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Psychological interventions for the suicidal adolescent

P F Kernberg1

  • 1Cornell University Medical College, New York.

American Journal of Psychotherapy
|January 1, 1994
PubMed
Summary
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Different psychotherapy strategies are needed for acute versus chronic suicidal behaviors. Comprehensive risk assessment requires integrating epidemiological, dynamic, and support factors, not just psychopathology.

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background:

  • Suicidal behaviors present complex challenges in psychotherapy.
  • Distinct approaches are necessary for acute and chronic suicidal presentations.

Purpose of the Study:

  • To delineate appropriate psychotherapeutic strategies for acute and chronic suicidal behaviors.
  • To emphasize comprehensive risk assessment in suicidal patients.
  • To address therapist countertransference and specific therapeutic goals.

Main Methods:

  • Review of psychotherapeutic approaches for suicidal behaviors.
  • Discussion of factors influencing suicidal risk assessment.
  • Exploration of transference and countertransference dynamics.

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Main Results:

  • Acute suicidal behaviors benefit from supportive, cognitive-focused therapy.
  • Chronic suicidal behaviors require insight-oriented psychotherapy with supportive elements.
  • Risk assessment necessitates integrating epidemiological, dynamic, and support factors.

Conclusions:

  • Tailoring psychotherapy to the style of suicidal behavior is crucial.
  • Comprehensive risk assessment is vital for effective treatment.
  • Addressing countertransference and specific patient dynamics enhances therapeutic outcomes.