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26 Cards in this Set

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  • Back
According to Stellrecht et al (2005), Three components
are necessary, but not sufficient, for an individual to die by suicide. What are these components?
(1) the acquired capability to enact lethal self-injury, (2) a sense that
one is a burden on others, and (3) the sense that one does not belong to
a valued social group.
Joiner (2005) recently proposed an interpersonal-psychological theory of suicide
that can be applied to risk assessment and treatment. The theory hypothesizes that three
components must exist for an individual to die by suicide:
(1) the acquired capability to
enact lethal self-injury, (2) the sense that one is a burden on loved ones or society (burdensomeness),
and (3) the sense that one does not belong to or feel connected with a
valued group or relationship (thwarted belongingness).
Joiner's (2005) interpersonal-psychological theory of suicide suggests that which of the three components must be present for an individual to complete suicide?
All components
Stellrecht et al (2005)suggest that
ACQUIRED CAPABILITY is attained when...
habituation to the negative aspects of self-injury (e.g., fear,
pain, and shame) occurs and, in accordance with opponent process theory (Solomon,
1980), the opposite effect is strengthened (in this case, emotion regulation or calming
effects of repeated self-injury are typical)
Research on multiple suicide attempters and populations with histories of self-harm
indicates that these experiences are associated with...
increasing intensity, frequency
and lethality of suicidal behavior.
Although a history of suicide attempts is clearly the most direct pathway to practice
and habituation, it is not the only pathway. There is preliminary evidence that a less direct
pathway is...
exposure to pain and provocation, which would entail accidental injury, reckless
or impulsive behavior, and submission to multiple surgeries.
We posit that the more one habituates to
injury and pain, and the more familiar with the mechanics of planning and executing
self-injury one becomes, the greater the likelihood that..
a suicide plan will be caried out
Given the research summarized above indicating that multiple suicide
attempts and previous self-injury episodes are associated with increased risk of completed
suicide, as are courage and competence about self-harm, assessing what will be of primary interest to clinicians?
attempt status
and resolved plans and preparations will be of primary interest to clinicians.
Questions regarding resolved plans and preparation should be directed at determining..
a client’s degree of experience, or practice, with suicide attempts or self-injurious
behavior.
questions that assess what will help the
clinician determine the potential risk to the client?
the specificity of current suicidal ideation and
degree of detailed planning as well as competence and courage about suicide
Stellrecht et al (2005) suggest that risk assesment should involve questions regarding...
other forms of violence or provocation, such as history of drug use by self-injection,
history of physical or sexual abuse, and general trait levels of impulsivity.
Do Stellrecht et al (2005) suggest that brief crisis intervention will influence acquired capability?
No. Acquired capability is viewed here as relatively static in nature and therefore relatively
less malleable over the short term. It is unlikely that brief crisis intervention will materially
influence this component in any lasting way.
Which of the following are amenable to psychotheraputic treatment:
acquired capability
deficits in emotion regulation
problem solving ability
impulsive response styles
Although clients’ acquired capabilities cannot be easily or directly altered, deficits in
emotion regulation, problem-solving abilities, and impulsive response styles are amenable
to psychotherapy.
Empirically supported treatments that focus on... should serve to inhibit the expression of self-harm and discourage involvement
in other provocative experiences (e.g., fighting or drug abuse) that can strengthen
acquired capability to enact lethal self-injury.
increasing distress tolerance and emotion
regulation
This therapy emphasizes techniques, such as chain analysis, which serve to
identify the who, when, where, how, and why culminating in a suicide attempt or deliberate
self-harm
Dialectical
Behavior Therapy (DBT)
Dialectical
Behavior Therapy (DBT) elicits and evaluates ____ ____ and _____ _____ _____.
Dialectical
Behavior Therapy (DBT) elicits and evaluates negative thoughts and maladaptive behavior
patterns.
This technique can be used to elicit and amend negative thought patterns
leading to self-harm incidents.
chain analysis (part of DBT)
DBT skills training emphasizes instruction in
distress tolerance skills that clients can use to facilitate more adaptive coping responses
when feeling the urge to engage in self-harm. What are some examples?
distracting from negative emotions,
self-soothing of emotions, improving the moment, and evaluating the pros and cons of
self-harm or suicide
Both ___ and ____ ____ are interpersonal in nature and typically
arise from distorted cognitions about one’s significance to and integration with a
valued social support network.
Burdensomeness and thwarted belongingness
a client may feel that loved ones would be better off in some way if he or
she were no longer living.
Which component of the interpersonal-psychological theory does this represent?
The second component of the interpersonal-psychological theory - feelings of
ineffectiveness, or burdensomeness, contribute to one’s desire for suicide
Research indicates that ____ ____ is associated with increased suicide
risk.
perceived burdensomeness
One of the clearest findings in the literature on suicide indicates that individuals who
complete suicide often experience ___ ____ and ____ ____ before their
death.
One of the clearest findings in the literature on suicide indicates that individuals who
complete suicide often experience social isolation and social withdrawal before their
death
In addition, some research suggests that having a family may act as a ____
against suicide
In addition, some research suggests that having a family may act as a safeguard
against suicide
Some research evidence is consistent with the hypothesis that ___ _____ _____ may foster increased belongingness and lower suicide rates.
Some research evidence is consistent with the hypothesis that camaraderie-inducing
events may foster increased belongingness and lower suicide rates.
Assessing ______ is important in determining risk for suicide.
Assessing the number and nature of interpersonal relationships and frequency of social
contacts an individual experiences, particularly as they relate to burdensomeness and
thwarted belongingness, is important in determining risk for suicide.
if acquired
capability is established in the presence of burdensomeness or thwarted belongingness,
suicide risk ____________.
will be higher