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| Establishing a Foundation for Treatment | |
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| What Do We Really Know about Treating Suicidality?: A Critical Review of the Literature | |
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| The Available Literature: A Limited Database | |
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| A Critical Review of Intervention Studies: Do Simple Procedural Changes Make a Difference? | |
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| Implications for Clinical Practice | |
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| A Critical Review of Treatment Studies: An Emerging Trend for Cognitive-Behavioral Therapy | |
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| Implications for Clinical Practice | |
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| The Therapeutic Relationship in Treating Suicidality: Attachment, Hope, and Survival | |
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| Implications for Clinical Practice | |
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| Unanswered Questions: The Challenge Awaits Us | |
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| A Cognitive-Behavioral Model of Suicidality | |
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| Existing Theoretical Models of Suicidal Behavior: A Brief Overview | |
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| Static and Dynamic Variables Predicting Suicidality | |
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| Application of Theory and Empirical Findings in Treatment: The Problem of Limited Clinical Relevance | |
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| Basic Assumptions of Cognitive Theory and Therapy: Implications for Suicidality | |
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| The Essential Requirements for a Cognitive-Behavioral Model of Integrating Empirical Findings and Ensuring Clinical Relevance | |
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| The Suicidal Mode as a Cognitive-Behavioral Model of Suicidality: An Elaboration and Specific Application of Beck's Theory of Modes and Psychopathology | |
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| Defining the Suicidal Mode: Characteristics of the Various Systems | |
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| Completing the Suicidal Mode: Individual Case Conceptualization | |
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| Implications of the Suicidal Mode for the Organization, Content, and Process of Treatment | |
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| Theoretical Flexibility of the Suicidal Mode for Psychotherapy Integration | |
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| The Therapeutic Relationship in Cognitive-Behavioral Therapy: Three Fundamental Assumptions | |
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| An Overview of the Treatment Process | |
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| Completing the Clinical Picture: Understanding Severity, Chronicity, and Diagnostic Complexity | |
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| Identifying Treatment Components | |
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| An Overview of the Goals for Each Treatment Component | |
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| An Overview of the Steps in Treatment Planning | |
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| Understanding the Treatment Process: Treatment Components and Corresponding Levels | |
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| Defining the Component Levels | |
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| Symptom Management Component | |
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| Cycling through Components and Levels | |
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| The Role of Medications | |
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| Skill-Building Component | |
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| Personality Development Component | |
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| Variation in Therapist Role | |
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| A Clinical Example of Acute Suicidality: The Case of Mr. E | |
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| Monitoring the Treatment Process | |
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| Process Tasks and Markers | |
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| Provocations and Resistance in the Therapeutic Relationship: How a Clear Organizational Framework Helps | |
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| Quantifying Change: How to Measure and Monitor Change in Treatment | |
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| Treatment Withdrawal and Noncompliance | |
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| Ensuring Treatment Fidelity | |
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| Termination: When, Why and How | |
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| Interpersonal Process Groups and Booster Sessions | |
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| The Role of the Treatment Team | |
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| The Need for Long-Term Care in a Time-Limited World | |
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| Assessment and Treatment | |
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| Treatment Course and Session-by-Session Guidelines | |
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| The Beginning of Treatment: Sessions 1-4 | |
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| Symptom Management, Cognitive Restructuring, Reducing and Eliminating Suicidal Behaviors | |
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| Emphasis on Skill Building | |
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| A Shift toward Personality Development and Longer-Term Treatment | |
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| The Evaluation Process and the Initial Interviews | |
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| Risk Assessment Goals: The Importance of Establishing a Baseline for Ongoing Monitoring | |
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| Treatment Conceptualization and Consent: Setting the Stage | |
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| The Use and Role of Psychometric Testing | |
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| Establishing the Therapeutic Relationship | |
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| Assessing Suicide Risk | |
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| Distinguishing between Risk Assessment and Prediction: Defining the Nature of Clinical Responsibilities | |
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| The Importance of Precise Terminology: Saying What We Know and Knowing What We Say | |
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| Essential Components of a Clinical Risk Assessment Interview | |
