Working with the Suicidal Client Who Also Abuses Substances

Autor/inn/en	Esposito-Smythers, Christianne; Walsh, Adam; Spirito, Anthony; Rizzo, Christie; Goldston, David B.; Kaminer, Yifrah
Titel	Working with the Suicidal Client Who Also Abuses Substances
Quelle	In: Cognitive and Behavioral Practice, 19 (2012) 2, S.245-255 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1077-7229
DOI	10.1016/j.cbpra.2010.11.004
Schlagwörter	Substance Abuse; Counseling Techniques; Suicide; Alcohol Abuse; Adolescents; Adults; Mental Disorders; Correlation; Cognitive Restructuring; Behavior Modification; Therapy; Intervention; Case Studies; Guidelines + Suchen Sie Ihr Suchwort? Drug use; Drug consomption; Drogenkonsum; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Selbstmord; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Mental illness; Geisteskrankheit; Korrelation; Behaviour modification; Verhaltensänderung; Therapie; Case study; Fallstudie; Case Study; Richtlinien
Abstract	Substance use disorders and suicidal thoughts and behaviors commonly co-occur in adolescent and adult psychiatric populations and are often functionally interrelated. Although the evidence base for treatment of this population is sparse, integrated cognitive behavioral treatment (CBT) protocols, or those that rely heavily on CBT techniques, hold promise. In this paper, we provide an overview of the evidence-based literature for interventions that target suicidal behavior and substance use disorders with adults and adolescents. We then discuss the manner in which these behaviors may be functionally interrelated and offer a conceptual framework (S-O-R-C) to guide case conceptualization and treatment planning for clients with co-occurring suicidality and substance use disorders. Next, we provide a case example of a client with suicidal behavior and an alcohol use disorder and demonstrate how to apply an integrated CBT treatment protocol to this case. This case example is followed by a more general discussion about the potential advantages of integrated CBT protocols for suicidality and substance use disorders, guidelines for prioritizing treatment targets and skill selection for each individual client, and other important treatment considerations. We conclude with recommendations for future research in this area. (Contains 1 table.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10