Treatment of Suicidal Patients

Treatment of Suicidal Patients

To the Editor: Hirschfeld and Russell's algorithm for treating suicidal patients (Sept. 25 issue) 1 does not emphasize the fundamental importance of psychodynamic formulation and brief psychotherapy in clarifying and managing a suicidal crisis. Although major depression, alcohol abuse, and othe...

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Veröffentlicht in:The New England journal of medicine 1998-01, Vol.338 (4), p.261-262
1. Verfasser: Bostwick, J M
Format: Artikel
Sprache:eng
Schlagworte:
Algorithms
Depressive Disorder - therapy
Humans
Interpersonal Relations
Suicide - prevention & control
Suicide - psychology
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container_title The New England journal of medicine
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creator Bostwick, J M
description To the Editor: Hirschfeld and Russell's algorithm for treating suicidal patients (Sept. 25 issue) 1 does not emphasize the fundamental importance of psychodynamic formulation and brief psychotherapy in clarifying and managing a suicidal crisis. Although major depression, alcohol abuse, and other psychiatric conditions have been shown to figure prominently in suicidal states, recent blows to self-esteem or disruptions of key relationships may explain why a particular patient presents in crisis at a specific time. 2 Moreover, some patients, particularly those with certain personality disorders, may be so sensitive to losses that the resulting reactive depressive states may prove no less deadly than . . .
doi_str_mv 10.1056/NEJM199801223380412
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subjects Algorithms
Depressive Disorder - therapy
Humans
Interpersonal Relations
Suicide - prevention & control
Suicide - psychology
title Treatment of Suicidal Patients
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