Advances in crisis management of the suicidal patient: Perspectives from patients

Bergmans, Yvonne; Brown, Adrienne L.; Carruthers, Anne

doi:10.1007/s11920-007-0013-y

Cited by 9 publications

(9 citation statements)

References 18 publications

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Section: National Suicide Prevention Strategy Documents: Commonalitiementioning

confidence: 54%

“…These authors further purport that DBT is the only psychosocial treatment shown in multiple randomized clinical trials to be effective for BPD and suggest that DBT may be uniquely effective in treating suicidal individuals. Interestingly, very similar findings can be located in the encouraging and robust work emanating from St. Michael's Hospital and/or University of Toronto (see Bergmans & Links 2002;Bergmans et al 2007). Focusing on a population of people diagnosed with a BPD who had made recurrent suicide attempts, these researchers enlisted 147 individuals in a 20 week group intervention aimed at de-escalating the individuals' emotional (psychache) crisis and providing the population with an enhanced ability to identify and/or express their distressing emotions (given that these individuals all had high alexithymia scores).…”

Section: Development and Promotion Of Effective Clinical And Professimentioning

confidence: 55%

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Never the twain? Reconciling national suicide prevention strategies with the practice, educational, and policy needs of mental health nurses (Part one)

Cutcliffe

Stevenson

2008

Int J Mental Health Nurs

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Suicide remains as a distinct global public health problem, and the reduction of rates continues to be a major concern of the governments of many countries; this has given rise to the creation of national suicide prevention strategies. As with any other mental health-related policy document, it behoves mental health nurses to juxtapose these against the realities of their practice and educational needs. To this end, this two part paper draws on national suicide prevention strategy policy directions that appear to speak directly to the practice and/or educational needs of mental health nurses and critiques these. The direction indicating more training in risk assessment is perhaps questionable given that this is already by far the most developed area of the suicidology-focused literature and that our increased knowledge has risk factors that have not so far produced widespread reductions in suicide rates. Furthermore, this additional attention, at least in part, reflects the clear move towards more coercion and control in international mental health policy. The direction indicating that practitioners should use evidence-based interventions to prevent suicide is laudable although difficult to reconcile with practice realities given that there is currently a distinct lack of evidence-based interventions for working with people who are suicidal. As a result, this paper offers some suggested amendments to the national suicide prevention strategies, and the second part of this paper focuses on three more policy directions.

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Section: National Suicide Prevention Strategy Documents: Commonalitiementioning

confidence: 54%

Section: Development and Promotion Of Effective Clinical And Professimentioning

confidence: 55%

Never the twain? Reconciling national suicide prevention strategies with the practice, educational, and policy needs of mental health nurses (Part one)

Cutcliffe

Stevenson

2008

Int J Mental Health Nurs

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“…Training in DBT (see Linehan 2007) and the approach that focuses on de-escalating an individuals' emotional (psychache) crisis and providing the person with an enhanced ability to identify and/or express their distressing emotions (Bergmans & Links 2002;Bergmans et al 2007) have been covered previously. Therefore, the authors will concentrate on the approach that focuses on engagement, inspiring hope, and reconnecting the person with humanity.…”

Section: Improving Observations and Tightening Up Policiesmentioning

confidence: 99%

“…Training in DBT (see Linehan 2007) and the approach that focuses on de‐escalating an individuals' emotional (psychache) crisis and providing the person with an enhanced ability to identify and/or express their distressing emotions (Bergmans & Links 2002; Bergmans et al . 2007) have been covered previously.…”

Section: Introductionmentioning

confidence: 99%

Never the twain? Reconciling national suicide prevention strategies with the practice, educational, and policy needs of mental health nurses (Part two)

Cutcliffe

Stevenson

2008

Int J Mental Health Nurs

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Suicide remains as a distinct global public health problem and the reduction of rates continues to be a major concern of the governments of many countries. This two-part paper focuses on national suicide prevention strategies; it highlights common policy directions that appear to speak directly to the practice and/or educational needs of mental health (MH) nurses and juxtaposes these against the realities of their practice and educational needs. Part one focused on two of these policy directions, whereas part two concentrates on the following policy directions: (iii) initiatives to reduce access to lethal means; (iv) improve surveillance systems; and (v) training for caregivers to improve delivery of effective treatments. The paper argues that while being mindful of the physical environment and its associated access to means, the national suicide prevention policy literature should consider reflecting that this should be an adjunct to the more central aspects of MH nursing care of people who are suicidal. Further, it is argued that the suicide policy literature should consider replacing 'improving surveillance systems' with 'improving the ability and capacity of MH nurses to engage with people who are suicidal'. Lastly, the paper asserts that the suicide policy literature might consider refining the policy direction on additional training to indicate the need for additional post-graduate (post-basic) education and training in care of the person with suicidal tendencies, which includes dialectical behavioural therapy; the work emanating from the University of Toronto; and the skills, attitudes, and knowledge perhaps captured with the terms, engagement, co-presencing, and inspiring hope.

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“…Discourses underpinning the desire for predictability and control also give rise to contradictory pulls within the professional, such as competing beliefs about the person"s value as an individual (Joyce et al, 2007) and deservedness of care (Bergmans et al, 2007), which can serve to reinforce young men"s sense of difference and powerlessness.…”

Section: Enacting a New Worthy Identitymentioning

confidence: 99%

Researching Interpersonal Relationships: Qualitative Methods, Studies, and Analysis

Manning¹,

Kunkel²

2014

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Advances in crisis management of the suicidal patient: Perspectives from patients

Abstract: This paper discusses crisis intervention with the suicidal client from the perspective of two clients who discuss both the strengths and challenges they have encountered while in crisis. The paper then discusses a model for understanding a suicidal crisis and a template for intervention.

Cited by 9 publications

References 18 publications

Never the twain? Reconciling national suicide prevention strategies with the practice, educational, and policy needs of mental health nurses (Part one)

Never the twain? Reconciling national suicide prevention strategies with the practice, educational, and policy needs of mental health nurses (Part one)

Never the twain? Reconciling national suicide prevention strategies with the practice, educational, and policy needs of mental health nurses (Part two)

Researching Interpersonal Relationships: Qualitative Methods, Studies, and Analysis

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