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1035, 1074, 1095, 1119, 1131, 1163, 1174, 1223, 1282, 1343, 1391, 1439, 1546, 1565, 1605, 1663, 1787, 1834, 1906, 1941, 2396, 2407, 2512, 2561, 2603, 2615, 2641, 2927, 3136, 3224, 3240, 3268, 3358, 3432, 3466, 3605, 3625, 3667, 3691, 3759, 3821, 3881, 3900, 3968, 4003, 4091, 4119], 'disorder': [78, 191, 204, 256, 270, 295, 405, 435, 455, 468, 613, 646, 700, 742, 859, 875, 904, 943, 950, 993, 997, 1096, 1100, 1132, 1164, 1175, 1224, 1283, 1344, 1392, 1566, 1664, 1788, 1799, 1835, 1907, 1942, 2397, 2408, 2562, 2576, 2928, 3359], 'began': [80], 'twice': [81], 'weekly': [82], 'psychotherapy.': [83, 1625, 3000], 'About': [84], '1': [85, 342, 1817], 'year': [86], 'into': [87], 'treatment,': [88, 2000, 2099, 3158], 'stormy': [90], 'but': [91, 817, 957, 1519, 2022, 2453, 2851], 'long-term': [92], 'relationship': [93, 114], 'with': [94, 156, 188, 402, 432, 452, 465, 583, 610, 643, 697, 739, 751, 807, 828, 846, 856, 872, 900, 912, 934, 940, 1072, 1097, 1105, 1117, 1160, 1172, 1220, 1280, 1308, 1340, 1389, 1415, 1437, 1443, 1466, 1653, 1681, 1785, 1904, 1939, 2040, 2094, 2300, 2394, 2405, 2510, 2559, 2639, 2699, 2725, 2745, 2835, 3171, 3192, 3266, 3430, 3816, 3879, 3963, 4144], 'man': [96, 110], 'broke': [97], 'up,': [98], 'patient': [101, 681, 759, 1171, 1203, 1219, 1452, 1464, 2033, 2102, 2134, 2195, 2363, 2650, 2864, 2871, 2950, 2993, 3064], 'became': [102], 'angry': [103], 'agitated.': [105], 'Although': [106, 195, 303, 1969, 2071], 'blamed': [108], 'failed': [113], 'chronicled': [116], 'his': [117], 'many': [118, 605, 1016], 'shortcomings,': [119], 'her': [120, 135], 'mood': [121, 4001], 'shifted': [122], 'over': [123], 'several': [124, 1638], 'weeks': [125, 1244], 'reported': [128, 1125, 1531], 'feeling': [129], 'depressed': [130], 'suicidal,': [132, 1980], 'hopeless': [133], 'about': [134, 374, 383, 821, 2090, 2429], 'future,': [136], 'uninterested': [138], 'work,': [140], 'friends,': [141], 'or': [142, 324, 326, 338, 343, 505, 578, 755, 762, 1056, 1067, 1188, 1191, 1361, 1365, 1492, 1500, 1699, 1751, 1857, 2043, 2060, 2162, 2174, 2205, 2269, 2307, 2518, 2577, 2669, 2938, 3819], 'family.': [143], 'How': [144, 160], 'common': [145, 814, 1081], 'how': [147, 2198], 'serious': [148], 'is': [149, 168, 222, 406, 461, 470, 490, 516, 575, 636, 670, 705, 743, 813, 819, 844, 860, 885, 959, 986, 1079, 1087, 1210, 1503, 1760, 1770, 1800, 1908, 1935, 1956, 2027, 2123, 2128, 2272, 2331, 2398, 2409, 2415, 2541, 2581, 2630, 2675, 2742, 2775, 2816, 2848, 2857, 3144], 'suicidal': [150, 315, 321, 832, 1040, 1066, 1156, 1293, 1305, 1385, 1447, 1897, 2006, 2012, 2041, 2173, 2204, 2268, 2301, 2539, 2879, 2963, 2969, 3814], 'ideation': [151, 2042, 2540, 2880, 2964], 'and/or': [152], 'behavior': [153, 460, 485, 488, 501, 574, 582, 650, 661, 677, 694, 704, 720, 736, 1041, 1069, 1157, 1294, 1386, 1448, 1524, 1586, 1898, 1975, 1985, 1992, 2003, 2119, 2271, 2280, 2523, 2662, 2665, 3622, 3688], 'patients': [155, 187, 261, 401, 431, 451, 464, 609, 642, 696, 738, 806, 855, 871, 899, 911, 933, 939, 955, 1071, 1159, 1252, 1339, 1388, 1436, 1784, 1903, 1938, 1970, 2054, 2152, 2338, 2393, 2404, 2509, 2558, 2638, 3429, 3878, 3962, 4086, 4143], 'disorder?': [159], 'should': [161, 1810, 2317, 2424, 3030], 'it': [162, 669, 747, 884, 958, 2026, 