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- Title
Szuicid prevenciós szerzõdés: lehetõség az öngyilkossági veszélyeztetettség csökkentésére a pszichoterápiás ellátásban.
- Authors
Dóra, Perczel-Forintos; Ágnes, Zinner-Gérecz; Emma, Naszvadi
- Abstract
The prevention of suicide and self-harm are of particular importance in psychiatric practice handling adequate diagnostic procedures. Despite its decreasing tendency, suicide risk is still a serious problem facing our health care system. From the second half of the 20th century, verbal or written agreements that were intended to forestall suicidal behavior became part of suicide prevention protocol. Today, we refer to them as “suicide prevention contracts” or “no-suicide contracts”. Despite the fact that these agreements are becoming more and more common in medical care, there is still no general agreement among health care providers on the indication, form or other aspects of these contracts. However, contracting in these situations requires delicate discretion. At the outpatient psychotherapy service of the Clinical Psychology Department, Semmelweis University we have been using this tool in the last 20 years in the management of patients in suicidal crisis. In this article the establishment of contracts in clinical use and its indications are described as well as some special issues like suicidality in adolescence. We also discuss the presumed positive effects of contracting, and demonstrate the use of no-suicide contracts in clinical practice by presenting selected cases.
- Publication
Psychiatria Hungarica, 2020, Vol 35, Issue 4, p448
- ISSN
0237-7896
- Publication type
Article