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Related Experiment Videos

No-suicide contracts: an overview and recommendations.

Lillian M Range1, Catherine Campbell, Stacey H Kovac

  • 1University of Southern Mississippi, Hattiesburg, Mississippi, USA. L.range@usm.edu

Death Studies
|February 28, 2002
PubMed
Summary

No-suicide contracts can aid therapeutic alliances and communication but may also cause client distress or false security. Further research is needed to refine their use in suicide prevention.

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Area of Science:

  • Clinical Psychology
  • Psychiatry
  • Mental Health Research

Background:

  • No-suicide contracts are utilized in various forms to manage suicidal ideation.
  • These contracts offer potential benefits such as enhanced commitment and therapeutic alliance.
  • However, they also present risks including client inhibition and clinician over-reliance.

Purpose of the Study:

  • To review the multifaceted impacts of no-suicide contracts in clinical practice.
  • To identify the limitations of existing research on no-suicide contracts.
  • To advocate for improved training and more rigorous research methodologies.

Main Methods:

  • Analysis of existing literature on no-suicide contracts, including frequency surveys and user opinions.
  • Discussion of the potential benefits and drawbacks of contract implementation.

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  • Assessment of the current state of research and recommendations for future studies.

    • Main Results:

    • No-suicide contracts can strengthen commitment, improve communication, and aid assessment.
    • Potential negative effects include client anger, inhibition, coercion, and false security for clinicians.
    • Current research is limited, necessitating more robust study designs.

    Conclusions:

    • No-suicide contracts are a tool, not a complete solution, requiring careful, individualized application.
    • Training mental health professionals in their effective use is crucial.
    • Sound clinical judgment remains paramount, and contracts should not replace thorough assessment or therapeutic interaction.