Skip to main content

Suicide and Counseling for Suicidality

  • Chapter
  • First Online:
Counseling and Action

Abstract

One of the problems extensively studied in the frame of the contextual action theory is suicidality. This chapter summarizes some of the key conceptual and intervention propositions of this view related to suicidality. It outlines and illustrates the claim that suicide is a goal-directed process in form of an action, project, and a suicide career as defined by contextual action theory, using empirical material from interviews and the self-confrontation procedure with clients after a suicide attempt. The consequences of this position are discussed. It further underlines the view that suicidal processes are social joint actions, projects, and careers as mirrored in the narratives of suicidal clients. The social nature of suicide processes, which implies a major prevention potential, is pointed out and illustrated with narrative examples of the social contacts of suicide attempters after their incomplete suicide act. The social-emotional goal-directed process of suicide actions and projects is also reflected in illustrating the role of emotional childhood experience in the suicide process. The chapter further details the systemic goal-directed processes of a suicide action as top–down and bottom up steering processes and presents the appropriate descriptions provided in suicide narratives. Finally, an intervention for suicide prevention is briefly outlined and the five key tasks for a suicide prevention counselor to consider while dealing with a suicidal client after a suicide attempt are specified. The chapter ends with a brief checklist allowing the counselor to evaluate the state of the intervention which helps in deciding whether to terminate the treatment project.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Asberg, M., Nordstrom, P., & Traskman-Bendz, L. (1986). Biological factors in suicide. In A. Roy (Ed.), Suicide (pp. 47–72). Baltimore: Williams & Wilkins.

    Google Scholar 

  • Averill, J. (1980). A constructivist view of emotion. In R. Plutchik & H. Kellerman (Eds.), Emotion theory research and experience (vol. 1, pp. 305–340). New York: Academic.

    Google Scholar 

  • Averill, J. R., & Nunley, E. P. (1992). Voyages of the heart: Living an emotionally creative life. New York: Free Press.

    Google Scholar 

  • Bertolote, J. M., & Fleischmann, A. (2002). Suicide and psychiatric diagnosis: A worldwide perspective. World Psychiatry, 1, 181–185.

    PubMed Central  PubMed  Google Scholar 

  • Blustein, D. L., Schultheiss, D., & Flum, H. (2004). Toward a relational perspective of the psychology of careers and working: A social constructionist analysis. Journal of Vocational Behavior, 64, 423–440.

    Article  Google Scholar 

  • Bostwick, J. (2000). Affective disorder and suicide risk: A re-examination. American Journal of Psychiatry, 157, 1925–1932.

    Article  PubMed  Google Scholar 

  • Brentano, F. (1874). Psychologie vom empirischen Standpunkt [Psychology from an empirical standpoint]. Leipzig: Duncke & Humblot.

    Google Scholar 

  • Bruner, J. (1990). Acts of meaning. Cambridge: Harvard University Press.

    Google Scholar 

  • Carter, G. L., Child, C., Page, A., Clover, K., & Taylor, R. (2007). Modifiable risk factors for attempted suicide in Australian clinical and community samples. Suicide and Life-Threatening Behavior, 37, 671–680.

    Article  PubMed  Google Scholar 

  • Esquirol, E. (1965/1838). Mental maladies: A treatise on insanity. (Introduction by Raymond de Saussure). New York: Hafner.

    Google Scholar 

  • Fiske, S. T., & Taylor, S. E. (2008). Social cognition: From brains to culture. New York: McGraw-Hill.

    Google Scholar 

  • Foa, E., & Kozak, M. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.

    Article  PubMed  Google Scholar 

  • Graham, M. D., Young, R. A., Valach, L., & Wood, R. A. (2008). Addiction as a complex social process: An action theoretical perspective. Addiction Research & Theory, 16, 121–133.

    Article  Google Scholar 

  • Harre, R., & Secord, P. F. (1972). The explanation of social behaviour. Oxford: Blackwell.

