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John Sommers-Flanagan
Suicide Assessment and Treatment Planning
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Chapter 1
Emotional Preparation
Getting Ready
Practical Realities
Emotional Responses to the Topic of Suicide
Professional Self-Care
Stop Reading
Recognize the Hazards
Intentionally Focus on Positive and Rewarding Life Experiences
Use a Variety of Self-Care Strategies
Wellness Practice 1.1 Three Good Things (or Three Blessings)
Manage Your Environment
Accept Your Distress and Engage in Self-Soothing Behaviors
Practice What You Preach
Examining and Bracketing Attitudes and Beliefs
What Is Ethical Bracketing?
Staying Focused When Strong Emotions Rise Up
Seven Dimensions of Being Human: Where Does It Hurt, and How Can I Help You?
Suicide Treatment Models
The Seven Dimensions
Using the Seven-Dimension Model for Initial Treatment Planning
Emotional Dimension
Cognitive Dimension
Interpersonal Dimension
Physical Dimension
Cultural-Spiritual Dimension
Behavioral Dimension
Contextual Dimension
Concluding Comments
Practitioner Guidance and Key Points to Remember
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Chapter 2
Competence and Ethics
Understanding Suicide Competence
Ten Suicide Assessment and Treatment Planning Competencies
Competency 1: Be Aware of and Manage Your Attitude and Reactions to Suicide
Competency 2: Develop and Maintain a Collaborative, Empathic Stance With Clients
Competency 3: Know and Elicit Evidence-Based Risk and Protective Factors
Competency 4: Focus on Current Plan and Intent of Suicidal Ideation
Competency 5: Determine the Level of Risk
Competency 6: Develop and Enact a Collaborative Evidence-Based Treatment Plan
Competency 7: Notify and Involve Other Persons
Competency 8: Document Risk Assessment, the Treatment Plan, and the Rationale for Clinical Decisions
Competency 9: Know the Law Concerning Suicide
Competency 10: Engage in Debriefing and Self-Care
Suicide-Related Ethical Issues
Is Serena Suicidal?
Informed Consent
Confidentiality and Its Limits
Social Media and After-Hours Contact
Emergency Procedures
Ethical Issues Pertaining to Suicide in Online and Other Distance Counseling Formats
Boundary Setting and Tending
Case Vignette 2.1 Beyond the Boundaries
Case Vignette 2.2 Indirect Giving to Preserve Boundaries
When Suicide Happens
Consultation Groups
Wellness Practice 2.1 Happy Songs in Your Life
Postvention
Concluding Comments
Practitioner Guidance and Key Points to Remember
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