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Access to care
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Extent to which people can obtain medical, psychological, and social services and are helped by doing so.
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Altruistic suicide
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According to Durkheim, occurs when people experience high social integration; they are so well integrated into society that they willingly sacrifice themselves for the greater good.
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Anomic suicide
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According to Durkheim, occurs when people experience low social regulation; suicide results because society doesn’t provide dependable social structures for its members, leading to people feeling isolated and let down.
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Civil commitment
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When people deemed dangerous to self or others or in serious need of treatment are treated against their will, either in hospital or outpatient settings; also known as involuntary commitment; or, in the U.K., sectioning or detaining.
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Cognitive-behavioral therapy for suicide prevention (CBT-SP)
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Uses several structured strategies to prevent further suicide attempts, including chain analysis (identifying activating events that push one toward suicide), safety plan development (concrete coping strategies to prevent further suicide attempts, and skill building (teaching problem-solving strategies to better handle life’s challenges).
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Commitment to treatment statement (CTS)
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Suicide prevention technique in which suicidal clients commit to (a) life and the therapy process, (b) being honest about their suicidal thoughts and actions, and (c) seeking emergency services should they experience a crisis between sessions; an alternative to no-suicide contracts.
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Competence
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Ethical standard that clinicians only conduct therapies, assessments, and research when they are properly trained and competent to do so.
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Competency to stand trial
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Legal standard used in the U.S. that says those charged with a crime must be able to (a) comprehend the proceedings, (b) participate in his or her own defense, and (c) consult with legal counsel.
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Confidentiality
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The ethical requirement that practicing clinicians not disclose what clients tell them unless their clients give them permission to do so.
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Conflicts of interest
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Situations in which a clinician or researcher has a professional, legal, financial, or other interest that might impair his or her objectivity, competence, or effectiveness or that could lead to exploitation or harm.
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Criminal commitment
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Placing people in mental hospitals because of crimes they committed.
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Death capitulators
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According to Shneidman, people who give in to death; their anxiety and depression lead them to psychologically capitulate, making subintentional death more likely.
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Death chancers
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According to Shneidman, people who take unnecessary risks just to see what will happen; can lead to subintentional death.
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Death darers
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According to Shneidman, suicide attempters who are unsure about wanting to die, leading them to take risks that could result in death—such as playing Russian Roulette or purposely overdosing on drugs but then calling for help.
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Death experimenters
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According to Shneidman, people who don’t actively try to end their lives, but instead experiment with living in a continuously altered and foggy state; can lead to subintentional death.
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