Вопросы диагностики суицидального риска: где, когда и как проводить оценку

Консультативная психология и психотерапия. 2023. Т. 31. № 2. С. 9–32.

Чистопольская К. А., Kolachev N., Ениколопов С. Н.

Background. Diagnostics of suicide risk is an important, but only developing domain in suicidology. Objective. This study aims to clarify the problems and perspectives in this scientific field. The main issues related to measuring this construct are posed and analyzed: the setting, the object of measurement, and the specifics of the available tools. Results. The inference is made about the importance of these variables when choosing a method for measuring suicide risk, as well as the need to combine diagnostics and therapy. Conclusion. The typology for choosing the methods of intervention based on the Narrative Crisis Model of Suicide by I. Galynker is provided. The limitations of the modern diagnostic methods are indicated, the call to rely not so much on various diagnostic tools as on the structured clinical judgment, and also be guided not so much by the presence or absence of suicidal ideation in a respondent, but by understanding their current frustrated needs.

Keywords: setting, суицид, сеттинг, suicide, суицидальный риск, suicide risk, suicidal process, clinical judgment, diagnostic methods, суицидальный процесс, клиническое суждение, диагностические методики