Assessing and treating suicidal patients is a high-risk area of practice requiring psychoanalytic psychotherapists to be knowledgeable about risk and protective factors for suicide, and competent at assessing, formulating and treating this group of patients. The therapist must have a method of using research data and clinical judgment to understand the suicidal process, which often involves life span developmental vulnerabilities (diathesis) combined with more acute life stressors (stress). Interpersonal, cognitive, social, neurobiological, genetic, and psychodynamic factors may all contribute to suicidal states of mind. Integrating disparate sources of knowledge to develop a psychodynamic formulation is a core strength of psychoanalytic practice, which aims to understand the meaning of symptoms from unconscious, preconscious, and conscious aspects of the individual in a developmental and interpersonal context. Our study group has reviewed contemporary psychological theories of suicide and developed an integrative psychoanalytic tool for assessing and formulating the dynamics of the suicidal process at the level of the individual.

中文翻译：

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用于理解和评估自杀患者的综合心理动力学模型。

评估和治疗自杀患者是一个高风险的实践领域，需要精神分析心理治疗师了解自杀的风险和保护因素，并有能力评估、制定和治疗这组患者。治疗师必须有使用研究数据和临床判断的方法来了解自杀过程，这通常涉及寿命发展的脆弱性（素质）与更急性的生活压力源（压力）相结合。人际关系、认知、社会、神经生物学、遗传和心理动力学因素都可能导致自杀心理状态。整合不同的知识来源来开发心理动力学公式是精神分析实践的核心力量，其目的是从无意识、前意识、个人在发展和人际关系环境中的意识方面。我们的研究小组回顾了当代自杀的心理学理论，并开发了一种综合的精神分析工具，用于在个人层面评估和制定自杀过程的动态。