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Terapia psicológica

On-line version ISSN 0718-4808


ECHEBURUA, Enrique. The many faces of suicide in the psychological clinic. Ter Psicol [online]. 2015, vol.33, n.2, pp.117-126. ISSN 0718-4808.

The aim of this paper is to show the different clinical forms in which suicidal behaviors manifest, put them in connection with various mental disorders, display warning signs, analyze risk and protective factors and discuss the possible clinical decisions that therapist can take. Relevant information about factors associated with completed and attempted suicide is discussed. Therapeutic demand regarding suicidal behaviors includes three types of patients: a) patients who have survived a suicide attempt; b) patients who seek treatment because of persistent thoughts of suicide; and c) patients with suicidal ideation but without having expressed it to anyone. The empathic therapeutic alliance with the patient and collaboration with family play a very important role. Therapeutic goals according to problems frequently encountered in the clinic, as well as the need to focus on changing modifiable factors to counteract the weight of non-modifiable factors, are commented. Suggestions for future research are outlined.

Keywords : suicide; warning signs; mental disorders; risk and protective factors; therapeutic aims.

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