2644, 2702, 2892, 2939], 'be': [163, 330, 362, 409, 722, 749, 780, 868, 1651, 1776, 1811, 1978, 2064, 2192, 2254, 2318, 2425, 2436, 2442, 2532, 2550, 2554, 2809, 2844, 2894, 2985, 3004, 3025, 3040, 3150], 'evaluated': [164], 'managed?': [166], 'What': [167], 'appropriate': [170], 'role': [171, 2108, 2774, 2815, 3502], 'hospitalization': [173, 2388, 2484, 2504, 3002], 'such': [175, 523, 703, 1201, 1321, 1639, 1795, 2074, 2114, 2572, 2585, 2768, 2889, 2988, 3036], 'cases?Scope': [176], 'Nature': [178], 'ProblemHeterogeneity': [181], 'Borderline': [183, 355, 1333, 1471, 1483, 1921, 2470, 3129, 3189, 3205, 3342, 3357, 3366, 3445, 3481, 3545, 3652, 3666, 3700], 'DisorderNot': [185], 'all': [186, 1463, 2024], 'are': [192, 242, 359, 443, 651, 916, 1059, 1183, 1195, 1355, 1393, 1597, 1641, 1728, 1745, 1837, 1986, 2153, 2357, 2450, 2454, 2590, 2610], 'same.': [194], 'DSM-IV-TR': [196, 1013], 'provides': [197], 'broad': [199], 'definition': [200, 566], 'as': [205, 474, 524, 604, 606, 708, 726, 1037, 1151, 1489, 1706, 1708, 1796, 1952, 1988, 2256, 2573, 2712, 2777, 2788, 2991, 3360, 4050], '"pervasive': [207], 'instability': [210], 'self-image,': [214], 'affects,': [216], 'marked': [218], 'impulsivity,"': [219], 'determined': [223], 'by': [224, 372, 390, 557, 782, 1010, 1372, 1404, 1959, 3249, 3373, 3399, 3710, 3761, 3791, 3849], 'presence': [226, 674, 1421], 'any': [228, 593], 'five': [229, 276], 'nine': [232], 'diagnostic': [233, 277], 'criteria': [234, 246, 278], 'disorder.': [237, 810, 1547, 2579, 3225, 3269, 3433, 3467, 3822, 3882, 3969, 4120], 'By': [238], 'this': [239, 304, 865, 976, 2684, 2709, 2740, 2824, 2877], 'method,': [240], 'there': [241, 515, 1086, 2127, 2414, 2530], 'numerous': [243], 'combinations': [244, 824], 'can': [248, 721, 1976, 2808, 2843], 'constitute': [249], '"official"': [251], '(1).': [257], 'In': [258, 393, 512, 571, 945, 1112, 1169, 1215, 1575, 2117, 2149, 2655, 2767, 2888, 2948], 'addition,': [259], 'some': [260, 517, 2049], 'who': [262, 370, 378, 388, 647, 1971], 'have': [263, 272, 799, 876, 1317, 1349, 1538, 1632, 1943, 2340, 2499, 2563, 2601, 3031, 3168], 'clinically': [264], 'significant': [265, 1558], 'symptoms': [266, 316, 1178, 1231, 1272, 1867], 'may': [271, 662, 748, 771, 779, 867, 1241, 1253, 1775, 2339, 2352, 2441, 2531, 2549, 2553, 2617], 'fewer': [273], 'than': [274, 366, 421, 447, 2237, 2297], 'required': [279], 'official': [282], 'diagnosis.A': [283], 'subtyping': [284], 'system': [285, 305], 'based': [286, 1684], 'on': [287, 1584, 1685, 2106, 2144, 2203, 2211, 2380, 2489, 3018, 3048, 3147], 'theories': [288], 'etiology': [291], 'has': [296, 306, 2364, 2994], 'been': [297, 308, 1635, 2883, 2996], 'suggested': [298, 537, 2474], '(2,': [299], '3)': [300], '(Table': [301], '1).': [302], 'not': [307, 652, 1249, 1501, 1512, 1633, 1761, 2378, 2451, 2687, 2776, 2882], 'tested': [309], 'empirically,': [310], 'typology': [312, 3220], 'suggests': [313, 2971], '(DSM-IV-TR': [317], 'criterion': [318], '5:': [319], '"recurrent': [320], 'behavior,': [322, 882, 2369], 'gestures,': [323], 'threats,': [325], 'self-mutilating': [327], 'behavior")': [328], 'would': [329, 567, 2893, 3039], 'especially': [331, 627, 1413, 2141, 2555], 'prominent': [332, 1504, 2885], 'when': [333, 2538, 2557, 2588], 'dysregulation': [334, 1058, 1753], 