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Stages of Hypnotherapy
Published in Assen Alladin, Michael Heap, Claire Frederick, Hypnotherapy Explained, 2018
Assen Alladin, Michael Heap, Claire Frederick
Before initiating hypnotherapy, it is important for the therapist to take a detailed clinical history and identify the essential psychological, physiological and social aspects of the patient’s behaviors. This should include functional and dysfunctional patterns of thinking, feeling, bodily responses and behaviors. To make a reliable diagnosis, the therapist is advised to use standard diagnostic criteria such as the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (American Psychiatric Association, 2000), or the International Classification of Diseases (ICD-10) (World Health Organization, 1992). Specific psychometric measures such as the Beck Depression Inventory – Revised (Beck et al., 1996), the Beck Anxiety Inventory (Beck and Steer, 1993a), the Beck Hopelessness Scale (Beck and Steer, 1993b), and the Revised Hamilton Rating Scale for Depression (RHRSD, Warren, 1994) can also be administered to determine the severity of the symptoms before, during and after treatment.
What Changes? What Does It Mean?
Published in John R. Cutcliffe, José Carlos Santos, Paul S. Links, Juveria Zaheer, Henry G. Harder, Frank Campbell, Rod McCormick, Kari Harder, Yvonne Bergmans, Rahel Eynan, Routledge International Handbook of Clinical Suicide Research, 2013
The Beck Hopelessness Scale (BHS) is a 20-item true—false self-report questionnaire designed to assess negative attitudes about the future. Scores range from 0 to 20. The scale has been shown to have high internal consistency (Kuder-Richardson-20 coefficient alpha = 0.93) and a relatively high correlation with clinical ratings of hopelessness (r = 0.74) in a population of 294 hospitalized patients with recent suicide attempts (Beck, Weissman, Lester et al., 1974).
Special Considerations in Home Care
Published in Danielle L. Terry, Michelle E. Mlinac, Pamela L. Steadman-Wood, Providing Home Care for Older Adults, 2020
Luis Richter, Ami Bryant, William Gibson, Clair Rummel
Depending on the operating procedures of their agency, suicide screenings may be conducted by home care providers other than MH provider. At a minimum, suicidal ideation should be screened for during initial evaluations and at any point in treatment when warning signs are observed. Use of structured instruments to assist with screening are recommended (Corson, Gerrity, & Dobscha, 2004). Consider using one of the following: Beck Scale for Suicidal Ideation (BSS; Beck, Steer, & Ranieri, 1988).Beck Hopelessness Scale (BHS; Beck & Steer, 1988).Reasons for Living Inventory (RFL; Linehan et al., 1983).Columbia-Suicide Severity Rating Scale (C-SSRS; Posner et al., 2011).Assessments specific to evaluating suicide in older adults may also be used: The Geriatric Suicide Ideation Scale (GSIS; Heisel & Flett, 2006).Reasons for Living Inventory-Older Adults (RFL-OA; Edelstein et al., 2009).MH providers should carry materials needed for suicide risk screening, clinical risk assessments, and safety planning with them while in the field, as it is not always known when these materials will be needed.
Adolescents With Non-Suicidal Self-Harm—Who Among Them Has Attempted Suicide?
Published in Archives of Suicide Research, 2023
Sudan Prasad Neupane, Lars Mehlum
Diagnoses were made through a Norwegian version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL; Kaufman et al., 1997), and the Structured Clinical Interview for DSM-IV (SCID-II; First, Gibbon, Spitzer, Benjamin, & Williams, 1997) was used to diagnose BPD. “Any depressive disorder” comprised major depressive disorder, dysthymic disorder, and depressive disorder not otherwise specified. The level of borderline symptoms was assessed through the 23-item self-report Borderline Symptom List (BSL-23; Bohus et al., 2007). Global level of functioning in the range of 0 to 100 was determined by using the Children’s Global Assessment Scale (C-GAS; Shaffer et al., 1983). Hopelessness was measured through the 20-item self-report Beck Hopelessness Scale (Beck, Weissman, Lester, & Trexler, 1974). The 15-item self-report Suicidal Ideation Questionnaire (SIQ-JR) was used to measure severity of suicidal ideation on a 7-point scale from “never had this thought” to “almost every day” (Reynolds & Mazza, 1999). Reasons for living were measured through the Brief Reasons for Living Inventory for Adolescents (BRFL-A; Osman et al., 1996). As previously reported, the instruments showed good to excellent reliability (Ramleth, Groholt, Diep, Walby, & Mehlum, 2017).
Prevalence and correlates of hopelessness in Tunisian women with benign breast disease and breast cancer
Published in Journal of Psychosocial Oncology, 2022
Feten Fekih-Romdhane, MD, PhD, Fatma Saadallah, MD, Mahdi Mbarek, MD, Hatem Bouzaiene, MD, Majda Cheour, MD
Hopelessness was measured by the Beck Hopelessness Scale (BHS; Beck et al. 1974). This instrument enables an evaluation of pessimism, a specific cognitive dimension of depression as well as cognitive schemas concerning the future. The scale thus indirectly reflects suicidal intentions. It includes 20 binary items (true–false). A simple computation system allows to calculate a global score linked to the severity of pessimism and suicidal risk. Scores ranging from 0 to 3 are considered within the normal range, 4 to 8 are indicative of mild hopelessness, 9 to 14 identify moderate hopelessness, and scores greater than 14 are indicative of severe hopelessness.26 The Arabic version of the BHS was used in this study (Alansari 2014). The internal consistency of this version was satisfactory, with a Cronbach’s alpha of .85. The Arabic version of the BHS was previously used in clinical27 and non-clinical28 Tunisian populations.
Wish to die and reasons for living among patients with amyotrophic lateral sclerosis
Published in Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 2019
Annie Verschueren, Gilda Kianimehr, Carole Belingher, Emmanuelle Salort-Campana, Anderson Loundou, Aude-Marie Grapperon, Shahram Attarian
Accordingly, two factors were determined to strongly influence the existence of suicidal thoughts: greater physical disability and underlying depression. Furthermore, both parameters were found to be correlated such that an increased in physical disability resulted in an increase in depression scores. Although suicidal ideation has usually been associated with depression in medically healthy individuals, such an association remained unclear among those with ALS, a life-threatening illness that leads to motor impairment and loss of autonomy. In the study of Rabkin et al. (2), only 37% of patients expressing a desire to die were depressed. On the contrary, Stutzki et al. (3) found that the desire to hasten death among patients with ALS was associated with depression. Our results strongly support this finding considering that patients who expressed suicidal ideation were more depressed. Analysis of the subgroup of patients with passive suicidal ideation found that among 18 patients, 12 (66%) had moderate or severe depression, while 5 (28%) had mild depression (Figure 1). A limitation of our study is the choice of the BDI that depends on the patient's physical function and this is sometimes difficult to interpret for patients with motor disabilities. A Beck Hopelessness scale would have been relevant in our study because hopelessness has often been associated with suicidal ideation (1,14). Recently Paganoni et al. (15) have showed that decline in function measured by ALSFRS-R between two visits correlated with increased hopelessness, but not with depression.