PMID: 9179947May 1, 1995Paper

Clinical evaluation of suicide risk

Psychiatry and Clinical Neurosciences
A A Leenaars

Abstract

Suicide risk assessment may well be the most complex clinical task that mental health professionals face. Tests have shown to be of little use. To confront this complexity, assessment and prediction are best seen as interwoven with understanding suicide, a multi-dimensional malaise. With the essential concepts of lethality and perturbation, a clinical theory of suicide is presented. Intrapsychic aspects (i.e., unbearable psychological pain, cognitive constriction, indirect expressions, inability to adjust, and ego) as well as interpersonal aspects (i.e., interpersonal relations, rejection-aggression, identification-egression), are outlined to aid in assessment. Transference and countertransference issues in assessment are noted. A case illustration to aid in clinical insight is provided. It is concluded that all assessment and prediction of suicide risk ultimately depends on the skill of the clinician.

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Citations

Apr 26, 2002·European Psychiatry : the Journal of the Association of European Psychiatrists·I ModaiA Ponizovsky
Sep 1, 2004·Journal of Clinical Forensic Medicine·A A Leenaars
Jul 26, 2005·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Banwari Lal Meel, Antoon A Leenaars
May 27, 2006·Journal of Psychiatric Research·Steven MeeWilliam E Bunney
Jan 9, 2013·Psychotherapy and Psychosomatics·Eliana Tossani
Sep 12, 2017·Suicide & Life-threatening Behavior·Bryann B DeBeerSandra B Morissette

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