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• W2149577588 abstract "The prevalence of suicides and attempted suicides in United States illustrates need for resources for counselors who serve suicidal clients. The Centers for Disease Control and Prevention (CDC; 2014) reported most recent national suicide rate as 12.6 per 100,000. This rate yields an average of 111 suicides per day. In 2009, it was second leading cause of death for 25- to 34-year-olds and third leading cause of death for 10- to 14-year-olds and 15- to 24-year-olds (CDC, n.d.). Approximately 1 million U.S. adults per year make suicide (CDC, 2011). More than 6% of college students have seriously considered suicide in past 12 months (American College Health Association, 2011). In 2009, approximately 14% of high school students seriously considered attempting suicide, whereas 10.9% made plan and 6.3% made at least one (CDC, 2010). Suicide and attempted suicide are continuing problems for youth and adults alike. Many counseling practitioners experience client's suicide or suicide attempt. Almost one in four counselors has experienced suicide of client (McAdams & Foster, 2000). A previous suicide is risk factor and noteworthy suicide predictor (National Institute of Mental Health, 2007). The purpose of this article is to extend suicide risk management literature by focusing on rebuilding therapeutic alliance after suicide attempt. The term suicide has been acknowledged as problematic (Canetto, 1992; O'Carroll et al., 1996; Pompili, Innamorati, & Tatarelli, 2009). Similarly, terms such as failed and successful suicide may unintentionally imply that person is failure for not dying or success for achieving death (Crosby, Ortega, & Melanson, 2011). The term para-suicide has formerly served as an alternative for phrase suicide (Bille-Brahe et al., 1995). The World Health Organization (WHO; 2015) includes its use in 10th version of International Statistical Classification of Diseases and Related Health Problems, in which relevant codes do not involve differentiation between attempted suicide and 'parasuicide,' since both are included in general category of self-harm (WHO, n.d., p. 101). However, in list of unacceptable terms for describing self-directed violence, CDC included parasuicide, noting that the World Health Organization is now favoring term suicide attempt (Crosby et al., 2011, p. 23). In first report on suicide prevention priorities within global public health issues, WHO (2014) used term suicide attempt, but not parasuicide. In this article, we use term suicide and its derivatives following recommendations and definition provided by CDC: a non-fatal self-directed potentially injurious with any intent to die as result of behavior (Crosby et al., 2011, p. 21). The counseling literature on suicide is extensive and grounded in recognizing and assessing suicide risk (e.g., McGlothlin, 2008; Shea, 2002). An Institute of Medicine report (Goldsmith, Pellmar, Kleinman, & Bunney, 2002) on suicide outlined suicide risk and protective factors. Scales such as SAD PERSONS scale (Patterson, Dohn, Bird, & Patterson, 1983) have been used for decades to help clinicians to identify and document risk factors. More recently, Jobes and Drozd (2004) introduced collaborative approach to suicide risk assessment. The Collaborative Assessment and Management of Suicidality (CAMS) protocol was developed for outpatient mental health care as problem-oriented way to focus on suicidality and involve client in assessing and addressing such risk. The five steps of CAMS are (a) identify risk, (b) assess risk, (c) plan treatment, (d) track client's suicide status, and (e) resolve risk (Jobes & Drozd, 2004). Throughout treatment, clinician and client complete Suicide Status Form together as joint assessment activity (Jobes & Drozd, 2004, p. …" @default.
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• W2149577588 date "2015-06-02" @default.
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• W2149577588 title "Affective Constellations for Countertransference Awareness Following a Client's Suicide Attempt" @default.
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