    Google Scholar 

  • Heider, F. (1958). The psychology of interpersonal relations. New York: Wiley.

    Book  Google Scholar 

  • James, W. (1890). The principles of psychology (2 vols). New York: Dover Publications 1950.

    Book  Google Scholar 

  • Jaspers, K. (1913). Allgemeine Psychopathologie: Ein Leitfaden fĂĽr Studierende, Ă„rzte und Psychologen, Berlin: Springer. Translated as, General Psychopathology, (trans: J. Hoenig & M. W. Hamilton) Chicago: University of Chicago Press, 1963.

    Google Scholar 

  • Jenkins, G. R., Hale, R., Papanastassiou, M., Crawford, M. J., & Tyrer, P. (2002). Suicide rate 22 years after parasuicide: Cohort study. British Medical Journal, 325(7373), 1155.

    Article  PubMed Central  PubMed  Google Scholar 

  • Leenaars, A. (1988). Suicide notes. New York: Human Science Press.

    Google Scholar 

  • Leenaars, A. (2004). Psychotherapy with suicidal people. Chichester: Wiley.

    Book  Google Scholar 

  • Linehan, M. M. (2008). Suicide intervention research: A field in desperate need of development. Suicide and Life-Threatening Behavior, 38, 483–485.

    Article  PubMed  Google Scholar 

  • Malle, B. F., Moses, L. J., & Baldwin, D. A. (Eds.). (2001). Intentions and intentionality: Foundation of social cognition. Cambridge: MIT Press.

    Google Scholar 

  • Meiser, D. (2004). The act of thinking. Cambridge: MIT Press.

    Google Scholar 

  • Merian, J. B. (1763). Sur la crainte de la mort, sur le mepris de la mort, sur le suicide, memorie [About the fear of death, about contempt for death, about suicide, recollection]. In Historie de l’AcadĂ©mie Royales des Sciences et Belles-Lettres de Berlin (1970, Vol. 19, 355–406). Berlin: Haude et Spener.

    Google Scholar 

  • Michel, K., Dey, P., Stadler, K., & Valach, L. (2004). Therapist sensitivity towards emotional life-career issues and the working alliance with suicide attempters. Archives of Suicide Research, 8, 203–213.

    Article  PubMed  Google Scholar 

  • Michel, K., & Jobes, D. A. (Eds.). (2010). Building a therapeutic alliance with the suicidal patient. Washington, DC: American Psychological Association.

    Google Scholar 

  • Michel, K., & Valach, L. (1997). Suicide as goal-directed action. Archives of Suicide Research, 3, 213–221.

    Google Scholar 

  • Michel, K., & Valach, L. (2001). Suicide as goal-directed action. In E. K. van Heeringen (Ed.), Understanding suicidal behaviour: The suicidal process approach to research and treatment (pp. 230–254). Chichester: Wiley.

    Google Scholar 

  • Miller, G. A., Galanter, E., & Pribram, K. H. (1960). Plans and the structure of behavior. New York: Holt.

    Book  Google Scholar 

  • Moscovici, S., & Markova, I. (1998). Presenting social representations: A conversation. Culture & Psychology, 4, 371–410.

    Article  Google Scholar 

  • NoĂ«, A. (2004). Action in perception. Cambridge. MA: MIT Press.

    Google Scholar 

  • Pascual-Leone, A., & Greenberg, L. S. (2007). Emotional processing in experiential therapy: Why “the Only Way Out Is Through”. Journal of Consulting and Clinical Psychology, 75, 875–887.

    Article  PubMed  Google Scholar 

  • Phelps, E. A. (2006). Emotion and cognition. Insights from studies of the human amygdala. Annual Review of Psychology, 57, 27–53.

    Article  PubMed  Google Scholar 

  • Richardson, M. S. (1993). Work in people’s lives: A location for counseling psychologists. Journal of Counseling Psychology, 40, 425–433.

