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A collection of previously published articles discussing the definition of suicide, analyses of its occurrence, and possible therapeutic responses.
Dr. Shneidman has written a groundbreaking work for every person who has ever thought about suicide or knows anybody who has contemplated it; the book brims with insight into the suicidal impulse and with helpful suggestions on how to counteract it.
Shneidman presents basic ideas of the common characteristics of suicide. He offers a fresh definition of the phenomenon, which includes direct implications for preventive action.
Drawing on more than 60 years of experience in the field of suicidology, Edwin S. Shneidman has compiled and reflected on the 13 most thought-provoking works on suicide from the 20th century. Serving a large audience, this volume will be of interest to those doing research, those helping prevent suicide through community intervention or clinical practice, and those who have been touched by suicide in some personal capacity.
With recent studies using genetic, epigenetic, and other molecular and neurochemical approaches, a new era has begun in understanding pathophysiology of suicide. Emerging evidence suggests that neurobiological factors are not only critical in providing potential risk factors but also provide a promising approach to develop more effective treatment and prevention strategies. The Neurobiological Basis of Suicide discusses the most recent findings in suicide neurobiology. Psychological, psychosocial, and cultural factors are important in determining the risk factors for suicide; however, they offer weak prediction and can be of little clinical use. Interestingly, cognitive characteristics are different among depressed suicidal and depressed nonsuicidal subjects, and could be involved in the development of suicidal behavior. The characterization of the neurobiological basis of suicide is in delineating the risk factors associated with suicide. The Neurobiological Basis of Suicide focuses on how and why these neurobiological factors are crucial in the pathogenic mechanisms of suicidal behavior and how these findings can be transformed into potential therapeutic applications.
This revised edition is designed for mental health practitioners, all of whom must at one time or another deal with a crisis of suicide. It argues that in practically every case, suicide need not occur. unnecessary.
The updated second edition of Suicide Among Gifted Children and Adolescents explores the suicidal behavior of students with gifts and talents. It provides the reader with a coherent picture of what suicidal behavior is; clarifies what is known and what is unknown about it; shares two major theories of suicide with explanatory power; and offers an emerging model of the suicidal behavior of students with gifts and talents. In addition, the book includes chapters offering insight into the lived experience of students with gifts and talents, and what we can do to prevent suicide among gifted students, including creating caring communities and specific counseling strategies. It also provides a list of resources available to help.
In the wake of a suicide, the most troubling questions are invariably the most difficult to answer: How could we have known? What could we have done? And always, unremittingly: Why? Written by a clinical psychologist whose own life has been touched by suicide, this book offers the clearest account ever given of why some people choose to die. Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner brings a comprehensive understanding to seemingly incomprehensible behavior. Among the many people who have considered, attempted, or died by suicide, he finds three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, chillingly, the learned ability to hurt oneself. Joiner tests his theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology--facts about suicide rates among men and women; white and African-American men; anorexics, athletes, prostitutes, and physicians; members of cults, sports fans, and citizens of nations in crisis. The result is the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. Joiner's is a work that makes sense of the bewildering array of statistics and stories surrounding suicidal behavior; at the same time, it offers insight, guidance, and essential information to clinicians, scientists, and health practitioners, and to anyone whose life has been affected by suicide.
Some researchers in the field of suicidology think that the old theories of suicide are too constraining and impede advances in the understanding of suicide. However the book’s authors are not quite so critical of past theories. In the book they review the classic theories of suicide, both psychological and sociological, because they are the foundation of our current theories and also propose the skeletons of possible future theories. The goal of the text is to present researchers with theories to guide their research, encourage them to modify these theories, perhaps meld them together in some cases, and think how they might propose new theories. Presented in three sections, the first reviews significant psychological theories including: Suicide as Escape; Interpersonal-Psychological theory; The Role of Defeat and Entrapment in Suicidal Behavior; Suicide, Ethology and Sociobiology; Stress-Diatheses; Cognitive Theories; Learning Perspective on Suicide; Theories of Personality and Suicide; Typological Theories; and the Pathophysiology of Suicide. The second section of the text addresses Sociological and Economic Theories including: Suicide as Deviance, Naroll’s Thwarting Disorientation Theory, three classic sociological theories as well as several minor theories. A comprehensive chapter on economic theories is offered by Bijou Yang. The final section concentrates on Critical Thoughts About Theories of Suicide, a new and growing influence in academia and scholarship.
Shneidman (1993) has theorized that psychache (i.e., intolerable psychological pain) is the key cause of suicide, and accounts for the effect of all other psychological factors. Two studies are presented that test Shneidman's theory, and compare the influence of psychache on suicidality relative to that of hopelessness. In the first study, a causal hypothesis was examined using a longitudinal design. Undergraduate students (N = 588) completed measures of psychache, hopelessness, and suicide ideation at two time points four months apart. Results supported the hypothesis that psychache has a causal role in suicidality, as change in suicide ideation was predicted by change in psychache. However, the hypothesis that psychache would fully mediate the effect of hopelessness was not supported, as only a small and partial mediation effect was evidenced, and change in hopelessness also contributed unique variance to the prediction of suicide ideation. In a second study, the hypotheses that psychache is necessary and sufficient for suicide were examined. Undergraduate students (N = 1,333) were prescreened for high and low levels of psychache and hopelessness, and those who met cutoff criteria (N = 184) were selected to make up four groups with combinations of these constructs. Groups were compared with respect to various measures of suicide ideation, motivations, and behaviours using one-way multivariate analyses of variance. In general, dependent measures significantly differed by level of psychache, but not by level of hopelessness. This pattern of group differences supported the hypothesis that psychache is necessary for suicide. However, the claim that psychache is sufficient was not consistently supported, as some suicide criteria were significantly elevated only for groups exhibiting high levels of both psychache and hopelessness. Taken together, the results of this dissertation provide strong support for the key role of psychache in suicide and its parity with hopelessness as a statistical predictor of suicidality. These findings improve understanding of the suicidal state of mind, and have important implications for clinical practice.