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(p. 519) Managing High-Risk Suicidal Clients in Private Practice 

(p. 519) Managing High-Risk Suicidal Clients in Private Practice
Chapter:
(p. 519) Managing High-Risk Suicidal Clients in Private Practice
Author(s):

Jeffrey C. Sung

and David A. Jobes

DOI:
10.1093/med:psych/9780190272166.003.0040
Page of

date: 23 November 2017

Managing high-risk suicidal clients in private practice requires clinical skills to manage and treat suicide risk within a framework of care. This chapter reviews and recommends practices for the therapeutic assessment, initial management, and collaborative treatment of suicide risk. Management of suicide risk is differentiated from treatment of suicide risk. Guidelines are provided for ending care and avoiding abandonment under conditions that are noncollaborative. Other topics covered are management of malpractice liability, documentation of clinical work, and the importance of clarifying personal limits when working with suicidal clients. This chapter outlines decision-making principles for facilitating hospitalization and breaking confidentiality. With a set of skills for assessment, management, and treatment of suicide risk, the prepared practitioner can play a key role in clinically saving lives.

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