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Suicidality: A Roadmap for Assessment and Treatment
Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide


Suicidality: A Roadmap for Assessment and Treatment

by David V. Sheehan, MD, MBA and Jennifer M. Giddens

The search for and development of medications to specifically treat suicidality has lagged behind other major public health conditions.  Yet suicide is the 10th leading cause of death in the USA and the 15th leading cause of death worldwide.  Clinicians and researchers become alarmed when patients discuss suicidality.  As a consequence, suicidal individuals are routinely excluded from clinical research studies. There are ethical, institutional, and funding barriers to pursuing research on suicidality. This eBook lays the foundations for the scientific search and investigation of anti-suicidality medications.  We offer new models to more accurately understand and assess suicidality and propose a roadmap to initiate the search for new specific treatments.

The eBook offers:

  • a classification of suicidality disorder phenotypes
  • diagnostic criteria for each phenotype and
  • a structured diagnostic interview for each phenotype
  • a classification of suicidality phenomena
  • a classification of suicidality events
  • definitions for all nomenclature terms and categories relating to suicidality
  • an applied mathematical non-linear dynamic model for suicidality phenomenology
  • a discussion of some candidate anti-suicidality medications
  • a new candidate medication treatment for some suicidality disorders
  • a hypothesis for the mechanism of action of some specific anti-suicidality medications
  • Sheehan – Suicidality Tracking Scale (+ S-STS CMCM + pediatric S-STS versions)
  • Suicide Plan Tracking Scale (SPTS)
  • Suicidality Modifiers Scale (SMS)
  • Suicidal Impulse Attack Scale (SIAS)

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How to Cite the eBook Suicidality: A Roadmap for Assessment and Treatment

Use the following citation in referencing this eBook:

  • Sheehan DV, Giddens JM. (2015). Suicidality: A Roadmap for Assessment and Treatment. (1st ed.). Tampa, FL: Harm Research Press. Nov. 2015 (Available from: http://HarmResearch.org)

ISBN:  978-0-9969729-0-1
Library of Congress Control Number:  2015919948


Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide

by David V. Sheehan, MD, MBA and Jennifer M. Giddens

Suicide is a leading cause of malpractice actions in psychiatry.  The product information on most psychiatric drugs advises clinicians to assess and monitor their patients for suicidality before starting and throughout the course of treatment on these medications.  The expectations on how to properly conduct and document suicidality assessments increased significantly following the inclusion of boxed warnings on suicidality for most psychiatric medications.  Healthcare providers need guidance on how to do this in a time efficient manner.  Skillful assessment protects their patients and the documentation protects them.  This brief, practical guide operationalizes and provides tools and templates for time-efficient assessment and documentation of suicidality.

The eBook offers:

  • an overview of myths and questions about suicidality
  • tips for interviewing suicidal patients
  • operationalized recommendations on suicidality

assessment and documentation including:

  • Sheehan – Suicidality / Homicidality Screening Questions (S-SHSQ)
  • Sheehan – Suicidality Tracking Scale (S-STS) (standard, adult CMCM, pediatric, and adolescent CMCM versions)
  • visit face sheet, psychiatric progress note, and psychiatric history templates
  • Suicide Plan Tracking Scale (SPTS)
  • Suicidality Modifiers Scale (SMS)
  • Suicidal Impulse Attack Scale (SIAS)
  • an overview of a phenotypic classification for 11 suicidality disorders
  • a brief overview of medication treatments for suicidality
  • basic definitions of suicidality phenomena
  • resources for clinicians, patients, friends, and family

To view a copy of Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide (click here)

To purchase and download a copy of Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide (click here)

How to Cite the eBook Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide

Use the following citation in referencing this eBook:

  • Sheehan DV, Giddens JM. (2016). Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide. (1st ed.). Tampa, FL: Harm Research Press. April 2016. (Available from: http://HarmResearch.org)

ISBN: 978-0-9969729-1-8
Library of Congress Control Number: 2016936218