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Cited by 79Suicide and Self-Harm StudiesPsychiatric care and mental health servicesHomicide, Infanticide, and Child Abuse

The Suicidal Crisis

Galynker, Igor·2017·Oxford Medicine Online
DOI 10.1093/med/9780190260859.001.0001
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Abstract

One of the most difficult determinations a psychiatrist makes is whether the chronically suicidal patient is at risk for suicide in the immediate future. The Suicidal Narrative is the first book to help clinicians evaluate the risk of imminent suicidal behavior. The book describes a theoretical framework for a systematic and comprehensive assessment of short-term suicide risk and also describes practical ways of conducting risk assessment interviews in different settings. The book is based on the narrative crisis model of suicide, which posits that individuals with trait vulnerability for suicide attempt suicide after they develop the suicide crisis syndrome when they feel that their life narrative has no acceptable future. This book first reviews current models of suicidal behavior and introduces the narrative crisis model of suicide. Next, it provides a comprehensive description of trait vulnerabilities followed by a discussion of stressful life events that may increase short-term suicide risk. The book’s core introduces the key concepts of the narrative crisis model of suicide—the suicidal narrative and suicide crisis syndrome—and addresses the clinical value of clinicians’ emotional responses to suicidal patients. Finally, the book provides practical guidance for conducting short-term suicide risk assessment and introduces current approaches to suicide risk reduction. The Suicidal Narrative is designed as a textbook and reference guide. The book contains more than 50 clinical case vignettes, detailed examples of risk assessment interviews, as well as test cases for self-assessment.

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Crossref · 10.1093/med/9780190260859.001.0001

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  • There is a risk that persistent ambivalence contributes to persistent rumination and in consequence, to symptoms of overarousal, sleep problems or agitation that may in turn be associated with increased suicidal thoughts or behavior.

    “There is furthermore a risk that persistent ambivalence contributes to persistent rumination and in consequence, to symptoms of overarousal, sleep problems or agitation that may in turn be associated with increased suicidal thoughts or behavior (44, 45).”

    From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [44]

  • The Suicide Crisis Syndrome is considered part of a multivariate, time-sensitive model of the progression to suicide, the Narrative-Crisis Model of Suicide.

    “In a larger context, the Suicide Crisis Syndrome is considered a part of a multivariate, time-sensitive model of the progression to suicide, the so-called Narrative-Crisis Model of Suicide (Galynker, 2017).”

    From Suicide Crisis Syndrome: A systematic review (2024) · cites this paper as Galynker, 2017

  • These findings support the assumptions about the suicidal process that are proposed in the Narrative-Crisis Model of suicide.

    “These findings support the assumptions about the suicidal process that are proposed in the Narrative-Crisis Model of suicide (Galynker, 2017).”

    From Suicide Crisis Syndrome: A systematic review (2024) · cites this paper as Galynker, 2017

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Authors
Galynker, I.
Corresponding author
Galynker, Igor
ORCID
Galynker, Igor
Venue
Oxford Medicine Online
Publisher
Oxford University Press
Published
2017-11
DOI
10.1093/med/9780190260859.001.0001
OpenAlex
W4243519720
Cited by
79
References
0
Citations by year
2026: 10 · 2025: 11 · 2024: 11 · 2023: 6 · 2022: 10 · 2021: 16 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 1
FWCI
6.05
Type
book
Language
en
Open access
closed
Locations
Oxford University Press eBooks (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide risk assessment, life events, suicide risk reduction

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