The chronological assessment of suicide events: a practical interviewing strategy for the elicitation of suicidal ideation.
Suicide assessment is one of the cornerstones of daily clinical practice for both mental health professionals and primary care clinicians. A practical interviewing strategy for efficiently eliciting valid suicidal ideation is presented. The strategy is illustrated via a reconstructed interview designed to highlight key teaching points. The strategy, the Chronological Assessment of Suicide Events (CASE Approach), helps the clinician to uncover critical data in four contiguous time frames: (1) presenting suicidal ideation/behavior, (2) recent suicidal ideation/behaviors, (3) past suicidal ideation/behaviors, and (4) immediate suicidal ideation. The CASE Approach is an easily learned interviewing strategy, designed for busy, frontline clinicians in both the mental health and primary care settings.
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Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Dartmouth Medical School, Lebanon, NH, USA.
D003142:Communication; D003866:Depressive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000379:methods; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011594:Psychometrics / Q000295:instrumentation; D015203:Reproducibility of Results; D012307:Risk Factors; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires