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Discovering the truth in attempted suicide.

Konrad Michel¹, John T Maltsberger, David A Jobes

¹Catholic University of America (CUA), Department of Psychology, Washington, DC, USA. konrad.michel@spk.unibe.ch

American Journal of Psychotherapy

|October 29, 2002

Summary

Mental health clinicians should prioritize patient-centered approaches when interviewing suicidal individuals. Focusing on the patient's subjective experience and fostering a shared understanding can improve therapeutic alliances and outcomes.

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Area of Science:

Psychiatry
Clinical Psychology
Mental Health Services Research

Background:

International workshop convened expert clinician-researchers to address challenges in mental health care for suicidal patients.
Identified common contemporary problems in clinical interviews with individuals who have attempted suicide.

Observation:

Videotaped interviews of suicide attempters were critically analyzed against expert experience and existing literature.
Current mental health practice often overlooks the subjective experiences of suicidal patients.
Clinical assessments of suicidal behavior tend to be clinician-centered rather than patient-centered.

Findings:

A consensus was reached that a shared understanding of suicidality between clinician and patient is crucial.
Interviewers need heightened awareness of the suicidal patient's internal experience, including mental pain and diminished self-respect.

Implications:

Collaborative and narrative therapeutic approaches show promise for enhancing clinician empathy.
These methods can help patients regain a sense of mastery, thereby strengthening the therapeutic alliance and improving care for suicidal individuals.