Citation

Shea SC. Psychiatr. Ann. 2017; 47(8): 421-427.

Copyright

(Copyright © 2017, Healio)

DOI

10.3928/00485713-20170708-01

PMID

unavailable

Abstract

Patients with an extremely strong intention to die by suicide may be predisposed to both withhold their method of choice as well as to minimize their intention to act upon that method. The interviewing skills required to uncover such dangerous ideation in patients who are at immediate risk (next 24 hours) or imminent risk (next 72 hours) may be significantly more sophisticated than the skills needed to screen for suicide in patients with mild to moderately severe risk. This article delineates validity techniques from the Chronological Assessment of Suicide Events (CASE Approach), a well-recognized interviewing strategy designed to flexibly expand to elicit suicidal ideation, planning, behaviors, and intent from simple screening to uncovering hidden plans and lethal intent. Five interviewing techniques for use with high-risk patients prone to withhold (the behavioral incident, gentle assumption, denial of the specific, the catch-all question, and symptom amplification) are described and illustrated in detail. © SLACK Incorporated.

Language: en