DBT, developed by Marsha Linehan, PhD, as a team-based intervention for chronically suicidal
patients with borderline personality disorder, is aimed at getting patients to focus on changing their behaviors so that they are able to meet their long-term goals.
DBT was developed to treat chronically suicidal
individuals diagnosed with borderline personality disorder and is regarded as a leading psychological treatment for this population.
Interpersonal outcome of cognitive behavioural treatment for chronically suicidal
Further, these comments loop back to the first theme in that avoiding the discussion also served to lessen the anxiety, especially with clients who were chronically suicidal
or did not appear to be at high risk based on other markers that came out in the interview.
Psychiatrists might even attempt to avoid treating such rational but chronically suicidal
patients in an effort to avoid this choice.
Half in love with death; managing the chronically suicidal patient.
Paris (psychiatry, McGill U., Canada) offers advice to clinicians on treating chronically suicidal patients, as opposed to patients with episodes of depression lasting a few months, about which many books are written.
All subjects, except for those who perceived the deceased as chronically suicidal (n = 7, or 20%), reported experiencing tremendous cognitive dissonance.
Subjects (n = 7) who had perceived the victim as chronically suicidal and thought that a suicide was probably inevitable seemed to experience less disruption in their lives.
The clinical records of a random sample of 20% (n=29) of these patients were obtained in order to determine the (a) follow-up action taken by the patient's primary clinician; (b) incidence of false positive findings (i.e., patients who were identified as having active suicidal ideation who upon interview were determined to be subacute); (c) incidence of patients scoring in the "severe" range who were chronically suicidal without a documented history of attempts; and (d) incidence of patients scoring in the "severe" range who had documented histories of previous suicidal gesturing.
However, a significant collateral finding is that all of the patients falling into this category were identified by interview as being chronically suicidal. Thus it was determined by chart review that 100% of patients studied who were identified by the SPS as having potentially lethal levels of suicidal ideation were subsequently identified as being imminently suicidal or manifesting nonlethal chronic suicidal ruminations.
Though she was chronically suicidal
, her current visit was triggered by a tax audit, which led her to view herself as an unwanted burden on society.