This study examines whether clinical classification schemes from general suicide research are applicable for cases of suicide by cop (SbC) and whether there are indicators as to why the police might be engaged in the suicide. Using archival law enforcement data, 13 clinical risks were examined among 68 cases of SbC using exploratory factor analysis and k-means cluster analysis. Three subtypes of SbC cases emerged: Mental Illness, Criminality, and Not Otherwise Specified. The subtypes varied significantly on their levels of mental illness, substance use, and criminal activity. Findings suggest that reducing fragmentation between law enforcement and mental health service providers might be a crucial goal for suicide intervention and prevention, at least among cases of SbC.
James, a 34-year-old financial planner, dated Suzanne for 3 months. The relationship was relatively superficial, seeing each other every week or two, and deteriorated when James began questioning Suzanne about her whereabouts during times they were apart. Suzanne eventually ended the relationship, although James continued to telephone her for several weeks after their breakup, at times becoming loud and angry with her on the telephone. After one particularly threatening voice message, Suzanne informed the police, and James was charged with stalking (a misdemeanor punishable by up to 6 months in prison). Because he had no prior criminal record, James was sentenced to a period of probation that included mandatory mental health treatment. However, his probation officer had difficulty finding an appropriate treatment setting. Several mental health clinics expressed concern that James might begin to harass their staff, and most stated that they did not have a treatment program appropriate to address James's behavior. A private psychologist, a specialist in domestic violence, accepted the referral and initiated weekly cognitive-95
Suicide by cop has become a familiar topic among members of law enforcement, mental health professionals, and the general public. This paper presents two cases where police officers chose to commit suicide by getting other police officers to kill them. The two police officers studied, by examination of closed case files, were found to be similar to civilians who committed suicide by cop on several demographic (gender, age, history of mental illness, and suicide attempts), and situational (stress factors, trigger) variables. The cases help us to understand possible motives and management for individuals who choose to end their life in this manner.
Few diagnoses generate as much therapeutic pessimism as antisocial personality disorder (APD) or psychopathy. Frequently, clinicians maintain a pervasive belief that individuals with an antisocial or psychopathic personality style cannot be successfully treated. Whether because of these individuals' lack of motivation to change, the absence of psychological distress that typically drives treatment engagement, or an impaired ability to form meaningful relationships, clinicians often assume that treatment will be inherently frustrating and ultimately unsuccessful.This chapter briefly reviews the nature and distinctions between these related disorders, 1 as well as the research literature pertaining to their treatability. Following this review, an application of dialectical behavior therapy (DBT) is presented as a promising framework for the treatment of individuals with APD or serious antisocial behaviors. The specific adaptation of DBT 'Although we are aware that psychopathy is not currently classified by the DSM-IV-TR (American Psychiatric Association, 2000) as a mental disorder (i.e., it is not one of the 10 personality disorders listed), the language of disorder will be used in this chapter both for simplicity and because it accurately captures the nature of this phenomenon.
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