'either': [336, 913], 'affect': [337, 3163], 'impulse': [339, 2147, 3166, 3362], 'control': [340, 3167], '(type': [341], 'type': [344, 483, 2246, 3133], '2)': [345], 'predominates': [346], 'overall': [349], 'symptom': [350, 2929], 'pattern.Prevalence': [351], 'Suicidality': [353], 'DisorderPersonality': [357], 'disorders': [358, 826, 3285, 3760, 3901, 4049, 4084], 'estimated': [360, 407, 602, 671, 850], 'present': [363], 'more': [365, 445, 960, 1351], '30%': [367], 'individuals': [369, 377], 'die': [371, 389, 1315], 'suicide,': [373, 2902], '40%': [375], 'make': [379, 436, 614, 2309], 'suicide': [380, 391, 399, 437, 441, 507, 525, 527, 549, 569, 619, 687, 847, 852, 889, 897, 930, 1143, 1206, 1360, 1411, 1468, 1891, 1954, 1964, 2062, 3012, 3838, 3959, 4054, 4140], 'attempts,': [381, 508, 1412], '50%': [384], 'psychiatric': [386, 1043], 'outpatients': [387], '(18).': [392], 'clinical': [394, 946, 982, 1686, 1929, 2419, 2458, 3778], 'populations,': [395, 947], 'rate': [397, 418, 879], 'between': [410, 1767, 2139, 2241, 3062, 3388], '8%': [411], '10%': [413], '(19,': [414], '20,': [415], '21),': [416], 'far': [419, 444], 'greater': [420, 1357], 'general': [425, 969], 'population.': [426], 'However,': [427, 734, 864, 3027], 'since': [428, 1567], '60%–70%': [429], 'attempts': [438, 442, 931, 3960, 4141], '(7),': [439, 956], 'frequent': [446, 2632], 'completed': [448, 510], 'suicides': [449], '(22).Suicidality': [456], 'Versus': [457], 'Self-Injurious': [458], 'BehaviorSelf-injurious': [459], 'characteristic': [462], 'sometimes': [471], 'referred': [472, 1950, 4087], "patient's": [477, 684, 732, 1865, 2536, 2696, 2720, 2754, 2757, 2801, 2813, 2905, 3016, 3050, 3527], '"behavioral': [478], 'specialty"': [479], '(7,': [480, 1843, 1931, 2067, 2446], '22).': [481], 'This': [482, 565, 2552], 'includes': [486, 541], 'impulsive': [487, 1052, 1212, 1292, 1749, 2968], 'potentially': [491, 2072], 'dangerous': [492], '(e.g.,': [493, 502, 2292], 'excessive': [494], 'drinking,': [495], 'high-risk': [496], 'sexual': [497], 'activity),': [498], 'deliberate': [499, 539], 'self-injurious': [500, 531, 573, 596, 633, 649, 676, 693, 719, 735, 1068, 1974, 1984, 2146, 2206, 2270, 2522, 3687], 'superficial': [503], 'cutting': [504], 'burning),': [506], 'suicide.': [511, 656, 2700], 'literature,': [514], 'variability': [518], 'meaning': [520], 'terms': [522], 'attempt,': [526, 550, 620, 1207], 'gesture,': [528], '"parasuicide,"': [529], 'behavior.': [532, 546, 597, 634, 833], 'Stanley': [533, 598, 3681], 'Brodsky': [535, 600, 3683], '(23)': [536, 601, 777], 'self-harm': [540, 2381], 'two': [542, 1061, 1520, 1769, 3762], 'forms': [543, 658, 1521, 1989], 'self-destructive': [545, 554, 581, 660, 2368], 'One': [547, 972], 'form,': [548], 'consists': [551], 'intentionally': [553, 580], 'acts': [555], 'accompanied': [556, 781], 'at': [558, 615, 653, 763, 1356, 2113, 2444, 2708, 2873], 'least': [559, 616], 'partial': [561, 2477], 'intent': [562, 585, 1313, 2007, 2302], 'die.': [564, 587], 'include': [568, 1406, 2228], '"gestures."': [570], 'contrast,': [572, 1216], 'nonsuicidal': [576, 2290], 'self-injury': [577, 2291], 'self-mutilation—i.e.,': [579], 'no': [584, 3032], 'The': [588, 849, 893, 1323, 1398, 1509, 1666, 1772, 2221, 2460, 2735, 2812, 2841, 2908, 3498, 3525, 3730, 3897, 3998], 