Contents: Introduction. Suicidality and Suicide. The Inner World of the Chronically Suicidal Patient. Suicidality in Childhood and Adolescence. Chronic Suicidality and Personality Disorders. Myths of Suicide Prevention. Psychotherapy Research and Chronic Suicidality. Pharmacotherapy and Chronic Suicidality. Tolerating Chronic Suicidality. Managing Chronic Suicidality. Suicidality and Litigation. Summary: Guidelines for Therapists.
"The management of suicide remains the almost evidence-free zone left in routine clinical practice. What so many people do when confronted by a suicidal patient is to throw evidence out of the window because of fear the patient will follow. Joel Paris reminds us, and we defi nitely need reminding, that most people who harm themselves do not eventually commit suicide, that self-mutilation is not suicidal behaviour, that `admission to hospital' and a host of other quick fi xes are not the answers to problems that take time and care to control and resolve."
-Peter Tyrer, FRCPsych, FRCP, FMedSci Professor of Community Psychiatry, Imperial College, London