@article{ref1,
title="Suicide prevention contract: a possibility for reducing the risk of suicidality in  outpatient psychoterapy care",
journal="Psychiatria Hungarica : A Magyar Pszichiátriai Társaság tudományos folyóirata",
year="2020",
author="Perczel-Forintos, Dóra and Zinner-Gérecz, Ágnes and Naszvadi, Emma",
volume="35",
number="4",
pages="448-462",
abstract="The prevention of suicide and self-harm are of particular importance in psychiatric  practice handling ade - quate diagnostic procedures. Despite its decreasing  tendency, suicide risk is still a serious problem facing our health care system. From the second half of the 20th century, verbal or written agreements that were  intended to forestall sui - ci dal behavior became part of suicide prevention  protocol. Today, we refer to them as &quot;suicide prevention contracts&quot; or &quot;no-suicide  contracts&quot;. Despite the fact that these agreements are becoming more and more common  in medical care, there is still no general agreement among health care providers on  the indication, form or other aspects of these con - tracts. However, contracting in  these situations requires delicate discretion. At the outpatient psychotherapy  service of the Clinical Psychology Department, Semmelweis University we have been  using this tool in the last 20 years in the management of patients in suicidal  crisis. In this article the establishment of contracts in clinical use and its  indica - tions are described as well as some special issues like suicidality in  adolescence. We also discuss the presumed positive effects of contracting, and  demonstrate the use of no-suicide contracts in clinical practice by presenting  selected cases.<p /> <p>Language: hu</p>",
language="hu",
issn="0237-7896",
doi="",
url="http://dx.doi.org/"
}