The book looks at secondary suicide prevention (treatment for those thinking about suicide or who are actively suicidal) and is very practically focused. The first chapter reviews the prevention literature and discusses the healthier nation targets. The second chapter outlines solution focused brief therapy and presents the evidence base for this approach. Chapters 3 and 4 focus on risk assessment, management and medication. Chapter 5 presents an in-depth case study and the final chapter presents five shorter case studies. The appendices contain examples of exercises that can be given to clients.
I read the 2nd edition of this book. The writing style was amateurish and painful; it did not read like an academic or clinical text. As I was reading it, I became surprised it was published in its current form and had made it to a second edition. There were many claims made that should have been backed up by evidence or references, but weren't. There were grammatical errors. I was keen to learn more about the solution focussed approach to suicide prevention as a frontline mental health clinician, but this book put me off it. I found the ideas presented simplistic and the author's biases against the "medical model" were undermined by the lack of academic rigour. I found the multiple - almost gratuitous - assertions throughout the book that people take their own lives because of interactions with health professionals unhelpful in a book aimed at health professionals interested in suicide prevention (and the author lacked detailed evidence to back up the repeated claim). The author also used outdated terms such as "successful suicide" multiple times in the 2017 2nd edition. There are many far better clinical texts in the field of suicide prevention than this one.
Being focused on finding solutions is a good thing. Preventing Suicide: The Solution Focused Approach applies a solution-focused brief therapy approach to suicide prevention. I struggle with the approach, because I’m afraid that it may minimize real challenges that a person has faced and prevent them from coming to terms with their trauma. On the other side, I see the value in not dwelling on the past and focusing on the sense of agency that is likely lacking.
Provide a very clear guideline for professionals and public to help people with suicide issue. Techniques provided in book are easy to understand and very effective.