Suicide prevention

How can good pharmacotherapists be found First, check with experienced and respected colleagues, take note of which pharmacotherapists are referring patients to you, attend local educational meetings with psychiatrists, or, if there is a medical school nearby, attend the psychiatry department s grand rounds. Local patient advocacy and support groups, such as the Depression and Bipolar Support Alliance (DBSA), the National Alliance for the Mentally HI (NAMI), the American Foundation for Suicide Prevention (AFSP), and the Anxiety Disorders Association of America (ADAA), are valuable sources of information from the patient s perspective. 

Meltzer, H.Y., Alphs, L., Green, A.I., et al. Clozapine treatment for suicidality in schizophrenia International Suicide Prevention Trial flhterSePT). Arch. Gen. Psychiatry 60(1), 82-91, 2003. 

Montagnon F, Said S, Lepine JP. Lithium poisonings and suicide prevention. Eur Psychiatry 2002 17(2) 92-5. 

Bipolar disorder is a lifetime condition, and accordingly, treatment must be given for the duration of the patient s life. The purpose of maintenance treatment includes full and partial breakthrough episode relapse prevention, suicide prevention, mood stability, and improved functioning. In particular, low-grade symptoms, like mild to moderate depressive symptoms and unpredictable mood fluctuations, can have noticeable effects on functioning. 

Gunnell, D., Ho, D., and Murray, V. 2004. Medical management of deliberate drug overdose A neglected area for suicide prevention Emergency Medicine Journal 21 35-38. 

Well before the corpse becomes a vehicle for poisons, it becomes the play s central focus and object of desire. This desire takes on an explicitly oral vocabulary after the Lady s death, even Govianus, her upright and virtuous lover, describes her as a delicious treasure of mankind (Ill.i.zqq), and tells her corpse I will kiss thee, I After death s marble lip (III.i.Z48-5i). This implicit eroticization of the corpse becomes more insistent with the Tyrant s even bolder approach to the tomb. Death nor the marble prison my love sleeps in I Shall keep her body locked up from mine arms, he proclaims I must not be so cozened (IV.ii. 48 ). In fact, far from cozening, death seems to facilitate the Tyrant s lust. In a figurative version of the rape that the Lady s willful chastity and subsequent suicide prevented him from accomplishing, he breaks into her tomb and robs it of her body. Unlike the Lady, moreover, the stone can be interpreted as a willing, even desirous, recipient of the Tyrant s affections The monument woos me, he muses I must run and kiss it (IV.iii.9). 

Suicide prevention efforts stress the importance of all school personnel becoming familiar with risk factors and precipitants (Kalafat and Lazarus, 2002). Kalafat and Lazarus also stress the promotion of protective factors, such as contact with caring adults and a sense of connection with school or community, as an important component of suicide prevention. Suicide prevention efforts can be implemented within whole-class curriculum involving social skills and problem solving. 

Kalafat and Lazarus. (2002). Suicide prevention in schools. In Best Practices in School Crisis Prevention and Intervention, edited by S. E. Brock, P. J. Lazarus, and S. R. Jimerson, 211-223. NASP Publications, Bethesda, MD. 

Crisis intervention and emergency assistance (e.g., psychological first aid and follow-up suicide prevention emergency services, such as food, clothing, transportation)... 

The recommendations of the National Strategy for Suicide Prevention were developed independently from the recommendations of the conference report on children s mental health, yet the two sets of recommendations are highly consistent with each other. The recommendations for strategies to decrease suicide rates represent concrete examples of how the more general recommendations of the conference report on children s mental health can be operationalized. Training of school personnel, use of evidence-based programs, and enhancing access to... 

U.S. Public Health Service (2001). National strategy for suicide prevention Goals and objectives for action. Rockville, MD U.S. Department of Health and Human Services. 

Quinn, T. (1999). Helping troubled youth The Columbia teen screen suicide prevention program. New York, NY Columbia University and the New York State Psychiatric Institute. 

National Strategy for Suicide Prevention (2001). Goals and objectives for action, SMAOl-3517, www.mentalhealth.org/suicideprevention,... 

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