CORNELL HD 3700 - CBT_Case_Study(1) (1) (12 pages)

Previewing pages 1, 2, 3, 4 of 12 page document View the full content.
View Full Document

CBT_Case_Study(1) (1)



Previewing pages 1, 2, 3, 4 of actual document.

View the full content.
View Full Document
View Full Document

CBT_Case_Study(1) (1)

49 views


Pages:
12
School:
Cornell University
Course:
Hd 3700 - Adult Psychopathology

Unformatted text preview:

FindArticles Perspectives in Psychiatric Care Oct Dec 1998 Article Print friendly Cognitive therapy for the suicidal patient A case study Reilly Christine E TOPIC The use of cognitive therapy to treat a suicidal patient PURPOSE To demonstrate through the use of a case study the cognitive therapy method in treating a suicidal patient SOURCE The author s own clinical work CONCLUSION Suicidal people often demonstrate perfectionism social sensitivity difficulty problem solving and hopelessness Cognitive therapy addresses these problems by helping patients plan activities track destructive thinking and its impact on feelings and behaviors and substitute constructive thinking thus decreasing hopelessness Key words Cognitive therapy depression suicide Suicide is responsible for more than 31 000 deaths a year making it the ninth leading cause of death in America Anderson Kochanek Murphy 1997 The single most predictive risk factor for a completed suicide is a psychiatric diagnosis As in the case of depression and panic disorder cognitive therapy research has made a significant contribution toward understanding the variables in suicide A task force of the National Institute of Mental Health Center for Studies of Suicide Prevention developed a tripartite classification system in 1973 to describe suicidal behavior suicide ideation suicide attempt and completed suicide Beck et al 1973 Within these three processes the variables of intent lethality and method can be assessed so the clinician can evaluate the degree to which a suicidal patient is at risk There has been much discussion in the literature about the relationship of suicidal intent to degree of lethality in the suicide attempt Beck Resnik Lettieri 1986 Riggs McGraw Keefover 1996 Weishar 1996 This research suggests greater suicidal intent leads to greater lethality of method chosen If the patient is knowledgeable about the method chosen to end life the degree of intent is considered to be high potentially placing the patient at higher risk for completion in a subsequent attempt Weishaar 1996 Common assessment tools used in clinical practice for assessing the suicidal patient include the Beck Depression Inventory BDI the Beck Hopelessness Scale BHS and the Scale for Suicide Ideation SSI The BDI is a 21 item self report questionnaire that measures depressive symptoms on a 4 point scale It targets two important itemshopelessness and suicidal ideation items 2 and 9 The higher the sum on the scale the greater the degree of depressive symptoms the patient is experiencing The BHS is a 20 item true false self report questionnaire assessing the level of pessimism and hopelessness of the respondent The SSI is a 19 item interview administered inventory that assesses the intensity of and specific attitudes plans and behaviors concerning suicidal behavior Many factors play a role in suicidal ideation and behavior Hopelessness frequently has been reported to be the most critical psychological variable predictive of



View Full Document

Access the best Study Guides, Lecture Notes and Practice Exams

Loading Unlocking...
Login

Join to view CBT_Case_Study(1) (1) and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view CBT_Case_Study(1) (1) and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?