I love the title of J. Christopher Fowler’s article that was published in the current issue (vol 49, issue 1) of Psychotherapy, “Suicide Risk Assessment in Clinical Practice: Pragmatic Guidelines for Imperfect Assessments.” This practice review is thorough and wise. Fowler strikes just the balance between encouraging completeness and responsibility, and acknowledging the limits inherent in [...]
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Thorough and practical article about means-restriction counseling (finally!)
November 11, 2011
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I am a huge fan of Craig Bryan. He, Sharon Stone, and David Rudd (another person whose work I really admire) have just published an article titled, “A Practical, Evidence-Based Approach for Means-Restriction Counseling With Suicidal Patients.” I know I will be recommending this article a lot. Questions about means restriction come up just about [...]
Read moreWarning: Non-family Tx may be hazardous to your (family’s) health
October 12, 2007
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A clever article in the September 2007 issue of the Journal of Family Psychology by Jose Szapocznik and Guillermo Prado suggests that “psychosocial treatments with vulnerable populations have the potential to produce negative side effects on families.” The authors reported unexpected findings from three separate studies that compared the efficacy of a family and non-family [...]
Read moreNice article on risk assessment
September 28, 2007
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A colleague pointed me to a nice article on suicide risk assessment written by David J. Muzina, MD in the September issue of Current Psychiatry Online. The article is well-written and well-organized. The stepwise approach described can be quite helpful. I wish the article included more on documentation (there is only one sample note, and I’m not [...]
Read moreThoughts about SAD PERSONS Screen
August 27, 2007
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I’ve gotten a few questions from colleagues and trainees lately about using the SADPERSONS screen. Most recently, a colleague pointed me to an article in Psychiatric Times titled, “APA: Simple Screen Improves Suicide Risk Assessment.” The topic seems worthy of a post to think through both the appeal and risks of the SADPERSONS scale. For [...]
Read morePossible implications of findings re: visual memory
August 27, 2007
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Readers of this blog know that I am interested in mindmapping and other visual presentation strategies as tools for training clinicians in suicide risk assessment (see related posts listed below). In a previous post marked “needs development” I noted: Really, there is a “basic science” set of questions about learning and the clinician mind that [...]
Read moreGenetic Variations May Predispose Some Men To Suicidal Thoughts During Treatment For Depression
June 12, 2007
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Genetic Variations May Predispose Some Men To Suicidal Thoughts During Treatment For Depression Researchers at Harvard/Mass General have contributed some interesting data to the conversation about suicidality and antidepressant treatment. Roy Perlis and colleagues examined available DNA info on patients who had new onset suicidal thoughts after starting drug therapy, and found an interaction effect [...]
Read moreUnintended consequences of antidepressant black box warning?
April 11, 2007
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An article by Charles Nemeroff and colleagues in the Archives of General Psychiatry this month reports reports on the “Impact of Publicity Concerning Pediatric Suicidality Data on Physician Practice Patterns in the United States.” (If you don’t have access to the journal, you can read a report on the article here.) The authors show [...]
Read moreTreatment teams as “Communities of Practice”
April 4, 2007
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Still thinking about the intersection of clinical practice, risk assessment, knowledge management (KM), and Dave Snowden, which I blogged about yesterday. In KM world, what mental health clinicians call a “treatment team” could be considered a Community of Practice. There are many definitions of this term and treatment teams fit some more than others. But [...]
Read moreReflecting on Intersections with Knowledge Management, Dave Snowden, and Singapore’s Risk Assessment and Horizon Scanning System
April 3, 2007
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Warning: This post starts out a bit far afield from clinical work. My ideas about how it ultimately connect back, but they’re still forming, so this is definitely a “put on your seatbelt” kind of post. For some time, I have been following the work and blog of Dave Snowden, founder of Cognitive Edge. Snowden [...]
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