'term': [589], '"parasuicide"': [590], 'refers': [591], 'nonlethal': [594, 618], 'intentional': [595], '75%': [607], 'one': [617, 758, 2016], 'even': [622, 2587], 'higher': [623, 925], 'percentages': [624], 'patients,': [626, 630, 2586], 'hospitalized': [629], 'engage': [631, 1972, 2718], 'It': [635, 770, 1934, 2330, 2580], 'erroneous,': [637], 'however,': [638], 'assume': [640], 'show': [648, 1254], 'risk': [654, 685, 853, 1153, 1290, 1358, 1369, 1399, 1433, 1892, 1947, 1965, 2629, 2674, 2847, 2856, 2899, 3013, 3628], 'Both': [657], 'occur': [663], 'same': [666, 768], 'patient,': [667, 2747, 2990], 'given': [680, 1507, 1864], 'doubles': [682], '(22).Because': [688], 'frequency': [691], 'because': [702, 870, 3043], 'often': [706, 1000, 1211, 2284, 2676], 'viewed': [707], 'effort': [710, 2274], 'elicit': [712], 'desired': [714], 'response': [715], 'from': [716, 757, 890, 1363, 2002, 2005, 2015, 2201, 2354, 2456, 3173, 3194, 4007, 4057], 'another': [717, 761, 2670], 'person,': [718], 'mistakenly': [723], 'thought': [724], 'willful,': [727], 'deliberate,': [728], 'under': [730], 'control.': [733], 'incompletely': [744], 'understood,': [745], 'associated': [750, 845], 'different': [752, 1830, 1853, 1858, 2286], 'motivations,': [753], 'meanings,': [754], 'goals': [756, 2227, 2252, 2288], 'various': [764], 'times': [765, 2445], 'patient.': [769, 1508], 'produce': [772], 'relief': [773], 'acute': [775, 792], 'dysphoria': [776, 3331], 'analgesia,': [783], 'perhaps': [784], 'suggesting': [785], 'release': [787], 'endogenous': [789], 'opiates': [790], 'during': [791, 2217, 2389, 2934], 'intensification': [793], 'dysphoric': [795], 'states': [796], '(24).ComorbidityNumerous': [797], 'studies': [798, 1020, 1640, 3420, 3603], 'identified': [800, 1033, 1147], 'high': [801, 878, 1416, 2187, 2681, 3011], 'rates': [802, 895], 'comorbidity': [804, 812, 989, 1009, 1078, 1092, 1128, 1276, 1794, 4080, 4116], 'Intra-axis-II': [811], '(25,': [815], '26),': [816], 'little': [818], 'known': [820], 'whether': [822, 1499], 'particular': [823, 1088], 'correlate': [827], 'predictable': [829], 'patterns': [830, 3765], 'Among': [834], 'disorders,': [836], 'antisocial': [837, 857, 873, 906, 995], 'disorder,': [839, 843, 908, 1120, 1440, 1498, 1606, 2513, 2604, 2642, 3137, 3241, 3364], 'like': [840], 'risk.': [848, 2084], 'lifetime': [851], '5%': [861], '(27,': [862, 1966], '28).': [863], 'estimate': [866], 'low,': [869], 'risk-taking': [881], 'difficult': [886], 'differentiate': [888], 'accidental': [891], 'death.': [892], 'relative': [894, 1820], 'comorbid': [901, 1161, 1221, 1341, 2568, 2945, 2975], 'compared': [909, 937], 'condition': [914, 1809, 2571], 'alone,': [915], 'unclear,': [917], 'although': [918, 1637], 'Soloff': [919, 1121, 3865, 3945, 4128], 'et': [920], 'al.': [921], '(29)': [922], 'found': [923], 'level': [926, 1311, 2430], 'lethality': [928], 'comorbidity,': [936, 3781], 'alone.': [944, 1789], 'occurs': [951, 998, 2096], 'predominantly': [952], 'female': [954], 'evenly': [961], 'distributed': [962], 'among': [963, 4085], 'males': [964], 'females': [966], 'population': [970], '(30).': [971], 'possible': [973, 3565], 'explanation': [974], 'difference': [977], 'gender': [979], 'ratio': [980], 'versus': [983], 'nonclinical': [984], 'populations': [985, 1465], 'most': [999, 