What Is The Critique Of Beck Scale For Suicide

This week clinical I felt better prepared than I did with my first week. I was able to focus a lot more on interpersonal skills and develop therapeutic relationship with my patients. In terms of Mental Status Examination (MSE), this assessment provided me with a helpful base of information from which to observe changes, progress, and monitor risks. Especially, suicide risk assessment is a gateway to patient treatment and management. The purpose of suicide risk assessment is to identify treatable and modifiable risks and protective factors that inform the patient’s treatment and safety management requirements. I got insight into how important it is to document suicide risk assessments with sufficient information. Documentation of suicide risk assessments facilitates continuity of care and promotes communication between staff members across changing shifts. It is easy for suicidal patients to “fall through the cracks” of a busy psychiatric unit that has rapid patient turnover of admissions and discharges, and mostly during shift change. Asking question such as “What is your view of the future?” or “Do you think things will get better or worse?” helped me to elicit important information regarding patients suicidal ideation. Additionally, how my patients expressed their hope about the future assisted me to identify, prioritize, and integrate risk and protective factors into an overall assessment of the patient’s suicide risk and include in MSE.

Critical appraisal of the article A Tool for the Culturally Competent Assessment of Suicide: The Cultural Assessment of Risk for Suicide (CARS) Measure

The RFL-YA is composed of 32 items that are constructed to assess reasons young adults give for not engaging in suicide-related behaviors (i.e., reasons for living). Each item is rated on a six-point scale ranging from 1 (not at all important) to 6 (extremely important). Responses on the items are averaged to obtain a total scale score; higher scores are indicative of stronger reasons for living. Estimates of internal consistency and concurrent validity of the total RFL-YA and the five subscales are satisfactory. The scale had good reliability and predictive validity, distinguishing between suicidal ideators from suicide attempters.

There are not many people who are willing to dig deeper into understanding why a person attempts or thinks about committing suicide. There may be even fewer people who want to understand what is going on in that person’s brain as well, but Alexandre Dombrovski sought out to find and understand what goes on in a person’s brain who attempts and thinks about committing suicide. In the article, “Cognitive Performance in Suicidal Depressed Elderly: Preliminary Report” written by Alexandre Dombrovski, he studied depressed elderly patients who have had both suicidal attempts and thoughts in order to see if there is a difference in their cognitive functioning’s. To find the results of his study Dombrovski examined and tested 64 different patients who

Great queries, in response to your first question of how to assess suicidal ideation. If a client presents the following warning signs, threatening to hurt or kill self, looking for ways to kill self; seeking access to pills, weapons or other means, and talking or writing about death, dying or suicide. The second inquiry, information gather through questions, such as are you feeling hopeless about the present/future? If yes, have you had thoughts about taking your life? If yes, when did you have these thoughts, and do you have a plan to take your life? Have you ever had a suicide attempt? This procedure can be performed through the Columbia-Suicide Severity Rating Scale (Posner et al., 2008), or IS PATH WARM (Argosy, 2015) both

Clinicians take many factors into account when trying to predict a patient’s probability of committing suicide. These include but are not limited to substance abuse, family history of suicide, previous suicide attempts and hopelessness. In particular hopelessness has emerged as one of the strongest predictors of suicidal intent. Patients rated on the Hopelessness Scale (HS) are given a score out of 20, this score reflects the potential for committing suicide, (0-3 none) (4-8 mild) (9-14 moderate, may not be in danger but needs regular monitoring) (15-20 severe, definite risk of suicide). In the article, Hopelessness and Eventual Suicide: A 10-year prospective study of patients hospitalized with suicidal ideation, Beck et al. followed up on

The BHS has been used in conjunction with several other assessments in several different research settings, and its outcomes have been repeatedly correlated with related results on other measurements. This lends to its use in clinical research and diagnosis, as it is both convenient and accurate in prediction. A weakness of the BHS lies in its ability to measure different factors of hopelessness. Findings by researchers such as Young et al. (1992) and Hanna et al. (2011) find that the BHS is a one-factor model scale, while other findings by researchers such as Pompili et al. (2007) indicate that the BHS is a two-factor model. This inconsistency among research is even more problematic when the fact that the BHS is actually supposed to be a three-factor model is taken into consideration. While the Beck Hopelessness Scale seems accurate and reliable in measuring hopelessness in general, there is much disagreement on how well or even whether or not it can measure different factors within hopelessness. Because it’s such a short, simple test and it consistently has strong parallels with other clinical assessments, I feel that the BHS is incredibly practical and technical. It’s easy to administer and score, its brevity eliminates chances of fatigue for the test-taker (and therefore produces results higher in validity), and it consistently yields scores that may indicate whether or not a person is at risk for suicide. The use

