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Suicide And Homicide Risk Management

Suicide and Homicide Risk Management

Chapter 26

SUICIDE AND HOMICIDE RISK

MANAGEMENT: RATIONALE AND

SUGGESTIONS FOR THE USE OF UNIT

WATCH IN GARRISON AND DEPLOYED

SETTINGS

SAMUEL E. PAYNE, MD*; JEFFREY V. HILL, MD

;

DAVID E. JOHNSON, MD

†

‡

and

INTRODUCTION

RATIONALE FOR UNIT WATCH

SUICIDE RISK ASSESSMENT

RECOMMENDATIONS FOR UNIT WATCH PROCEDURES

In Garrison

Deployed Settings

MEDICOLEGAL ISSUES

SUMMARY

*Colonel, Medical Corps, US Army; Chief, Outpatient Behavioral Health Services, Dwight D. Eisenhower Army Medical Center, Building 300, Room

13A-15, 300 South Hospital Road Fort Gordon, Georgia 30905

†

Lieutenant Colonel, Medical Corps, US Army; Chief, Child and Adolescent Psychiatry, Landstuhl Regional Medical Center, Landstuhl, Germany, CMR

402 Box 1356, APO AE, 09180; formerly, Chief, Outpatient Psychiatry, Landstuhl Regional Medical Center

Major, Medical Corps, US Army; Chief, Behavioral Health, US Army MEDDAC Bavaria, IMEU-SFT-DHR, ATTN: OMDC Schweinfurt, Unit 25850,

‡

APO AE 09033

An earlier version of this chapter was originally published as: Payne SE, Hill JV, Johnson DE. The use of unit watch or command interest

profile in the management of suicide and homicide risk: rationale and guidelines for the military mental health professional. Mil Med.

2008;173:25–35.

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Suicide And Homicide Risk Management