1062, 1401, 1981, 2262], 'non-treatment-seeking': [1002], 'males.Instead': [1003], 'approaching': [1005], 'question': [1007], 'using': [1011], 'categorical': [1014], 'system,': [1015], 'experts': [1017, 2498], 'prefer': [1021], 'dimensional': [1023, 1027], 'approach.': [1024], 'Using': [1025], 'framework,': [1028], 'Links': [1029, 3415, 3807, 3831], 'Kolla': [1031, 3833], '(28)': [1032], 'three': [1034], 'characteristics': [1036], 'relevant': [1038, 1063], 'patients—impulsive': [1044], 'aggression,': [1045], 'perfectionism,': [1046], 'emotional': [1048, 1618], 'dysregulation.': [1049], 'Of': [1050], 'these,': [1051], 'aggression': [1053, 1750], 'emotional,': [1055], 'affective,': [1057], 'factors': [1064, 1154, 1383, 1400, 1434, 2900], 'disorder.Axis': [1075], 'I/axis': [1076], 'II': [1077, 3284, 3934, 4048, 4079], 'also': [1080, 1146, 1370, 1762, 1851, 1977], '(26,': [1082], '30,': [1083, 1102, 1109, 1285], '31),': [1084], 'interest': [1089, 1262], 'major': [1098, 1134, 1166, 1228, 1797, 2574, 2596, 2946, 3964, 4145], 'depressive': [1099, 1135, 1167, 1229, 1798, 2575, 3045, 4146], '(28,': [1101, 1108, 1284, 1374], '32–34)': [1103], 'substance': [1106, 1278, 1346, 1425, 4082], 'abuse': [1107, 1279, 1347], '35,': [1110, 1286], '36).': [1111], 'study': [1114], 'inpatients': [1116], 'colleagues': [1123], '(37)': [1124], 'episode': [1136, 4147], 'increased': [1137], 'number': [1139, 1710, 2180], 'seriousness': [1141], 'attempts.': [1144], 'They': [1145], 'impulsivity': [1148, 3389], 'hopelessness': [1150], 'independent': [1152], 'episode.': [1168], 'only,': [1176], 'depression': [1180, 1233, 3965], 'suicidality': [1182, 1235, 1502, 2912, 2932, 3669], 'usually': [1184, 1196, 2154], 'reactive': [1185, 2931], 'other': [1189, 1268, 1592, 1802, 2341], 'real': [1190], 'perceived': [1192], 'stresses': [1193], 'brief': [1198, 1781, 2479], 'duration.': [1199], 'If': [1200, 1756, 1790], 'makes': [1204], 'attempt': [1209], 'nature.': [1214], 'axis': [1226, 1792, 1807, 2569, 2597, 2624, 2976, 3930, 3933, 4047], 'I': [1227, 1793, 1808, 2570, 2598, 2625, 2977, 3931, 4045, 4115], 'episode,': [1230, 2599, 3046], 'develop': [1236, 2326], 'deepen': [1238], 'gradually': [1239], 'persist': [1242], '(or': [1245], 'much': [1246], 'longer': [1247], 'if': [1248, 2170, 2361, 3006], 'treated).': [1250], 'Such': [1251, 2448], 'loss': [1255, 1260], 'appetite,': [1257], 'sleep': [1258], 'disturbances,': [1259], 'ordinarily': [1264], 'pleasurable': [1265], 'activities,': [1266], 'persistent': [1269, 1424], 'signs': [1270, 3007], 'depression.The': [1274], 'well-documented': [1275], '36)': [1287], 'increases': [1288], "patients'": [1289, 2614], 'impaired': [1297, 1302], 'judgment.': [1298], 'Because': [1299], 'judgment,': [1303], 'act': [1306], 'made': [1307], 'low': [1310, 1732], 'could': [1316, 1850, 1873, 2076, 2919, 2940, 3003, 3055], 'lethal': [1318], 'results': [1319, 1667], 'patients.': [1322], 'APA': [1324, 1474, 1550, 1644, 1912, 2461, 3196], 'Practice': [1325, 1475, 1913, 2462, 3197, 3581, 3644], 'Guideline': [1326, 1476, 1553, 1589, 1722, 1914, 2463, 3198, 3582, 3645], 'Patients': [1331, 1481, 1919, 2283, 2468, 3187, 3203, 3589, 3650], 'With': [1332, 1482, 1920, 2469, 3188, 3204, 3590, 3651], '(21)': [1336, 1486, 1924, 2473], 'specified': [1337], 'problems': [1348], 