The Rewards of Reducing Risk

Screening, Triage, and Referral of Patients Who Report Suicidal Thought During a Primary Care Visit

“…A positive suicidal-thought screen result clearly identifies a youth at high risk, and it should be followed by a comprehensive behavioral health evaluation. 27 Ideally, this would be done by a colocated social worker during the primary care visit, obviating the need for a referral to a mental health specialist. We believe that outside referral makes assessment and subsequent linkage with intervention less likely than if mental health services were integrated within primary care.…”

Health Risk Behaviors in Parentally Bereaved Youth

“…Age 14 years is a critical period for the initiation of sexual behavior and alcohol consumption, and seatbelt use has been shown to decrease with increasing age 37,38. Intercorrelations of health risk behaviors are recognized as a target for preventive interventions 39. It is also particularly important to address the family history of psychopathologic conditions and symptoms among youth that may suggest a psychiatric disorder, both of which may increase the risk of engaging in multiple health risk behaviors.…”

Restoring psychic containers of identity after a suicide attempt in adolescence

“…However, despite these sometimes lasting fragilities, subtle psychic adjustments can also be observed in the specific context of the adolescent process, and these adjustments can be used by psychotherapists to trigger change. Longitudinal epidemiological studies have highlighted risk factors (Brent, 2004;Wang & Mortensen, 2006) and protection factors (Resnick et al, 1997). However, very few longitudinal studies focus on the observation of unconscious dynamics.…”

“…This card enables the subject to show how his internal and external objects are structured and how he organizes these relationships. fragility in the individual, family, and contextual spheres (Brent, 2004;Laederach, Fischer, Bowen, & Ladame, 1999). In adolescence, narcissistic fragility is closely linked to the revival of oedipal conflict.…”