出版書誌データベース

This book is a 'guide on efforts to prevent suicide' by the author, who has been involved in suicide prevention work at the non-profit organization, Japanese Association of Mental Health Services, and has dealt with patients as a psychiatrist for more than 50 years.

In Part I, while showing specific examples of 'Signs observed just before a suicide attempt' (BPSAS), the author explains the characteristics seen in people with BPSAS and the three processes that lead to it: 'a case of vicious circle/evolution', 'fluctuation of mental state', and 'psychotic symptoms.' This section provides an overview of the overall picture of the process leading to suicide attempts.

Part II describes how anyone can become a powerful 'gatekeeper' (a person who can notice signs of suicide risk in others and take relevant action), including 'How to respond', 'Suicide risk assessment', 'How to act as a gatekeeper/how you should borrow the resources of support institutions'.

This 'guide', which brings together in one volume the wealth of knowledge of the author, who has been involved in support projects for approximately 300 people who attempt suicide or are at high risk of suicide each year, is a bible for all those who are involved in suicide prevention as 'gatekeepers'.

Foreword...............................................................................................................3
Part I: The process leading to a suicide attempt
Chapter 1: Signs observed just before a suicide attempt (BPSAS)..........................9
Section 1: Signs showing that people have fallen into a state on the brink of
attempting suicide (BPSAS)..............................................................13
Section 2: Three features of BPSAS
- what tends to happen when a person has fallen into BPSAS.........34
Section 3: The step from BPSAS to a suicide attempt.......................................37
Chapter 2: Three types of process leading to BPSAS............................................41
Section 1: Falling into BPSAS due to vicious circle/evolution..........................43
Section 2: Falling into BPSAS due to “fluctuation of mental state”..................66
Section 3: Process deriving from “psychotic symptoms”...................................83
Part II: Gatekeepers
Chapter 3: Becoming a gatekeeper.........................................................................93
Section 1: Who are the gatekeepers?..................................................................93
Section 2: How to respond
- skills of dealing with people with suicide risk signs......................98
Section 3: Suicide risk assessment...................................................................141
Section 4: How to act as a gatekeeper/how you should borrow
the resources of support institutions................................................161
Chapter 4: Brief supplementary notes on “distinct personality and tendency”.....207
List of reference materials................................................................................209
Acknowledgments.............................................................................................211
Supplement: Summary of the processes leading to suicide attempts...............214
About the author...............................................................................................216