The American Psychiatric Publishing Textbook of Suicide Assessment And Management

689 Pages·2006·6.15 MB·English

by  Robert I. Simon

The American Psychiatric Publishing
Textbook of
Suicide Assessment and
Management
This page intentionally left blank
The American Psychiatric Publishing
Textbook of
Suicide Assessment and
Management
Edited by
Robert I. Simon, M.D.
Robert E. Hales, M.D., M.B.A.
Washington, DC
London, England
Note: The authors have worked to ensure that all information in this book is
accurate at the time of publication and consistent with general psychiatric and
medical standards, and that information concerning drug dosages, schedules,
and routes of administration is accurate at the time of publication and consis-
tent with standards set by the U.S. Food and Drug Administration and the gen-
eral medical community. As medical research and practice continue to advance,
however, therapeutic standards may change. Moreover, specific situations may
require a specific therapeutic response not included in this book. For these rea-
sons and because human and mechanical errors sometimes occur, we recom-
mend that readers follow the advice of physicians directly involved in their care
or the care of a member of their family.
Books published by American Psychiatric Publishing, Inc., represent the views
and opinions of the individual authors and do not necessarily represent the pol-
icies and opinions of APPI or the American Psychiatric Association.
If you would like to buy between 25 and 99 copies of this or any other APPI title,
you are eligible for a 20% discount; please contact APPI Customer Service at ap-
[email protected] or 800-368-5777. If you wish to buy 100 or more copies of the same
title, please email us at [email protected] for a price quote.
Copyright © 2006 American Psychiatric Publishing, Inc.
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
10 09 08 07 06 5 4 3 2 1
First Edition
Typeset in Adobe’s The Mix and Palatino.
American Psychiatric Publishing, Inc.
1000 Wilson Boulevard
Arlington, VA 22209-3901
www.appi.org
Library of Congress Cataloging-in-Publication Data
The American Psychiatric Publishing textbook of suicide assessment and
management / edited by Robert I. Simon, Robert E. Hales.—1st ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 1-58562-213-3 (hardcover : alk. paper)
1. Suicide—Risk factors. 2. Suicidal behavior—Diagnosis. 3. Suicidal
behavior—Treatment. 4. Suicide—Prevention. [DNLM: 1. Suicide—
psychology. 2. Mental Disorders—complications. 3. Risk Assessment—
methods. 4. Suicide—prevention and control. WM 165 A5124 2006]
I. Title: Textbook of suicide assessment and management. II. Title: Suicide
assessment and management. III. Simon, Robert I. IV. Hales, Robert E.
V. American Psychiatric Publishing.
RC569.A74 2006
616.85'8445--dc22
2005032041
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
We dedicate this book to all those who have
committed themselves to saving the lives of
persons struggling with mental illness
This page intentionally left blank
Contents
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xix
Stuart C. Yudofsky, M.D.
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xxvii
Robert I. Simon, M.D.
Robert E. Hales, M.D., M.B.A.
Assessment Principles
1
Suicide Risk: Assessing the Unpredictable . . . . . . . . . . . . . . . 1
Robert I. Simon, M.D.
P A R T I
Special Populations
2
Children and Adolescents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Peter Ash, M.D.
3
The Elderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Yeates Conwell, M.D.
Marnin J. Heisel, Ph.D.
4
Suicide and Gender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Liza H. Gold, M.D.
5
Social, Cultural, and Demographic Factors in Suicide . . .107
Leslie Horton, M.D., Ph.D.
6
Suicide Prevention in Jails and Prisons . . . . . . . . . . . . . . . 139
Jeffrey L. Metzner, M.D.
Lindsay M. Hayes, M.S.
P A R T I I
Suicide Risk Assessment:
Special Issues
7
Cultural Competence in Suicide Risk Assessment . . . . . . 159
Sheila Wendler, M.D.
Daryl Matthews, M.D., Ph.D.
8
Psychological Testing in Suicide Risk Management . . . . 177
Glenn R. Sullivan, Ph.D.
Bruce Bongar, Ph.D., ABPP, FAPM
P A R T I I I
Treatment
9
Psychopharmacological Treatment and
Electroconvulsive Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . 199
H. Florence Kim, M.D.
Lauren B. Marangell, M.D.
Stuart C. Yudofsky, M.D.
10
Psychodynamic Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Glen O. Gabbard, M.D.
Sara E. Allison, M.D.
11
Split Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Donald J. Meyer, M.D.
Robert I. Simon, M.D.
P A R T I V
Major Mental Disorders
12
Depressive Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255
Jan Fawcett, M.D.
13
Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277
Ross J. Baldessarini, M.D.
Maurizio Pompili, M.D.
Leonardo Tondo, M.D.
14
Schizophrenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301
Jong H. Yoon, M.D.
Cameron S. Carter, M.D.
15
Anxiety Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .313
Daphne Simeon, M.D.
Eric Hollander, M.D.
16
Personality Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329
Maria A. Oquendo, M.D.
Juan Jose Carballo, M.D.
Barbara Stanley, Ph.D.
Beth S. Brodsky, Ph.D.
17
Substance-Related Disorders. . . . . . . . . . . . . . . . . . . . . . . . .347
Avram H. Mack, M.D.
Hallie A. Lightdale, M.D.
P A R T V
Treatment Settings
18
Outpatient Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .367
John T. Maltsberger, M.D.