TY - JOUR PY - 1999// TI - The suicide prevention contract: clinical, legal, and risk management issues JO - The journal of the American Academy of Psychiatry and the Law A1 - Simon, R. I. SP - 445 EP - 450 VL - 27 IS - 3 N2 - In the managed care era, mental health professionals increasingly rely upon suicide prevention contracts in the management of patients at suicide risk. Although asking a patient if he or she is suicidal and obtaining a written or oral contract against suicide can be useful, these measures by themselves are insufficient. "No harm" contracts cannot take the place of formal suicide risk assessments. Obtaining a suicide prevention contract from the patient tends to be an event whereas suicide risk assessment is a process. The suicide prevention contract is not a legal document that will exculpate the clinician from malpractice liability if the patient commits suicide. The contract against self-harm is only as good as the underlying soundness of the therapeutic alliance. The risks and benefits of suicide prevention contracts must be clearly understood.

Language: en

LA - en SN - 1093-6793 UR - http://dx.doi.org/ ID - ref1 ER -