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[The no-suicide contract: a risky ritual]
P de Vries1, A Huisman, A J F M Kerkhof
1Inspectie voor de Gezondheidszorg, locatie Amsterdam, Postbus 20.584, 1001 NN Amsterdam. ri.amsterdam@igz.nl
Tijdschrift Voor Psychiatrie
|October 28, 2008
Summary
The no-suicide contract
Area of Science:
- Psychiatry
- Clinical Psychology
- Suicidology
Context:
- The efficacy of the no-suicide contract in preventing self-harm remains debated.
- Previous research has not definitively established its preventive value.
- The practice may involve an underestimation of suicide risk.
Purpose:
- To evaluate the preventive value of the no-suicide contract.
- To explore potential risks associated with its use.
- To identify and discuss safer alternatives for suicide risk management.
Summary:
- The no-suicide contract is a potentially risky intervention due to the possibility of underestimating suicide risk.
- Systematic risk assessment, commitment to treatment statements, and delay/reconsideration agreements are presented as less risky alternatives.
- Further research is needed to clarify the role and effectiveness of various suicide prevention strategies.
Impact:
- Highlights the need for caution when using no-suicide contracts.
- Promotes the adoption of evidence-based suicide risk assessment and management strategies.
- Encourages a shift towards more reliable and safer clinical practices in suicide prevention.
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