    Article  Google Scholar 

  • Schafer, R. (1976). A new language for psychoanalysis. New Haven: Yale University Press.

    Google Scholar 

  • Schultheiss, D. (2003). A relational approach to career counseling: Theoretical integration and practical application. Journal of Counseling and Development, 81, 301–310.

    Article  Google Scholar 

  • Schultheiss, D. E. P. (2009). To mother or matter: Can women do both? Journal of Career Development, 36, 25–48.

    Article  Google Scholar 

  • Schutz, A. (1962). Collected Papers, Vol. I. (M. Natanson Ed.). The Hague: Nijhoff.

    Google Scholar 

  • Schutz, A. (1964). Collected Papers, Vol. II. (A. Brodersen, Ed.). The Hague: Nijhoff.

    Book  Google Scholar 

  • Schutz, A. (1966). Collected Papers, Vol. III. (I. Schutz, Ed.). The Hague: Nijhoff.

    Google Scholar 

  • Searle, J. R. (1969). Speech acts: An essay in the philosophy of language. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Searle, J. (1990). Collective intentions and actions. In P. Cohen, J. Morgan & M. E. Pollack, (Eds.), Intentions in communication. Cambridge: Bradford Books, MIT Press.

    Google Scholar 

  • Simon, T. R., Swann, A. C., Powell, K. E., Potter, L. B., Kresnow, M.-J., & O’Carroll, P. W. (2001). Characteristics of impulsive suicide attempts and attempters. Suicide and Life-Threatening Behavior, 32, (supplement), 49–59.

    Article  PubMed  Google Scholar 

  • Valach, L., & Badertscher, M. (1996). The concepts of career and project in drug abuse and in detoxification. International Journal of Psychology, 31, 350.

    Google Scholar 

  • Valach, L., Michel, K., Dey, P., & Young, R. A. (2002a). Self-confrontation interview with suicide attempters. Counselling Psychology Quarterly, 15, 1–22.

    Article  Google Scholar 

  • Valach, L., Michel, K., Young, R. A., & Dey, P. (2002b). Stories of attempted suicide: Suicide career, suicide project, and suicide action. In L. Valach, R. A. Young, & M. J. Lynam (Eds.), Action theory: A primer for applied research in the social sciences (pp. 153–171). Westport: Praeger.

    Google Scholar 

  • Valach, L., Michel, K., & Young, R. A. (2007). Whom do suicide attempters talk to after their suicide attempt? In J. R. Rogers (Ed.), Suicide 2006: Proceeding of the 39th Annual Conference of the American Association of Suicidology. Washington, DC: American Association of Suicidology.

    Google Scholar 

  • Valach, L., Michel, K., Young, R. A., & Dey, P. (2006a). Linking life and suicide related goal directed systems. Journal of Mental Health Counseling, 28, 353–372.

    Google Scholar 

  • Valach, L., Michel, K., Young, R. A., & Dey, P. (2006b). Suicide attempts as social goal-directed systems of joint careers, projects and actions. Suicide and Life-Threatening Behavior, 36, 651–660.

    Article  Google Scholar 

  • Valach, L., Scheidegger, G., Michel, K., Young, R. A., & Dey, P. (2006). Observation of an interview with a patient after a non-lethal suicide action and suicidal ideation: theory of mind and action. Unpublished paper. University Zurich.

    Google Scholar 

  • Valach, L., & Young, R. A. (2009). Interdisciplinarity in vocational guidance: An action theory perspective. International Journal for Educational and Vocational Guidance, 9, 85–99.

    Article  Google Scholar 

  • Valach, L., Young, R. A., & Michel, K. (2011). Understanding suicide as an action. In K. Michel & D. A. Jobes (Eds.), Building a therapeutic alliance with the suicidal patient (pp. 129–148). Washington DC: American Psychological Association.

