Suicidality Self-Reports May Be Key Component of Depression Evaluation
Aaron Levin
Rates of suicidal thinking among depressed adolescents on medication
are comparable to those in their peers who are in psychotherapy.
Self-reports strongly predict emergent suicidality.
Depressed adolescent outpatients receiving psychotherapy but not
medication displayed rates of emergent suicidality comparable to those
reported in antidepressant trials, according to a new study.
Self-reported ideation at intake was the best predictor of eventual
suicidality in that group, wrote Jeffrey Bridge, Ph.D., and four
colleagues at the Western Psychiatric Institute and Clinic of the
University of Pittsburgh Medical Center, in the November American
Journal of Psychiatry. Self-report is often more accurate than
interviews about sensitive topics like suicidal thoughts, sexual
behavior, and substance use, they concluded. The study was funded by
the National Institute of Mental Health (NIMH).
http://pn.psychiatryonline.org/cgi/content/full/40/22/13-a?maxtoshow=&HITS=20&hi
ts=20&RESULTFORMAT=&searchid=1132448786800_7012&stored_search=&FIRSTINDEX=0&tocs
ectionid=Professional*&displaysectionid=Professional+News&journalcode=psychnews
Twittering One - 20 Nov 2005 01:27 GMT
AACAP President Shifts Focus To `Old-Fashioned Constructs'
Jim Rosack
A focus on sound basic principles will guide AACAP thru the next two
years of challenges.
The American Academy of Child and Adolescent Psychiatry (AACAP) teamed
up last month with its counterpart to the north, the Canadian Academy
of Child and Adolescent Psychiatry (CACAP) to host a joint annual
meeting in Toronto.
...
Returning to Core Principles
Freud, Anders continued, left three "enduring insights about the mind."
The first was the notion that some behaviors and emotions were
instinctive in origin-a concept furthered by others and expanded to
say that some behaviors and emotions are genetically influenced.
Second, Freud recognized "the importance of early childhood experience"
and described "infantile traumas." Third, Anders concluded, Freud
taught psychiatry much about the importance of transference.
http://pn.psychiatryonline.org/cgi/content/full/40/22/13?maxtoshow=&HITS=20&hits
=20&RESULTFORMAT=&searchid=1132448786800_7012&stored_search=&FIRSTINDEX=0&tocsec
tionid=Professional*&displaysectionid=Professional+News&journalcode=psychnews
Twittering One - 20 Nov 2005 17:48 GMT
""We think of suicide as falling along a continuum from ~
ideation,
to planning,
to attempt
and completion,"
said Sudak in an interview."
And if someone outs a loaded .45 pilstol'
in your hand ~
Says, "Go Ahead,
Kill yourself. I don't care."
And you go outside,
And you put the loaded pistol up to you head,
The cold barrell pressed against your temple,
at 2 o'clock in the dark morning
On Pensacola Beach, 600 Panferio Drive ...
And there as a witness,
And you later told someone what you saw ~
Is that
A Plan
Or am Attempt?
Or an Aborted Attempt?
I await answers.
My name if Virginia H. Hooper.
I live in New York City.
Twittering One - 20 Nov 2005 17:59 GMT
And you later tell someone what you saw ~
And they do nothing
When you tell them you, too, are suicidal,
Exceptt scream at you ~
GET YOUR OWN DAMN SELF OUT IT
YOU CAN'T LEAVE ANYTHING ALONE
YOU GO OVERBAORD IN EVERYTHING YOU
YOU BLAME EVERYTHING ON YOUR PAST
THAT'S NOT MY FAULT ~ I WASN'T YOUR THERAPIST
THEN
And for almost a month, neither Rivamonte or Smith
Calls me back ...
Is that the same as saying ~
"Go ahead,
Kill yourself. I don't care."
I await answers.
My name if Virginia H. Hooper.
I live in New York City.