Suicide is a major, preventable current public health issue in the United States. In 2007, it was the tenth leading cause of death in our country, with the number of suicides reaching 34,598. Additionally, it is widely agreed upon that approximately eleven attempted suicides occur for every one successful suicide attempt (National Institute of Mental Health). There is a negative stigma surrounding suicidal and self-harming behaviors that discourages people from talking about suicide or seeking help. Suicidal behaviors are difficult to define, but for the purpose of research we refer to suicidal behaviors exclusively as “any self-initiated and deliberate ideations, communications, or actions that have potentially

The mean d/s-IAT score (d score) was 0.4612 with a SD of 0.347 and a range of 2.24. The mean score for Life Attitudes were 4.39 with a SD of 1.268 and a range of 5. There was a small, positive, non-significant correlation between d/s-IAT scores and suicide attempts (r = 0.3). The relationship between the SITBI (risk factor) and suicide attempts in lifetime, held a medium, positive and significant correlation (r = 0.6). Finally, for the relationship between the second explicit measure, rfl-I (protective factor), a medium, negative, significant correlation was found (r = -0.6). Three hundred and twenty nine (63%) participants said they thought about suicide at least once in the past year where 7. 3% admitted to having it occur almost daily. A large portion of the sample group (363 participants or 69.9%) had never attempted suicide in their lifetime, and the remaining participants had attempted suicide up at least once and up to five or more times in their

The inclusion criteria for participants in the DBT group were based on 2 criteria. First, they must have had a suicide attempt in the last 16 weeks (as measured by clinical interview) or current suicidal ideation (as measured by the Harkavy-Asnis Suicide Survey). Second, they must have a diagnosis of borderline personality disorder or a minimum of three borderline personality features (as measured by the SCID-II). Participants who met both criteria and were deemed to need treatment the most were assigned to the DBT group.

The purpose of this research is to identify the relationship between teenagers with Borderline Personality Disorder who engage in non-suicidal self-injury, and teenagers with Borderline Personality Disorder who achieve suicide. The method this project will use is a simple questionnaire that asks patients four questions about their suicidal tendencies upon arrival at the doctor’s office. Through this research, doctors and psychiatrists will learn how to map trends of patients with BPD and their suicidal tendencies. They will gain knowledge on a very new disorder and will help future patients with

The study was interesting information on suicide behavior and how it remains an issue among citizens of the United States. According to the “National Institute of Mental Health (NIMH) (2007), it was the tenth leading cause of death, approximately 11.3 suicide deaths per 100,000 people in a single year in 2007, with 11 attempted suicides per death. In the first few months following hospital discharge, even within the first week, inpatients are drastically more likely to re-attempt suicide. The adjusted risk ratio for completed suicide within the first week following inpatient discharge is a 102-fold and 246-fold increase for men and women, respectively, compared to those who have never been hospitalized.” (NIMH, 2007) (Zeng, R. et al., 2015)

Death is inescapable; it is a natural process of the human race. While this is true, suicide is less understood, despite its frequent occurrence throughout history, in all cultures (Kastenbaum, 2007; Khan & Mian, 2010; Lester, 2013). Although there is no single, universally accepted definition of suicide, the definition offered by many leading organizations including, the World Health Organization (2015); American Psychological Association (2015); and Ministry of Health (2005, 2015), is that suicide is the act of purposely killing oneself. However, this is not the only definition of suicide found in the literature, Silverman (2006) reported that there are as many as 15 frequently referenced definitions of suicide. Although these definitions vary based on their theoretical orientations, which stem from numerous disciplines, such as psychology, psychiatry, sociology, public health and others, they share four essential characteristics. These include: (1) the outcome of the suicidal act is death; (2) the act is self-inflicted; (3) the intent of the act is to end one’s life; and (4) at the time of the act, the person possesses a conscious awareness of the outcome (Silverman, 2006). Part one of the literature review will highlight the importance of suicide. The following themes will be discussed: issues with suicide statistics and reasons for under-reporting, global suicide statistics, New Zealand suicide statistics, evidence-based suicide risk factors (static and dynamic risk

Asses for suicidal thoughts or behaviors Rational: can cause even in individuals without history of

Certain factors will attribute to one’s risk of becoming suicidal. With each additional factor an individual becomes more at risk. The most common suicide risk factors include: depression, substance abuse, a personal or family history of suicide attempts, sexual orientation, stressful life events, and both physical and sexual abuse (Aldrich & Cerel, 2009). In addition, particular populations have proven to be at greater risk, such as, adolescents and young adults, elderly, those in high stress professions, people living alone or in select regions, and family members of suicide loss face a risk which twice as high as the general population (Draper et al., 2015). Other research studies have identified other at-risk populations, such as, individuals with psychiatric disorders, those with physical disorders, especially conditions associated with chronic pain, and patients with traumatic brain injuries (Suicide Risk Assessment Guide, n.d.).