
@article{ref1,
title="Military mental health professionals' suicide risk assessment and management before and after experiencing a patient's suicide",
journal="Suicide and life-threatening behavior",
year="2022",
author="Yunik, Noam Paz and Schiff, Miriam and Barzilay, Shira and Yavnai, Nirit and Ben Yehuda, Ariel and Shelef, Leah",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: This study examines the association between a patient's suicide and the therapist's suicide risk assessment (SRA) and suicide risk management (SRM) of patients, following the occurrence. <br><br>METHOD: SRA values range from &quot;absence of suicidality&quot; to &quot;immediate suicidal intent to die&quot;. SRM consists of therapists' written recommendations. Rates of the various SRA and SRM values in therapists' evaluations were assessed 6-months prior to the suicide and at the two three- and six-month time-points thereafter. <br><br>RESULTS: Of the 150 soldiers who died by suicides, 30 (20%) visited 50 military therapists in the 6 months preceding their deaths. Using Wilcoxon signed rank test, lower SRA rates of &quot;threatens suicide&quot; were found 2 months after a patient's suicide. Regarding SRM, the mean rates for &quot;recommendations for psychotherapy treatment&quot; were higher at the two (p = 0.022) and the 3 month time-points (p = 0.031) after a suicide. <br><br>CONCLUSIONS: The SRA findings may indicate therapists' fear of treating suicidal patients, causing them to overlook patients' non-prominent suicide-risk indicators. In SRM, the higher rate of recommendations for additional therapy sessions rather than military release or referrals to other therapists may relate to over-caution and attempts to control the patient's therapy ensuring it's done properly.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12829",
url="http://dx.doi.org/10.1111/sltb.12829"
}