The current suicide public health crisis and advances in clinical practice have increased the need for clear, evidence-informed guidance on suicide prevention in healthcare. This clinical suicide prevention handbook is an essential resource for mental health and primary care professionals, and any practitioner aiming to ensure their practice is up-to-date, patient-centred and consistent with the most current standards of care. Starting with a summary of the science and public health model of suicide, the book offers quick tips for suicide screening, risk assessment, interventions, and follow-up communication. It discusses medicolegal risk management, how health systems can prevent suicide and provides highly specialized guidance for clinicians following the loss of a patient to suicide. Focused sections include incorporating social media into care plans, telemedicine, issues related to culture and race/ethnicity, and working with specific populations. It introduces an integrated, prevention-oriented approach to suicide prevention, incorporating realistic supports, foreseeable changes, and strategies.
• Provides clear and useful steps, with essential background information, that emphasise actionable steps and clear take-away points, allowing readers to find practical guidance quickly during the clinical care of patients
• Tackles a very timely subject matter, with the topic of suicide prevention gaining momentum in both mainstream culture and the clinical world, and includes personal accounts voiced by people with Lived Experience of Suicide (suicide loss and attempt survivors)
• Covers the most recent accreditation requirements regarding new standards, supporting training efforts in health systems and providing a framework for other current changes such as the Zero Suicide movement in healthcare
Reviews & endorsements
‘I thank the authors for this marvellous and much needed addition to my library. From the opening paragraphs, I was hooked and read the entirety of the handbook, word-for-word, learning something new and clinically applicable from each chapter. It is comprehensive in its scope, beautifully written and up-to-date and will remain on my work desk for use as an authoritative reference guide as challenging situations arise. Most chapters provide key points up front, summarize pertinent data, illustrate text with beautiful figures and case examples and close with clinical pearls and pertinent references. I recommend this handbook for all graduate level trainees and mental health clinicians who treat patients with serious mental illness. If a resident in psychiatry asks for the one must-read book or reference on suicide prevention, this will be it.’ Sidney Zisook, Director, Residency Training Program, and Distinguished Professor of Psychiatry, University of California, San Diego
‘Suicide takes an enormous toll on society, communities, families, and individuals and is complex with myriad factors contributing in disparate ways. Progress in reducing suicide-related morbidity and mortality will require collaboration and a concerted effort by researchers and clinicians of multiple disciplines, public health and policy professionals, lay people, and those with lived experience. Suicide Prevention by Moutier, Pisani, and Stahl is an excellent foundation for that effort because not only is the book thorough and authoritative, but accessible to all. Its creative use of graphics, clinical vignettes, and well referenced text are the tools of great teachers. And we have much to learn!’ Yeates Conwell, Professor and Vice Chair of Psychiatry, Director, Office for Aging Research and Health Services, and Co-Director, Center for the Study and Prevention of Suicide, University of Rochester Medical Center, Rochester, New York
Table of Contents
Part I. Suicide Prevention Overview:
1. Translating Science into Action
2. Dispelling Myths
3. Public Health Model of Suicide
4. Understanding Why: Drivers of Suicide Risk
Part II. Clinical Risk Assessment and Care:
5. Collaborative Connections
6. Prevention Oriented Suicide Risk Assessment
7. Responding to Suicide Risk
8. Extending Care Beyond the Individual
9 .Use of Medications in Suicide Prevention
10. Suicide Prevention in Healthcare Systems
Part III. Special Topics: Medicolegal Considerations and Specific Populations:
11. Medicolegal Risk Management
12.The Role of Culture and Societal Factors
13. Youth and Adolescents
14. Military and Veterans
15. Older Adults
16. LGBT Populations
17. Suicide Loss Survivors.
About the Authors:
Christine Moutier, American Foundation for Suicide Prevention, New York. Christine Moutier is Chief Medical Officer at the American Foundation for Suicide Prevention and an international leader in the field of suicide prevention.
Anthony Pisani, University of Rochester, New York. Anthony Pisani is Associate Professor of Psychiatry and Pediatrics at the University of Rochester in New York, and founder of SafeSide Prevention, which partners with States and local healthcare organizations to engage, educate, and support their workforce in suicide prevention.
Stephen M. Stahl, University of California, San Diego. Stephen M. Stahl is Adjunct Professor of Psychiatry at the University of California, San Diego, Clinical Professor of Psychiatry and Neuroscience at the University of California, Riverside, and Honorary Visiting Senior Fellow in Psychiatry at the University of Cambridge.