Suicidal Individuals: Evaluation, Therapies, and Ethics, Part 2 - 2007

There is no area of research that brings a complex array of ethical issues into sharp focus more than conducting treatment trials when the focus is on decreasing suicidal behavior and preventing suicide. Historically, suicidal individuals have been excluded from treatment studies because their inclusion was thought to be unethical, unsafe or too difficult to manage clinically. In this lecture, Dr. Linehan will discuss the development and evaluation of therapies used to treat individuals with suicidal behaviors.
Steve Buck, professor, chair, Department of Psychology, University of Washington
Marsha Linehan, professor, director, Behavioral Research and Therapy Clinics, Department of Psychology, University of Washington
06/04/2007

[@moonmissy]

Dr. Linehan had saved so many lives with DBT. She is truly a saint who dedicated her life to this work of saving people from the hell that is their mental health condition.

[@wellnessconnect3368]

DBT works for my Borderline and Bipolar rage and anxiety-but nothing works for my depression, HELP ME MARSHA lol. Love her. Thank God for her.

[@mallory5872]

I love Marsha Linehan. I want to write to her.

[@thisbeem2714]

So much better than the part one speaker. I hope she has improved her public speaking in the last years.

[@rakeshvarma4695]

Excellent talk with many clarifications and new and old productive treatment options discussed.

[@dancebackthesea]

In my over thirty years of being chronically suicidal I have not found a single treatment, with or without medication, that has helped me. Therapy has oftentimes made me worse. I can no longer remember how many attempts I have made, or how many times I have been hospitalized. Most people don't understand that hospitalization is like being in prison and being forced to take medication that is often extremely debilitating. In all the hospitals and laughing academies I have been in, there is no help, no therapy or crisis intervention of any kind provided. You are simply locked up in a ward for however long it takes for you to convince them you are no longer suicidal. Being imprisoned and overmedicated, and receiving no help when you are in the deepest of emotional crisis is not a pleasant, and is not helpful whatsoever. It was all too easy for me to convince the psychiatrists who did their five minute evaluations, that I was no longer suicidal - just so I could escape, and continue my attempts at self-abbreviation.

[@realisticreality7705]

dancebackthesea Prisoners have MORE rights, no joke. They have more federal mandates which give them many more rights. Not saying jails a picnic.Letting u know ur so corrects.

[@mallory5872]

dancebackthesea I've been there. I've been through dbt several times now and find that it's the only thing that helps me. Part of my personal program for being as well as I can be includes avoiding hospitalizations because they make me worse.

[@mallory5872]

Addendum. Avoiding hospitals, relatives and relationships

[@mymangobango3533]

mallory what is dbt please?

[@MsFanpireProductions]

@@mymangobango3533 dialectal behavioural therapy

[@SurrenderPink]

Lecture begins at 4:07

[@tessjones5987]

Love Marsha Leneham. She is a kind genius.

[@garrieleepeck8753]

Boarder line is a horrible illness in England they only started helping people with boarder line in last 7 years I begged for help from 15 untill I was 42 I started getting v help 2 years ago im. 44 now but I'm so angry happy I'm getting help but half my life gone because no one would help I started DBT 6 weeks ago iv battled drink n drugs most my life to to make myself better when it was killing me

[@seymourtompkins]

the last minute was the best

[@davidrivers7173]

Love her too. She’s brilliantly scientifically analytical. I had a therapist who trained under her. (My brush with Marsha fame. 😂)

[@smartypants6198]

A brilliant angel

[@thisbeem2714]

She's brilliant. And she has suffered herself, which makes it more poignant.

[@TheLaureea]

I find scientists go around themselves making things difficult for themselves. For a moment leave science aside and think with compassion as if you are thinking about you or someone close. Clearly ppl with chronic pain for example have it but the system ignores them. I see all the time our systems exclude ppl who are vulnerable and serve those who aren’t. It is possibly a smart cost effective way for them to ignore.

[@caseyhawthorne7138]

Long term mental health issues usually lead to lower socioeconomic status and therefore fewer options for distractions like vacations or... 😎

[@monyamande2508]

I'm sorry Dr Lannehan, but how is it possible to treat a behaviour without treating disorder? Suicide is almost always as a result of something wrong happening in the individuals life. It's almost self evident that if you treat the disorder, there is no doubt that the behaviour will reduce, otherwise what's the point of treatment? However, in some cases treatment can increase the risk of suicide when the individual regains insight into the distress they caused others as a result of their disorder.

[@carolmcbrideonline]

Safety first. That means learning skills, self-regulation of emotions. Stabilization, then processing trauma. Not the other way around.

[@antwortmir4451]

Maybe it would be better for you to pursue a career as a stand-up comedian. Maybe there’ś a greater funding for that!