Suicide Prevention An Ethically and

This book offers essential information about assessing, managing, and providing mental health treatment for suicidal adult outpatients.

Suicide is a heartbreaking phenomenon that is the result of innumerable factors embedded in the personal histories and experiences of each patient. Yet despite this complexity, research has uncovered commonalities that can enable mental health practitioners to successfully treat suicidal patients. In this book, author Sam Knapp guides readers through the full process of treating suicidal patients, from screening to relapse prevention, using effective, research-informed interventions. He explains suicidal behavior through ideation‑to‑action theories of suicide, and argues for the application of principle‑based ethics when making treatment decisions. He emphasizes the importance of a strong therapeutic relationship, and respecting patient autonomy as much as possible in such circumstances.

Throughout, Suicide Prevention makes current research on suicide accessible and useful to practicing mental health providers, connecting it with practical approaches and case examples informed by the author’s extensive clinical experience.

Samuel J. Knapp, EdD, ABPP, is a licensed psychologist in Pennsylvania, where he worked in community mental health centers in two rural counties delivering psychotherapy and crisis intervention services. Currently he is the director of professional affairs of the Pennsylvania Psychological Association. He has written or edited 16 books, almost 100 peer-reviewed articles, and almost 500 professional presentations on ethics, suicide prevention, and other issues. He holds a diplomate in counseling psychology from the American Board of Professional Psychology and he is a fellow of the American Psychological Association Division 31 (State, Provincial, and Territorial Psychological Association Affairs). Dr. Knapp lives in Sunnyvale, California.

Acknowledgments
Introduction

1. Facts, Theories, and Perspectives on Suicide
The Public Health Importance of Suicide
Psychotherapists and Suicide
Ideation-to-Action Theories of Suicide
Values That Guide Professional Behavior

2. Screening and Assessment
Defining Screening and Assessment
The Relationship in the Screening and Assessment Process
Screening for Suicide
Assessment Step 1: Asking About Suicide
Assessment Step 2: Identifying Warning Signs
Assessment Step 3: The Topics and Themes Approach
Assessment Step 4 (Optional): Brief Symptom Inventories

3. Interventions Part One: Including Managing Suicide Risk
Levels of Service
Overview of Effective Interventions for Suicidal Patients
Patient Empowerment (Informed Consent)
The Psychotherapeutic Relationship
The Three Ms of Managing Suicide Risk
Other Options for Managing Suicide Risk

4. Interventions Part Two: Suicide-Informed Psychotherapy
Suicide-Related Topics That Arise in Psychotherapy
Addressing Suicide-Related Themes
Religion and Values
Relapse Prevention

5. Professional Liability, Quality Enhancement, and Emotional Competence
Professional Liability
Effective and False Risk-Management Strategies
Ensuring Emotional Competence

Afterword
Appendix A. Patient Self-Report Sheet
Appendix B. Content Areas to Be Covered for Initial Interview and Additional Topics Relevant to Assessing Suicidal Patients
References
Index
About the Author

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Suicide Prevention An Ethically and Scientifically Informed Approach

Summary

Author Biography

Table of Contents

Supplemental Materials