'guarded': [1352], 'prognosis': [1353], 'death': [1362], 'injury': [1364], 'accident,': [1366], 'heightened': [1368], 'noted': [1371], 'others': [1373], '34–36).Treatment': [1375], 'ManagementRisk': [1377], 'Factors': [1378], 'Prediction': [1380], 'SuicideRisk': [1382], 'summarized': [1394, 1557, 1719], 'Table': [1396, 1840], '2.': [1397, 3179], 'readily': [1402], 'recognized': [1403, 1936, 2714], 'clinicians': [1405, 1458], 'history': [1408], 'multiple': [1410], 'those': [1414, 2355], 'potential': [1417, 1467, 2898], 'lethality,': [1418], 'significant,': [1423], 'use.': [1426], 'Despite': [1427], 'ability': [1429], 'identify': [1431, 2176], 'meaningful': [1432], 'we': [1441], 'cannot': [1442], 'certainty': [1444], 'predict': [1445], 'future': [1446], 'individual': [1451], '(39,': [1453], '43)—a': [1454], 'problem': [1455, 1621], 'confronts': [1457], 'risk.Treatment': [1469], 'DisorderThe': [1473], 'recommended': [1487, 1647, 1746, 2443], 'psychotherapy': [1488, 1529, 1595, 1654, 1823, 2019, 3141], 'primary,': [1491], 'core,': [1493], 'evidence-based': [1494, 1803, 2452], 'guideline': [1510, 1646, 2487], 'did': [1511], 'endorse': [1513], 'specific': [1515, 1673], 'form': [1516, 2017, 2671], 'psychotherapy,': [1518, 2151, 2248], 'psychotherapy—dialectical': [1523], 'therapy': [1525, 2190, 2219, 2234, 2322, 2795, 3022], '(44)': [1526], 'psychodynamic': [1528, 2667], '(45)—were': [1530], 'published': [1533, 1582], 'randomized,': [1534, 1669, 1703], 'controlled': [1535, 1627, 1670, 1704], 'trials': [1536, 1628, 1671], 'shown': [1539], 'benefit': [1540, 1657], 'More': [1548, 2085], 'recently,': [1549], 'issued': [1551], 'Watch': [1554, 1590, 1723], '(46)': [1555], 'developments': [1559], '2001': [1569], 'publication': [1570], 'complete': [1573], 'guideline.': [1574], 'addition': [1576], 'review': [1579, 2897], 'new': [1581, 2374, 2909], 'reports': [1583, 1713], 'dialectical': [1585, 2118, 2661], 'therapy,': [1587, 1609, 1611, 1614, 2048, 2120, 2663, 2666, 2668], 'described': [1591, 1838, 2872, 2951], 'types': [1593, 3160], 'being': [1598, 3060], 'tried': [1599], 'including': [1607, 2903], 'cognitive': [1610, 1612, 2664], 'analytic': [1613], 'systems': [1615], 'training': [1616], 'predictability': [1619], 'solving,': [1622], 'transference-focused': [1624, 2150], 'Randomized,': [1626], 'these': [1630, 1848, 2215, 2350], 'treatments': [1631], 'yet': [1634], 'reported,': [1636], 'process.The': [1643], 'practice': [1645], 'symptom-targeted': [1648], 'pharmacotherapy': [1649, 1815, 1825, 3143, 3148], 'combined': [1652], 'adjunctive': [1656, 1773], '(21).': [1665], 'medications': [1674], 'were': [1675, 1689, 1718], 'presented': [1676], 'guideline,': [1679], 'along': [1680], 'decision-tree': [1682], 'algorithms': [1683], 'judgment': [1687], 'organized': [1690], 'around': [1691], 'predominance': [1693], 'affective': [1695, 1752], 'dysregulation,': [1696], 'impulsive-behavioral': [1697], 'dyscontrol,': [1698], 'cognitive-perceptual': [1700, 1736], 'symptoms.': [1701], 'Newer': [1702], 'trials,': [1705, 1717], 'well': [1707], 'case': [1712, 2954], 'noncontrolled': [1715], 'medication': [1716, 1774, 1872, 2981], '(46).': [1724], 'Newer-generation': [1725], 'atypical': [1726], 'neuroleptics': [1727], 'recommended,': [1729], 'generally': [1730, 1945], 'doses,': [1733], 'treat': [1735], 