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Concordant Actions in Suicide Assessment Model.

Sean P Convoy1, Richard J Westphal2, Dana W Convoy3

  • 1Duke University School of Nursing, Durham, NC, USA.

The Nursing Clinics of North America
|November 10, 2019
PubMed
Summary

This study introduces the Concordant Actions in Suicide Assessment (CASA) model for healthcare providers to better address suicidal ideation and behavior. The CASA model offers a new framework for clinical decision-making and practical application in patient care.

Keywords:
ConcordanceLocus of controlSuicideSuicide assessment

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health

Background:

  • Suicidal ideation and behavior present complex challenges in clinical practice.
  • Existing frameworks may not fully capture the nuances of patient-provider interaction in suicide assessment.
  • A need exists for a structured, conceptual model to guide clinical decision-making.

Purpose of the Study:

  • To introduce and conceptualize the Concordant Actions in Suicide Assessment (CASA) model.
  • To provide a novel framework for healthcare providers responding to client-based suicidal ideation and behavior.
  • To illustrate the practical application of the CASA model in clinical settings.

Main Methods:

  • The CASA model is explored through theoretical lenses including locus of control, Rogerian psychotherapy, and Peplau's interpersonal relations theory.
  • It frames clinical decision-making along a continuum of concordant and state-based action.
  • Cognitive reframes are utilized to demonstrate practical application.

Main Results:

  • The CASA model provides an alternative conceptualization for suicide assessment.
  • It operationalizes clinical decision-making based on concordant and state-based actions.
  • The model offers practical strategies for healthcare providers.

Conclusions:

  • The CASA model offers a valuable framework for understanding and responding to suicidal ideation and behavior.
  • Its integration into clinical practice can enhance patient care and provider decision-making.
  • Further exploration and application of the CASA model are warranted.