profiles are intended as templates in development and clearly require continual updating and clarification as new studies are completed. The article then addresses related management issues such as the importance of viewing risk factors within a comprehensive suicide assessment and the impact of possible negative therapist reactions when working with high‐risk patients. © 2000 John Wiley & Sons, Inc. J Clin Psychol 56: 1109–1130, 2000.