@article{ref1,
title="The treatment in the Danish suicide prevention clinics: a clinician perspective",
journal="Nordic journal of psychiatry",
year="2020",
author="Lahoz, Titia and Winsløv, Jan-Henrik and Christiansen, Rikke and Krogh, Søren and Knudsen, Per Bjerregaard and Wang, August G. and Erlangsen, Annette and Nielsen, Klaus",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Background:</b> Few qualitative studies have focused on clinicians' perspectives regarding treatment of suicidal people. Despite limited evidence and imperfect risk-assessment tools, the psychosocial therapy at the Danish suicide prevention clinics has been linked to reductions in numbers of repeated self-harm, deaths by suicide, and other causes. This merits an investigation into how clinicians describe their practice.<b>Methods:</b> Using a qualitative design, 10 semi-structured interviews were conducted and analyzed to describe the psychosocial therapy.<b>Results:</b> The practices that the therapists described could be categorized along four dichotomous continuums. These illustrated dilemmas encountered during treatment of suicidal patients: 1) <i>intuitive</i> vs. <i>specific risk assessment</i>, 2) <i>meaningful</i> vs. <i>formal</i>, 3) <i>patient-oriented</i> vs. <i>therapist-oriented</i> and 4) <i>direct</i> vs. <i>indirect</i> approach to suicide prevention.<b>Conclusions:</b> Treatment in the Danish Suicide Prevention Clinics is characterized by methodological flexibility and diversity and with an emphasis on a <i>patient-oriented</i> approach. Furthermore, clinicians balance knowledge available by switching between a <i>direct</i> and an <i>indirect</i> approach according to the perceived suicide risk. If suicide risk was perceived as high, they would administer a <i>direct</i> approach and if low, an <i>indirect</i> approach. Finally, there seems to be differences as to how effective therapeutic methodologies work in the practice of suicide prevention.<p /> <p>Language: en</p>",
language="en",
issn="0803-9488",
doi="10.1080/08039488.2020.1759683",
url="http://dx.doi.org/10.1080/08039488.2020.1759683"
}