Lewis Lisa McConnell
Indiana University School of Social Work, Shelbyville, Indiana 46176, USA.
Suicide Life Threat Behav. 2007 Feb;37(1):50-7. doi: 10.1521/suli.2007.37.1.50.
Few events in the practice of a mental health clinician can be as devastating as the suicide of a client. Although suicide is a rare occurrence, clinicians face assessment of clients' risk for harming themselves on a regular basis. One well-accepted and widely practiced intervention for suicidal ideation is the use of no-harm contracts (NHC), although opinions about NHCs range from enthusiasm to apathy. The existing research does not support the use of such contracts as a method for preventing suicide, nor for protecting clinicians from malpractice litigation in the event of a client suicide.
对于心理健康临床医生而言，很少有事件会像患者自杀那样具有毁灭性。尽管自杀是罕见事件，但临床医生经常要评估患者自我伤害的风险。对于自杀念头，一种被广泛接受且普遍采用的干预措施是使用不伤害契约（NHC），不过对于NHC的看法不一，有人热衷，有人冷漠。现有研究既不支持将此类契约作为预防自杀的方法，也不支持其用于在患者自杀情况下保护临床医生免受医疗事故诉讼。
