作者: Oommen Mammen , James Tew , Tiffany Painter , Elizabeth Bettinelli , Jennifer Beckjord
DOI: 10.1016/J.GENHOSPPSYCH.2020.08.014
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摘要: Abstract Objective The distinction between acute and chronic suicidality is important, because interventions designed to address can worsen suicidality, resulting in an escalating cycle of suicide threats, attempts, futile hospitalizations. Though most chronically suicidal borderline personality disorder patients improve do not complete suicide, the potential for contributes these hospitalizations a paucity outpatient services due treaters' concern over malpractice lawsuits case suicide. Communicating with patients' families about risk has been suggested as means mitigate this risk, but approach such communication described. Method Once identified, stepwise communicating patient's family Results benefits are described, patients, families, treaters, healthcare systems, health insurers. Conclusion It helps develop alliance around shared understanding outcomes – eventually better, completed real. This enables make more fully informed choice treatment, which turn reduce litigation minority cases where patient completes