    Chapter  Google Scholar 

  • Vallacher, R. R., & Nowak, A. (1997). The emergence of dynamical social psychology. Psychological Inquiry, 8, 73–99.

    Article  Google Scholar 

  • Vallacher, R. R., & Wegner, D. M. (1987). What do people think they’re doing? Action identification and human behavior. Psychological Review, 94, 3–15.

    Article  Google Scholar 

  • Valsiner, J., & van der Veer, R. (2000). The social mind: Construction of the idea. Cambridge: Cambridge University Press.

    Google Scholar 

  • von Cranach, M., & Valach, L. (1983). The social dimension of goal directed action. In H. Tajfel (Ed.), The social dimension of social psychology (pp. 285–299). Cambridge: Cambridge University Press.

    Google Scholar 

  • Vygotsky, L. S. (1978). Mind and society. Cambridge: Harvard University Press.

    Google Scholar 

  • Weber, M. (1947). The theory of social and economic organization. New York: Free Press.

    Google Scholar 

  • Williams, C., Davidson, J., & Montgomery, I. (1980). Impulsive suicide behavior. Journal of. Clinical Psychology, 36, 90–94.

    Article  PubMed  Google Scholar 

  • Wittgenstein, L. (1953/2001). Philosophical investigations. Oxford: Blackwell.

    Google Scholar 

  • Young, R. A., Antal, S., Bassett, M. E., Post, A., DeVries, N., & Valach. L. (1999). The joint actions of adolescents in peer conversations about career. Journal of Adolescence, 22, 527–538.

    Article  PubMed  Google Scholar 

  • Young, R. A., Ball, J., Valach, L., Turkel, H., & Wong, Y. S. (2003). The family career development project in Chinese Canadian families. Journal of Vocational Behavior, 62, 287–304.

    Article  Google Scholar 

  • Young, R. A., & Collin, A., (2004). Introduction: Constructivism, social constructionism and career. Journal of Vocational Behavior, 64(3). 373–388.

    Article  Google Scholar 

  • Young, R. A., Lynam, M. A., Valach, L., Novak, H., Brierton, I., & Christopher, A. (2000). Parent-adolescent health conversations as action: Theoretical and methodological issues. Psychology and Health, 15, 853–886.

    Article  Google Scholar 

  • Young, R. A., Lynam, M. J., Valach, L., Novak, H., Brierton, I., & Christopher, A. (2001). Joint actions of parents and adolescents in health conversation. Qualitative Health Research, 11, 40–57.

    Article  PubMed  Google Scholar 

  • Young, R. A., Marshall, S. K., Valach, L., Domene, J., Graham, M. D., & Zaidman-Zait, A. (2011). Transition to adulthood: Action, projects, and counseling. New York: Springer.

    Book  Google Scholar 

  • Young, R. A., Paseluikho, M. A., & Valach, L. (1997). The role of emotion in the construction of career in parent-adolescent conversation. Journal of Counselling and Development, 76, 36–44.

    Article  Google Scholar 

  • Young, R. A., & Valach, L. (2004). The construction of career through goal-directed action. Journal of Vocational Behavior, 64, 499–514.

    Article  Google Scholar 

  • Young, R. A., & Valach, L. (2008). Action theory: An integrative paradigm for research and evaluation in career. In J. Athanasou & R. van Esbroeck (Eds.), International handbook of career guidance (pp. 643–658). New York: Springer.

    Chapter  Google Scholar 

  • Young, R. A., Valach, L., & Marshall, S. K. (2008). Parents and adolescents co-constructing career. In V. Skorikov & W. Patton (Eds.), Career development in childhood and adolescence (pp. 277–293). Rotterdam: Sense Publishers.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ladislav Valach .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer New York

About this chapter

Cite this chapter

Valach, L., Young, R. (2015). Suicide and Counseling for Suicidality. In: Young, R., Domene, J., Valach, L. (eds) Counseling and Action. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0773-1_18

Download citation

Publish with us

Policies and ethics