The Suicidal Patient

  • Jerome A. Motto


Suicidal patients occupy a special place in any clinician’s practice, largely because of the social, legal, and ethical implications of self-destructive behavior in our culture. As suicide is the most visible cause of mortality in persons with emotional disorders, intense family concern and a sense of professional vulnerability bring a certain urgency to the issues involved. A sound approach to these issues does not always preclude a suicidal outcome, but it can help to minimize preventable deaths, which constitute a tragic human loss and a source of severe stress to therapists and to vulnerable survivors.


Suicide Attempt Suicidal Behavior Management Problem Suicide Prevention Suicidal Patient 
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  1. Ayd, F. (1987). What quantity of antidepressant to prescribe for outpatients? International Drug Therapy Newsletter, 22, 17–18.Google Scholar
  2. Beck, A., Steer, R., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide. American Journal of Psychiatry, 142, 559–563.PubMedGoogle Scholar
  3. Berent, I. (1981). The algebra of suicide. New York: Human Sciences Press.Google Scholar
  4. Billings, J. (1974). The efficacy of group treatment with depressed and suicidal individuals in comparison with other treatment settings as regards the prevention of suicide. Doctoral dissertation, California School of Professional Psychology, San Francisco.Google Scholar
  5. Billings, J., Rosen, D., Asimos, C., & Motto, J. (1974). On long-term group therapy with suicidal and depressed persons. Life-Threatening Behavior, 4, 160–170.Google Scholar
  6. Braught, G., & Wilson, N. (1970). Predictive utility of the revised suicide potential scale. Journal of Consulting and Clinical Psychology, 34, 24b.Google Scholar
  7. Buie, D. & Maltsberger, J. (1983). The practical formulation of suicide risk. Cambridge, MA: The Firefly Press.Google Scholar
  8. Bunney, W., & Fawcett, J. (1965). Possibilities of a chemical test for suicide potential. Archives of General Psychiatry, 13, 232–239.PubMedCrossRefGoogle Scholar
  9. Clark, D., Young, M., Scheftner, W., Fawcett, J., & Fogg, L. (1987). A field test of Motto’s risk estimator for suicide. American Journal of Psychiatry, 144, 923–926.PubMedGoogle Scholar
  10. Farberow, N. (1972). Vital process in suicide prevention: Group psychotherapy as a community of concern. Life-Threatening Behavior, 2, 239–251.Google Scholar
  11. Farberow, N., & MacKinnon, D. (1974). Prediction of suicide in neuropsychiatric hospital patients. In C. Neuringer (Ed.), The Psychological Assessment of Suicide Risk (pp. 186–224 ). Springfield, IL: Charles C Thomas.Google Scholar
  12. Fawcett, J., Scheftner, W., Clark, D., Hedeker, D., Gibbons, R., & Coryell, W. (1987). Clinical predictions of suicide in patients with major affective disorder. American Journal of Psychiatry, 144, 35–40.PubMedGoogle Scholar
  13. Freud, S. (1949). Mourrning and melancholia. In Collected Papers (Vol. 4 ). London: Hogarth Press.Google Scholar
  14. Frey, D., Motto, J., & Ritholz, M. (1983). Group therapy for persons at risk for suicide: An evaluation using the intensive design. Psychotherapy: Theory, Research and Practice, 22, 281–292.Google Scholar
  15. Furst, S., & Ostow, M. (1979). The psychodynamics of suicide. In L. Hankoff & B. Einsidler (Eds.), Suicide: Theory and clinical aspects (pp. 165–176 ). Littleton, MA: PSG Publishing.Google Scholar
  16. Kernberg, D. (1983). Clinical management of suicidal potential in borderline patients. In C. Pfeffer & J. Richman (Eds.), Proceedings, 15th Annual Meeting, American Association of Suicidology (pp. 43–46 ). Denver, CO: American Association of Suicidology.Google Scholar
  17. Kolodny, S., Binder, R., Bronstein, A., & Friend, R. (1979). The working through of patients’ suicides by four therapists. Suicide and Life-Threatening Behaviors, 9, 33–46.Google Scholar
  18. Litman, R. (1965). When patients commit suicide. American Journal of Psychotherapy, 19, 570–576.PubMedGoogle Scholar
  19. Litman, R. (1966). Acutely suicidal patients: management in general medical practice. California Medicine, 14, 168–174.Google Scholar
  20. Litman, R. (1974). Models for predicting suicide risk. In C. Neuringer (Ed.), The psychological assessment of suicide risk (pp. 177–185 ). Springfield, IL: Charles C Thomas.Google Scholar
  21. Litman, R. (1975). The assessment of suicidality. In R. Pasnau (Ed.), Consultation-liaison psychiatry (pp. 229–236 ). New York: Grune & Stratton.Google Scholar
  22. Mayer, D. (1971). A psychotherapeutic approach to the suicidal patient. British Journal of Psychiatry, 119, 629–638.PubMedCrossRefGoogle Scholar
  23. Menninger, K. (1938). Man against himself. New York: Harcourt, Brace & World.Google Scholar
  24. Mintz, R. (1966). Some practical procedures on the management of suicidal persons. American Journal of Orthopsychiatry, 36, 896–903.PubMedCrossRefGoogle Scholar
  25. Motto, J. (1985). Paradoxes of suicide risk assessment. Hillside Journal of Clinical Psychiatry, 7, 109–119.PubMedGoogle Scholar
  26. Motto, J. (1986). Clinical considerations of biological correlates of suicide. Suicide and Life-Threatening Behavior, 16, 1–20.Google Scholar
  27. Motto, J., & Stein, T. (1973). A group approach to guilt in depressive and suicidal patients. Journal of Religion and Health, 12, 378–385.CrossRefGoogle Scholar
  28. Motto, J., Heilbron, D., & Juster, R. (1985). Development of a clinical instrument to estimate suicide risk. American Journal of Psychiatry, 142, 680–686.PubMedGoogle Scholar
  29. Murphy, G. (1972). Clinical identification of suicidal risk. Archives of General Psychiatry, 27, 356–359.PubMedCrossRefGoogle Scholar
  30. Patterson, W., Dohn, H., Bird, J., & Patterson, G. (1983). Evaluation of suicidal patients: The SAD PERSONS scale. Psychosomatics, 24, 343–349.PubMedCrossRefGoogle Scholar
  31. Ringel, E. (1976). The presuicidal syndrome. Suicide and Life Threatening Behavior, 6, 131–149.PubMedGoogle Scholar
  32. Ross, C., & Motto, J. (1984). Group counseling for suicidal adolescents. In H. Sudak, A. Ford, & N. Rushford (Eds.), Suicide in the young, (pp. 367–392 ). Boston: John Wright-PSG.Google Scholar
  33. Shneidman, E. (1985). Definition of suicide. New York: Wiley.Google Scholar
  34. Tabachnick, N. (1970). The crisis treatment of suicide. California Medicine, 112, 1–8.PubMedGoogle Scholar
  35. Traskman, L., Asberg, M., Bertilsson, L., & Sjostrand, L. (1981). Monamine metabolites in CSF and suicidal behavior. Archives of General Psychiatry, 38, 631–636.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Jerome A. Motto
    • 1
  1. 1.University of California, School of MedicineSan FranciscoUSA

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