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In Suicide Prevention Contracting: The Pitfalls, Perils, and Seven Safer Alternatives, Edwards and Goj expose one of the biggest myths operating in health care and human services for forty years or more. This book will challenge clinicians and their superiors who see Suicide Prevention Contracting (SPC) as a state-of-the-art standard of care intervention. No medical or mental health care professional, educator, lawyer, or health and human services decision maker can afford to ignore what this book presents. A family of new clinical terms and interlinked concepts, describing virtually every aspect of SPC is clearly articulated and ready for use in the workplace. Not until now has a book so simply yet comprehensively explained the widespread troubling practice of SPC. Written in an accessible narrative style, this landmark book presents vital information about a questionable suicide prevention intervention operating within this era of evidence-based practice and personal legal risk protection and, in doing so, offers seven safer alternative procedures.
Stephen J. Edwards, BSW, PhD, (University of Western Australia) is a current research (honorary) fellow at the University of Western Australia, senior mental health clinician (senior clinical social worker), and child and adolescent mental health service manager with Western Australian Mental Health Services. Christopher Goj, MA, (University of Auckland) is the former staff writer and program manager of suicide prevention education with Lifeline Aotearoa (New Zealand).
PrefaceAcknowledgments Symbols and Abbreviations Introduction: Evidence Base behind this BookPart 1: Current Understanding of Suicide Prevention ContractingChapter 1: A personal journey with SPCChapter 2: Historical reviewChapter 3: DefinitionsChapter 4: Causes of current concernPart 2: A New Understanding of Suicide Prevention ContractingChapter 5: Profile of contemporary SPCChapter 6: The anatomy of contemporary SPCPart 3: The Potential-to-Cause-Harm Profile of Suicide Prevention ContractingChapter 7: How SPC can compromise treatment Chapter 8: The role of no suicide assurances in clinical practiceChapter 9: Contraindications for SPCPart 4: Alternatives to Suicide Prevention ContractingChapter 10: Seven alternatives to SPCConclusionFrequently Asked Questions Appendices: Teaching ToolsUseful linksIndex About the Author
The aim of Suicide Prevention Contracting: The Pitfalls, Perils, and Seven Safer Alternatives is commendable: to caution mental health professionals against unthinkingly using nosuicide contracts. Authors Stephen J. Edwards and Christopher Goj firmly believe that nosuicide contracts are unhelpful, actually compromising treatment because, rather than reinforcing the clinician–client relationship, they erode the empathy and compassion that clinicians offer clients. Thus, this book not only condemns no suicide contracts as unhelpful but also warns that such contracts may go so far as to cause harm. . . .Edwards and Goj provide valid points and pull data from an impressively large sample. . . .[T]his book . . . [would] be . . . useful as a reference for clinicians.