RISK ASSESSMENT, CRISIS INTERVENTION, TREATMENT, AND PREVENTION

2007 ◽  
pp. 203-222
Author(s):  
Scott A. Simpson ◽  
Robert E. Feinstein

A crisis occurs when a life stressor overwhelms a person’s ability to cope with a problematic life situation. Crises often become evident in the primary care setting. People in crisis feel distressed and alone; they experience a psychological disorganization that affects their mood and functioning. Most patients can benefit from a brief crisis intervention treatment delivered in an integrated care environment. Behavioral health specialists can lead crisis intervention therapy with the support of the primary care provider, nurses, staff, and a consulting psychiatrist. Crisis intervention treatment includes identifying the life stressor, understanding the patient’s response to stress, assessing the patient’s social system, listing possible solutions to the crisis, and working to implement those solutions. As the crisis resolves, the integrated team provides anticipatory guidance for the patient and primary provider.


Author(s):  
Mark Schechter ◽  
John T. Maltsberger

In this text, the role of the clinical interview in the assessment of suicide risk is discussed. In assessing risk, both the ‘objective/descriptive’ and the ‘experiential’ perspectives are important, which will be described in more detail. In addition to the role of the clinical interview in assessing risk, this critical clinical interaction is also the beginning of the treatment relationship and crisis intervention; thus, it has a role in reducing the risk of suicide. Finally, we comment briefly on the clinician’s conscious, as well as unconscious responses to the patient or ‘countertransference’ that can arise in the interview of potentially suicidal patients, and their potential impact on the assessment of risk.


2009 ◽  
Vol 22 (sup2) ◽  
pp. 5-23 ◽  
Author(s):  
Francesca Gotsch ◽  
Francesca Gotsch ◽  
Roberto Romero ◽  
Offer Erez ◽  
Edi Vaisbuch ◽  
...  

2021 ◽  
pp. 211-228
Author(s):  
Malcolm Forbes ◽  
Thomas Rego ◽  
Helen Lavretsky ◽  
Charles Reynolds III

The burden of geriatric mental disorders is significant and expected to rise in the 21st century. Existing therapies for geriatric mental disorders have modest efficacy and improved prevention, diagnosis, and treatment options are urgently needed. The field of precision psychiatry focuses on an individual’s unique attributes to help improve risk assessment, diagnosis, treatment, and prevention of psychiatric disorders. Within this state-of-the-art review, the authors provide a review of the field of precision psychiatry for geriatric mental disorders. They consider topics such as wearables, pharmacogenetics, smartphone apps, and chatbots to alleviate depression in late life and virtual reality, robotics, and brain stimulation for cognitive enhancement among elderly with dementia.


Author(s):  
Melissa Holland ◽  
Jessica Hawks ◽  
Lauren C. Morelli ◽  
Zainab Khan

1998 ◽  
Vol 62 (10) ◽  
pp. 756-761 ◽  
Author(s):  
CW Douglass
Keyword(s):  

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