'symptoms,': [1737], 'selective': [1740], 'serotonin': [1741], 'reuptake': [1742], 'inhibitors': [1743], '(SSRIs)': [1744], 'stabilize': [1748], '(21,': [1754], '46).': [1755], 'prescribing': [1758], 'physician': [1759], 'psychotherapist,': [1764], 'effective': [1765], 'communication': [1766], 'essential.': [1771, 2551], 'needed': [1777], 'only': [1778], 'relatively': [1780], 'periods': [1782, 2533], 'present,': [1801], 'guidelines': [1804], 'used': [1812], 'guide': [1814], 'decisions.Figure': [1816], 'portrays': [1818], 'hypothetical': [1819], 'proportions': [1821], 'subtypes': [1831, 1849], '1.': [1841, 3120], 'Gunderson': [1842, 3340, 3523, 3662, 3711, 3986, 4040], 'pp.': [1844], '150–151)': [1845], 'emphasized': [1846, 1909], 'reflect': [1852], 'phases': [1854], 'levels': [1859], 'severity.': [1861], 'Thus,': [1862], 'predominant': [1866], 'corresponding': [1869], 'need': [1870, 2434, 2705, 2983], 'change': [1874, 3427], 'course': [1877, 3156], 'therapy.Management': [1879], 'Suicidal': [1881, 3591, 3621, 3685], 'Concerns': [1882], 'PsychotherapyThe': [1884], 'importance': [1885, 2822], 'recognizing': [1887], 'possibility': [1889], 'actively': [1895], 'addressing': [1896], 'extensive': [1928], 'literature': [1930], '39,': [1932], '44).': [1933], 'elevated': [1946], 'suicide—often': [1949], '"chronic"': [1953], 'risk—that': [1955], 'periodically': [1957], 'intensified': [1958], 'situational': [1960], 'precipitants,': [1961], 'producing': [1962], '"acute"': [1963], '28,': [1967, 2525], '47–49).': [1968], 'seriously': [1979], 'episodes': [1982, 2565], 'seen': [1987], 'self-regulatory': [1991], 'that,': [1993], 'though': [1994], 'clearly': [1995], 'important': [1997, 2028, 2332, 2859, 2895], 'focus': [1998], 'differ': [2001, 2014, 2353], 'resulting': [2004], '(23).': [2008], 'Methods': [2009], 'managing': [2011, 3837], 'impulses': [2013, 2207], 'another,': [2021], 'forms,': [2025], 'therapist': [2031, 2104, 2137, 2222, 2653, 2727, 2867, 3029, 3534], 'negotiate': [2035], 'plan': [2037, 2750, 3038], 'dealing': [2039], 'behavior.At': [2044], 'initiation': [2046], 'therapists': [2050], 'recommend': [2051], 'their': [2053, 2346], '"contract': [2057], 'safety"': [2059], '"no': [2061], 'contract"': [2063], 'agreed': [2065], 'upon': [2066], '22,': [2068], '48,': [2069], '49).': [2070], 'useful,': [2073], 'contracts': [2075], 'inappropriately': [2077], 'erode': [2078], "therapist's": [2080, 2772], 'alertness': [2081], 'ongoing': [2083, 2886, 2917], 'often,': [2086], 'explicit': [2088], 'discussion': [2089], 'ways': [2091], 'deal': [2093, 2834], 'crises': [2095, 2838], 'early': [2097, 2657, 3153], 'agree': [2105], 'each': [2110, 3132], 'will': [2111, 2168, 2183, 2191, 2253, 2433, 3149], 'take': [2112], 'time.': [2116], 'highly': [2124], 'structured,': [2125], 'clear': [2130, 2418, 2564], 'expectation': [2131, 3033], 'call': [2135, 2184], 'freely': [2138], 'sessions,': [2140], 'before': [2142], 'acting': [2143, 2202], '(50).': [2148], 'asked': [2155], 'name': [2157], 'nearby': [2159], 'emergency': [2160, 2178, 2782], 'room': [2161], 'urgent': [2163], 'care': [2164, 2423, 2432, 2440], 'center': [2165], 'where': [2166, 2799], 'they': [2167, 2171, 2182, 2589], 'go': [2169], 'become': [2172], 'medical': [2179, 2783], '(51).': [2185], 'priority': [2188, 2682], 