Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation

  title={Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation},
  author={David C. Kondrat and Barbra A Teater},
  journal={Journal of Social Work},
  pages={15 - 3}
• Summary: One-third or more of persons presenting to Emergency Rooms (ER)/Accident and Emergency departments in psychiatric emergencies report experiencing suicidal ideations. A critical task for hospital-based practitioners is to assess the lethality of the situation to determine whether the person should be hospitalized. Practitioners often employ standardized assessment instruments to assist in determining the suicidal risk factors, yet such measures often fail to recognize or consider the… 


How SFT in conjunction with the medical model in psychiatric crises supports decision making, leads to goal-oriented strategies by therapists, empowers clients, and facilitates positive conversations is explored.

Solution Focused Brief Therapy (SFBT) In the Treatment of Depression and Suicidal Ideation: A Case Study

  • Psychology
  • 2018
Young adults pursuing higher education may experience it as a challenging period of transition and are vulnerable to many problems. Suicide is one of the most common reasons for death among young

Solution Focused Brief Therapy Telemental Health Suicide Intervention

The authors believe that regardless of the primary model(s) therapists utilize in session, solution-focused brief therapy is an integrative model that uniquely captures client’s resources and reasons for living and when clients are in crisis.

A Systematic Review of the Literature for Suicide Prevention Interventions Initiated in Emergency Departments in the United States

A systematic literature review found a narrow range of suicide prevention interventions are administered in the Emergency Departments of the United States, and opportunities exist for additional types of suicide Prevention interventions in the ED.

Examination of the Geographic Parameters of Suicide: A Historical Comparison Study of Ontario and Alberta

  • Rosina E. Mete
  • Medicine
    International Journal of Psychiatry Research
  • 2022
Area of Interest Suicide is defined as “the result of actions taken to deal with intolerable mental anguish and pain, fear or despair that overwhelms an individual’s value for living and hope in

Hope and Its Relation to Suicidal Risk Behaviors among Malaysian Adolescents

Suicide is an epidemic issue worldwide and Asian countries are of no exception. In Malaysia, adolescent suicide constituted 10% of the overall reported suicide cases. Aforementioned, the current

Family therapists’ experiences of working with adolescents who self-harm and their families: A grounded theory study

This study is a qualitative enquiry into family therapists’ experiences of working with young people who self-harm and their families. To date, in spite of self-harm being a serious public health

Hope and Helping in Social Work

Recently social work researchers and writers have started to explore again the role of hope. The importance of hope is examined in social work practice with particular client groups, such as younger,

Randomized controlled trial study examining positive emotions and hope in solution-focused brief therapy with substance using parents involved in child welfare system

ABSTRACT Objective This study examines whether parents involved in the child welfare system, due to substance abuse, who receive solution-focused brief therapy (SFBT) counseling experience more hope

A Solution-Focused Therapy Group Designed for Caregivers of Stroke Survivors

In 2006, 44 million Americans acted as informal caregivers for other adults. In Canada, in 2007, this number was 2.75 million. Stroke is the leading cause of disability in North America, so there is



A solution-focused approach to working with clients who are suicidal

Self-harm and suicide are amongst the most challenging and frightening problems that therapists and counsellors can encounter in the course of their work. The risk of clients harming themselves in

Improving suicide risk assessment in a managed-care environment.

The article describes the methods used to encourage clinicians to utilize information from the patient self-report measure as part of the clinical assessment and how Probable suicidal ideation assessment errors were subsequently reduced by 29% over a 1-year period of administration.

Scientizing and Routinizing the Assessment of Suicidality in Outpatient Practice

A framework for suicide risk assessment is provided that emphasizes 2 domains—history of past attempt and the nature of current suicidal symptoms—that have emerged in suicide research as crucial variables that produce a categorization of risk for the individual patient.

An empirical model of therapeutic process for psychiatric emergency room clients with dual disorders

Many individuals with dual disorders of mental illness and substance abuse enter the mental health system through psychiatric emergency rooms (PERs), but may resist treatment and not follow through

Might within the madness: solution-focused therapy and thought-disordered clients.

The authors include three case studies demonstrating the use of SFT with clients experiencing thought disorders, and conclude with some of the lessons they have learned using SFT techniques with these kinds of clients in inpatient psychiatric settings.

Validity of the Suicide Assessment Checklist in an Emergency Crisis Center

Validity of the Suicide Assessment Checklist (SAC) was investigated in a sample of 1,969 admissions to a psychiatric emergency crisis center, and recommendations are made for the use of the SAC in the practice of counseling.

Interrater agreement among psychiatrist in psychiatric emergency assessments.

Investigating the interrater agreement among psychiatrists in psychiatric emergency service settings found the level of agreement among the reviewing psychiatrists was higher for psychosis and substance abuse but lower for psychopathology, impulse control problems, danger to self, and disposition.

Seven-year outcomes of patients evaluated for suicidality.

  • M. Lambert
  • Psychology, Medicine
    Psychiatric services
  • 2002
Although no suicides were identified in the contingently suicidal group, ten suicides were confirmed or highly suspected among the noncontingently suicidal patients, and this group also had higher overall death rates.

Toward a redefinition of psychiatric emergency.

Comparing three methods for rating legitimate use of psychiatric emergency services (PES) in order to develop criteria that can differentiate appropriate from inappropriate PES service requests suggests it does appear likely that a minimum of 25-30 percent of visits are nonemergent and could be triaged to other, less costly treatment providers.

Solution Focused Therapy: A Handbook for Health Care Professionals

This book discusses how to begin, the concepts of Solution Focused Therapy, and what to say after you have said 'hello again' in a first session.