1st Edition

Teen Suicide Risk
A Practitioner Guide to Screening, Assessment, and Management

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ISBN 9781462510191
Published July 25, 2013 by Guilford Press
208 Pages

USD $32.00

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Book Description

Meeting a vital need, this book helps clinicians rapidly identify risks for suicidal behavior and manage an at-risk teen's ongoing care. It provides clear guidelines for conducting suicide risk screenings and comprehensive risk assessments and implementing immediate safety-focused interventions, as well as longer-term treatment plans. Designed for day-to-day use in private practice, schools, or other settings, the volume is grounded in a strong evidence base. It features quick-reference clinical pointers, sample dialogues with teens and parents, and reproducible assessment and documentation tools. Most of the reproducible materials can be downloaded and printed in a convenient 8 1/2"" x 11"" size.

Winner (First Place)--American Journal of Nursing Book of the Year Award, Child Health Category

Table of Contents

1. Introduction
2. A Look at Overall Risk and Protective Factors
3. Screening: How We Recognize Elevated Risk
4. Suicide Risk Assessment and Risk Formulation
5. Intervention Planning and Care Management
6. Partnering with Parents and Schools
7. Legal Issues
Appendix A. Risk Factor Checklist for Teen Suicidal Behavior and Suicide
Appendix B. Tracking Form for School-Based Screening
Appendix C. Suicide Prevention Resources for Schools (Guidelines and Education/Awareness Programs)
Appendix D. Questions to Ask about Current Suicidal Thoughts
Appendix E. Teen Suicide Risk Assessment Worksheet
Appendix F. Documentation of Teen Suicide Risk Assessment
Appendix G. SAFE-T Card
Appendix H. Safety Plan Form
Appendix I. Suicide Warning Signs for Parents
Appendix J. Tips for Communicating with Teens
Appendix K. Useful Websites
Appendix L. Evidence-Based Youth Suicide Interventions
Appendix M. Sample Letter to Formally Request School Services

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Cheryl A. King, PhD, ABPP, is Professor in the Departments of Psychiatry and Psychology at the University of Michigan, where she serves as Director of the Youth Depression and Suicide Prevention Research Program and the Institute for Human Adjustment. She is board certified as a clinical child and adolescent psychologist. Dr. King is a Fellow of the American Psychological Association and Past President of the Society for Clinical Child and Adolescent Psychology, the Association of Psychologists in Academic Health Centers, and the American Association of Suicidology. A longtime clinical educator and public policy advocate, Dr. King has published widely on topics related to youth suicide prevention.

Cynthia Ewell Foster, PhD, is Clinical Assistant Professor in the Department of Psychiatry at the University of Michigan and Director of the University Center for the Child and the Family. Dr. Ewell Foster has significant training and experience in providing evidence-based interventions for youth struggling with depression and suicide risk. She serves as a clinical educator for new mental health professionals in psychiatry, psychology, and social work. Her research interests involve community- and school-based interventions for youth at risk for depression and suicide.

Kelly M. Rogalski, MD, is a pediatric psychiatrist and Medical Director of Outpatient Pediatric Psychiatry at Henry Ford Health System in southeastern Michigan, which is a Malcolm Baldridge National Quality Award winner for performance excellence and innovation, notably for its work in improving depression care to reduce suicide. Her research interests include quality improvement work in behavioral health. Dr. Rogalski is also a voluntary faculty member at Wayne State University School of Medicine.


"An extremely readable book that offers detailed, practical advice. Designed for the practitioner, this book's recommendations are evidence based and are the culmination of many years of clinical experience. King has distinguished herself in the area of applied clinical research in adolescent suicidal behavior; the book reflects her and her coauthors' dedication to this field. Noteworthy features include key clinical points, sample dialogues, and reproducible assessment sheets that will ensure easy uptake of the most practical and important information. Another highlight is the clear description of how to implement a thorough safety plan. The authors spell out how their principles and practices can be applied in a variety of settings, including mental health clinics, primary care, and the schools."--Anthony Spirito, PhD, ABPP, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University

"This concise and well-organized volume provides very useful information in an easy-to-read, easy-to-access format. The authors emphasize the importance of paying attention to culture and present clinical approaches based on the best available research. Recognizing that many of us care for adolescents in settings where resources are extremely limited, they suggest practical ways professionals can make a critical difference in a young person’s life while taking steps to manage their own liability. The book also offers innovative ideas to ensure that suicidal youth become partners in their own care. This book is a terrific asset for clinicians."--David A. Litts, OD, national suicide prevention leader

"Let's be honest--working with teenagers who evidence suicidal behavior raises the anxiety of any therapist, seasoned or not. King, Ewell Foster, and Rogalski are uniquely qualified to offer workable and effective strategies for practitioners. These experts provide sound guidance for each stage of the process, from assessing risk and managing safety plans to engaging support systems and providing the teen with realistic coping strategies. At last, we have a well-written and comprehensive resource that is a 'must have' for all therapists."--Anne Marie Albano, PhD, ABPP, Department of Psychiatry, Columbia University, and Director, Columbia University Clinic for Anxiety and Related Disorders

"Teen Suicide Risk…is an effective tool to combat a growing problem in today's youth….Readers interested in this aspect of adolescence will highly regard this guide, as it provides many examples of how to safely identify and intervene in suicidal behavior. Although its designated audience is a professional, anyone could learn a great deal about suicidal behavior management from reading it….The book also is important in the manner it brings attention to all aspects of suicidal behavior including the methods of assistance after the initial intervention….Given the state of the art, this guide is an invaluable tool in the fight against teen suicide and should be required reading for social workers, pediatricians, and any counselor who works with adolescents."--Journal of Youth and Adolescence