Assessing and managing the suicidal patient: forget the Reverend Bayes and try game theory.

IF 2.2 Q3 PSYCHIATRY BJPsych Bulletin Pub Date : 2024-09-18 DOI:10.1192/bjb.2024.76
Olav Nielssen
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Abstract

Probability-based estimates of the future suicide of psychiatric patients are of little assistance in clinical practice. This article proposes strategic management of the interaction between the clinician and the patient in the assessment of potentially suicidal patients, using principles derived from game theory, to achieve a therapeutic outcome that minimises the likelihood of suicide. Further developments in the applications of large language models could allow us to quantify the basis for clinical decisions in individual patients. Documenting the basis of those decisions would help to demonstrate an adequate standard of care in every interaction.

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评估和管理有自杀倾向的病人:忘掉贝叶斯牧师,尝试博弈论。
在临床实践中,基于概率对精神病患者未来自杀可能性的估计帮助不大。本文建议在评估有潜在自杀倾向的病人时,利用博弈论的原理对临床医生和病人之间的互动进行战略性管理,以达到将自杀可能性降至最低的治疗效果。大语言模型应用的进一步发展可以让我们量化个体患者临床决策的依据。将这些决定的依据记录在案,将有助于在每次互动中展示适当的护理标准。
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来源期刊
BJPsych Bulletin
BJPsych Bulletin PSYCHIATRY-
CiteScore
4.30
自引率
3.80%
发文量
79
审稿时长
15 weeks
期刊介绍: BJPsych Bulletin prioritises research, opinion and informed reflection on the state of psychiatry, management of psychiatric services, and education and training in psychiatry. It provides essential reading and practical value to psychiatrists and anyone involved in the management and provision of mental healthcare.
期刊最新文献
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