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| Tips on Eliciting Information on Intent and Self-Control | |
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| Risk Categories: Baseline, Acute, Chronic High Risk, and Chronic High Risk with Acute Exacerbation | |
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| Rating Severity: A Continuum of Suicidality | |
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| Clinical Documentation and the Process of Risk: The Concept of Risk Monitoring | |
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| The Role of Chronicity and Time in Risk Assessment | |
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| Clinical Decision Making, Management, and Treatment | |
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| Ongoing Monitoring of Treatment Outcome and Evaluation | |
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| The Persistence of Suicidal Thoughts: A Potentially Misleading Marker of Treatment Outcome | |
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| Crisis Intervention and Initial Symptom Management | |
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| Key Tasks of Crisis Intervention | |
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| Ensuring the Patient's Safety | |
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| Self-Monitoring during Crises | |
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| Teaching the Patient to Rate Discomfort: A Self-Monitoring Task | |
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| Completing the Suicidal Thought Record | |
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| Depicting the Suicidal Cycle: The Suicidal Mode in Action | |
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| Using Mood Graphs | |
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| Improving Distress Tolerance and Reducing Impulsivity: The Importance of Emphasizing That Bad Feelings Do Not Last Forever | |
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| Targeting Source Hopelessness: A Different Kind of Problem Solving | |
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| Symptom Matching: Improving Level of Functioning over the Short Term | |
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| The Importance of Structure: Providing a Crisis Response Plan | |
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| Reducing and Eliminating Suicide-Related Behaviors | |
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| Identifying Behavioral Targets in Treatment: Understanding the Suicidal Mode | |
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| Distinguishing between Suicidal Acts and Instrumental Behaviors | |
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| Dealing with Mixed Messages | |
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| Identifying the Suicidal Cycle | |
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| The Process of Behavioral Change: Reducing and Eliminating Suicidal Behavior | |
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| Inhibiting the Suicidal Cycle during Crisis States: Late-Cycle Intervention | |
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| Substitute Behaviors and Purposeful Hypervigilance: Early-Cycle Intervention | |
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| Shaping Behavior: A Process of Gradual Change | |
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| Exposure-Based Strategies: Role Playing, Cue Exposure, and Behavioral Rehearsal | |
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| Contingency Management and Treatment Success | |
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| Targeting Treatment Disruptions | |
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| Provocation(s): The Currency of Interpersonal Relatedness in Suicidality | |
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| Handling Provocation in Treatment | |
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| The Evolution of Hope and the Elimination of Suicidal Behavior: A Few Concluding Words | |
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| Cognitive Restructuring: Changing the Suicidal Belief System and Building a Philosophy for Living | |
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| Private Meaning and the Suicidal Belief System: The Role of Automatic Thoughts and Intermediate and Core Beliefs | |
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| A Straightforward Strategy for Cognitive Change | |
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| Dealing with Poor Motivation and Treatment Noncompliance | |
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| Building a Philosophy for Living: Change and Acceptance as New Rules | |
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| Prevailing, Facilitating, and Compensatory Modes in Chronic Suicidality: Developing Adaptive Modes and Acknowledging Personal Qualities and Characteristics | |
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| The Therapeutic Belief System: Therapy-Specific Beliefs | |
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| Outlining the Therapeutic Belief System | |
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| The Therapeutic Belief System of the Therapist Treating Suicidality: Monitoring Thoughts, Feelings, and Behaviors in Treatment | |
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| Evaluating the Relationship: Patience, Determination, and Consistency | |
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| Skill Building: Developing Adaptive Modes and Ensuring Lasting Change | |
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| Conceptualizing Skill Deficits in Cognitive-Behavioral Therapy for Suicidality | |
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| Targeting Skill Deficits | |
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| A Model for Problem Solving: Learning to Identify, Evaluate, and Pursue Alternatives to Suicide | |
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| Emotion Regulation Ability: The Art of Feeling Better When Suicidal | |
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| Self-Monitoring | |
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| Distress Tolerance | |
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| Interpersonal Skills: Learning to Be Assertive, Attentive, and Responsive | |
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| Anger Management: Early Identification, Appropriate Expression, and the Importance of Empathy, Acceptance, and Forgiveness | |
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| Skill Building and Personality Change: One and the Same? | |
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| Changing Interpersonal Process: Integrating Goup Treatment | |
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| References | |
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| Index | |