Showing posts with label suicide. Show all posts
Showing posts with label suicide. Show all posts

Monday, June 25, 2012

The Practical Art of Suicide Assessment: A Guide for Mental Health Professionals and Substance Abuse Counselors Review

The Practical Art of Suicide Assessment: A Guide for Mental Health Professionals and Substance Abuse Counselors
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Shawn Shea's The Practical Art of Suicide Assessment: A Guide for Mental Health Professionals and Substance Abuse Counselors is one of the most valuable professional texts I have read in the past decade. The book combines scholarship, practical guidelines and a literary quality that renders it a truly exceptional book in the field. I found the case examples used to illustrate clinical problems invaluable; these vignettes bring the theoretical material "alive" in a way that encourages clinicians from various disciplines and theoretical orientations to meaningfully incorporate the concepts. Shea elucidates such critical issues as risk factors and risk predictors in such a way as to make constructs that are often reifed once again meaningful. As part of my professional responsibilities, I am responsible for training/teaching mental health emergency clinicians aspects of clinical interviewing and suicide assessment. I have incorporated many of the principles in this book into these trainings. The CASE approach to suicidal assessment is perhaps the best approach to this complex task that I have found. The discussion on "contracting for safety/no suicide contracts" is relevant, congruent with current ethical and legal principles, and reflects the difficult reality of working with suicidal patients. I regularly recommend both this book and Shea's book on psychiatric interviewing to participants in the workshops.
In summary, I highly recommend this text for clinicians from all disciplines and at all phases of professional development. It is a rich text, full of clinical wisdom and scholarship, that both the novice and the seasoned clinician will find themselves reaching for repeatedly. Perhaps the best assessment of the book is the fact that I've tried to keep it on my bookshelf, but it keeps getting borrowed by my colleagues. I've resolved the problem by keeping a separate copy at home. THAT constitutes a valuable book!

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Penned with a compelling elegance and charm, the "Practical Art of Suicide Assessment" is brimming with clinical wisdom, enlightening case illustrations and a vibrant sense of compassion. Viewed as one of the classics in the field of mental health, and acclaimed by both beginning students and experienced clinicians alike, it describes in a step-by-step fashion exactly how to make a sound suicide assessment. Dr. Shea explores the causes of suicidal ideation as well as the nuances of risk actors, protective factors, and the complexities of the clinical formulation of risk. He skillfully integrates all of this information for the reader by using real-life case examples and addressing daunting clinical challenges head-on such as assessing suicide risk with clients coping with borderline personality disorder or psychotic process.In addition Dr. Shea brings to life the highly acclaimed interview strategy for uncovering suicidal ideation, planning, behavior and intent the "Chronological Assessment of Suicide Events (CASE Approach)". Dr. Shea, the originator of the CASE Approach, shows exactly how to creatively and flexibly use its innovative interviewing techniques to match the unique needs of every client. The CASE Approach has been described by the noted suicidologist and past President of the American Association of Suicidology, David Jobes, Ph.D. as follows: "The CASE Approach moves the clinician almost imperceptibly into the secret internal workings of the mind and soul of the patient tormented by suicidal ideation. I believe that the CASE Approach is a remarkable conceptual and clinical contribution to the field of suicidology. It should be taught to any front-line clinician. It has the power to meaningfully save lives." Dr. Shea concludes the book with a no-nonsense approach to documenting a suicide risk assessment that can both help to save a client's life as well as keep the clinician out of court. Respected across the globe, the Practical Art of Suicide Assessment has been translated into languages as diverse as French and Japanese. Mental Health Presses is pleased to re-issue this classic in contemporary suicide prevention (originally published in 2002).

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Thursday, December 8, 2011

Autopsy of a Suicidal Mind Review

Autopsy of a Suicidal Mind
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Edwin Shneidman, one of the keenest minds on suicide, offers an outstanding "autopsy" of a suicidal mind, Arthur, a miserable physician-attorney. Arthur, it seems, had a knack for having to be perfect and for communicating his pain in letters. Given his suicide letter (and many drafts that preceded it), Shneidman and a team of suicidologists interview several people who knew Arthur well (they thought) to try to figure out just why Arthur chose death over life.
The book is outstanding. It is hard to stop reading as each expert and interviewee offers his or her own unique views of Arthur's life and death. Unfortunately, if you're looking for one correct answer, it's not in this book. Shneidman does an excellent job of showing how ultimately all psychological questions can be answered with just two words: "It depends!" Depending upon your own perspective, you could argue convincingly that Arthur kills himself because he was, for example, mildly autistic (and untreated), clinically depressed (and inappropriately treated), selfish and narcissistic (attention seeking), controlling and dominant (had to have the last word through his own death), or traumatized as a child by rigid, unloving parents that divorced young.
Overall, if you want to see first hand how some of the premier suicidologists in the world can honestly, yet amicably, disagree, check this excellent, quick read text. It won't give you the answers, but it sure will help you understand better that suicide and psychological health are complex matters that we may never truly understand.

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Autopsy of a Suicidal Mind is a uniquely intensive psychological analysis of a suicidal mind. In this poignant scientific study, Edwin S. Shneidman, a founder of the field of suicidology, assembles an extraordinary cast of eight renowned experts to analyze the suicidal materials, including a ten-page suicide note, given to him by a distraught mother looking for insights into her son's tragic death. The psychological autopsy centers on the interviews conducted by Shneidman with Arthur's mother, father, brother, sister, best friend, ex-wife, girlfriend, psychotherapist, and attending physician.To gain some understanding of this man's intense psychological pain and to examine what may have been done to save his tortured life, Shneidman approached the top suicide experts in the country to analyze the note and interviews: Morton Silverman, Robert E. Litman, Jerome Motto, Norman L. Farberow, John T. Maltsberger, Ronald Maris, David Rudd, and Avery D. Weisman. Each of the eight experts offers a unique perspective on Arthur's tragic fate, and the sum of their conclusions constitutes an extraordinary psychological autopsy.This book is the first of its kind and a remarkable contribution to the study of suicide. Mental health professionals, students of human nature, and persons whose lives have been touched by this merciless topic will be mesmerized and enlightened by this unique volume. An epistemological tour de force, it will speak to anyone who is concerned with human self-destruction.

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