Assessing and Managing Suicide Risk: Guidelines for Clinically Based Risk ManagementPatient suicide is an unavoidable occupational hazard of psychiatric practice. Indeed, it is the rare clinician who does not struggle, even agonize, over the complex task of assessing and managing the risk of suicide in patients. Patient suicides account for the greatest number of malpractice suits filed against psychiatrists and for the greatest number of settlements and verdicts covered by professional liability insurers. In this book, written by a clinician for clinicians, Dr. Simon, an established expert in psychiatry and law, offers A solid, easy-to-understand review of how medical malpractice law applies to patient suicides. He discusses the standards of care physicians must meet, the conditions associated with malpractice liability, and how best to minimize risks of litigation. Extensive references to peer-reviewed literature on suicide and recent malpractice cases, including those triggered by patient suicides, which give insight into the latest developments in both the scientific community and the courts. Much-needed practical advice, including advice on working with suicide risk assessments and suicide prevention contracts, on treating suicidal patients in various settings (outpatient, inpatient, collaborative, and emergency), and on coping with issues arising in the aftermath of a patient's suicide (documentation, confidentiality, and survivor care). Clearly defined risk management guidelines that will help clinicians avoid litigation or establish a sound legal defense if sued for malpractice. Numerous case examples that make the theoretical discussions and clinically based risk management guidelines that follow come alive. Rich in advice that draws on the author's more than 40 years of clinical experience, this book serves as an essential aid to clinicians. |
From inside the book
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... . Psychotherapy . 5. Risk Management . WM 165 S596a 2004 ] RC569.S556 2004 362.28 ' 7 - dc22 British Library Cataloguing in Publication Data A CIP record is available from the British Library . 2003057840 To be or not to be : that is the.
... Records . Confidentiality , and Survivor Care 191 Introduction .. 191 192 193 194 198 204 206 Aftercare for Suicide Survivors 209 Clinically Based Risk Management 211 References . 213 Index of Legal Cases and Statutes 217 Subject Index ...
... records ˇ • Failure to hospitalize Failure to make a rational diagnosis based on the history and evaluation • Failure to record suicide risk assessments Generally , malpractice claims against psychiatrists for a patient's suicide are ...
... records , acknowl- edges the error and apologizes . He orders a refill of the correct medication . The patient's depression improves , and her suicidal ideation subsides . The psychiatrist's failure to check the patient's medication rec ...
... records and consulting with other knowl- edgeable sources , a psychiatrist could reasonably conclude that the patient does not represent a significant suicide risk . If the patient were to commit suicide without a warning or a ...
Contents
1 | |
25 | |
Discharge and Aftercare | 36 |
Partial Hospitalization Programs and Intensive | 79 |
5 | 105 |
Emergency Psychiatric Services | 173 |
Documentation | 191 |
Index of Legal Cases and Statutes | 217 |
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Assessing and Managing Suicide Risk: Guidelines for Clinically Based Risk ... Robert I. Simon No preview available - 2004 |