'learn': [2197, 2828], 'refrain': [2200], 'work': [2210], 'understanding': [2212, 3423], 'resolving': [2214], 'issues': [2216, 2608], 'sessions.': [2220, 2242], 'explains': [2223], 'protecting': [2229], 'regular': [2231], 'schedule': [2232], 'sessions': [2235], 'rather': [2236], '"putting': [2238], 'out': [2239], 'fires"': [2240], 'Regardless': [2243], 'hierarchy': [2250], 'important,': [2255], 'illustrated': [2257], 'Figure': [2259], '2.Common': [2260], 'approaches': [2263], 'management': [2266, 2516], 'reduce': [2276], 'reinforcement': [2277], '(44,': [2281], '49–51).': [2282], 'report': [2285, 4006], 'conscious': [2287, 2347], 'self-regulation,': [2293], 'self-punishment,': [2294], 'relief,': [2295], 'distraction)': [2296], 'actions': [2299], '(to': [2303], 'decrease': [2304], 'burden': [2306], 'things': [2310], 'better': [2311, 2731], 'others)': [2313], '(52).': [2314], 'These': [2315], 'thoughts': [2316], 'explicitly': [2319], 'explored': [2320], 'order': [2324], 'alternative,': [2327], 'nondestructive': [2328], 'options.': [2329], 'keep': [2334], 'mind': [2336], 'layers': [2342], 'motivation': [2344, 2721], 'beyond': [2345], 'awareness,': [2348], 'motivations': [2351, 2366], 'directly': [2358], 'identified.': [2359], 'Even': [2360], 'complex': [2365], 'goal': [2371, 2741], 'developing': [2373], 'skills': [2375], 'do': [2377], 'rely': [2379], 'remains': [2382], 'clear.Role': [2383], 'HospitalizationThe': [2385], 'use': [2386, 2502, 4083], 'controversial.': [2399], 'Long-term': [2400], 'inpatient': [2401, 2422, 2483, 2547], 'now': [2410], 'largely': [2411], 'unavailable,': [2412], 'reasonably': [2417], 'consensus': [2420], 'minimized.': [2426], 'Still,': [2427], 'decisions': [2428], 'made,': [2437], 'hospital-based': [2439], '21).': [2447], 'recommendations': [2449], 'derived': [2455], 'expert': [2457], 'opinion.': [2459], 'indications': [2475], 'hospitalization,': [2478, 2480], 'extended': [2482], '(in': [2485, 2965], 'section': [2488], 'initial': [2490], 'assessment': [2491], 'determination': [2493], 'setting).Several': [2497], 'cautioned': [2500], 'against': [2501], 'particularly': [2514, 3152], 'reaction': [2520], '(22,': [2524], '47,': [2526], '50,': [2527], '53–55).': [2528], 'Nonetheless,': [2529], 'prominent,': [2542], 'period': [2545], 'true': [2556], 'bipolar': [2578, 3283], 'worth': [2582], 'noting': [2583], 'throes': [2593], 'still': [2600], 'behavioral': [2607], 'attributable': [2611], 'pathology': [2616], 'persist,': [2618], 'complicating': [2619], 'episode.Summary': [2626], 'RecommendationsSuicide': [2628], 'companion': [2633], 'represents': [2645], 'challenge': [2647, 3056], 'alike.': [2654], 'stages': [2658], 'therapy—whether': [2660], 'therapy—suicide': [2673], 'number-one': [2678], 'priority.': [2679], 'Giving': [2680], 'concern': [2685], 'does': [2686], 'imply': [2688], 'wish': [2690], 'reinforce': [2692], 'perpetuate': [2694], 'periodic': [2697], 'preoccupation': [2698, 2710], 'Rather,': [2701], 'conveys': [2703], 'come': [2707], 'head-on,': [2711], 'risk,': [2715, 3839], 'join': [2723], 'forces': [2724], 'find': [2729], 'road': [2732], 'travel.': [2734], 'preferred': [2736], 'strategy': [2737], 'accomplish': [2739], 'develop,': [2744], 'mutual': [2749], 'protects': [2752], 'life,': [2755], 'bodily': [2758], 'integrity,': [2759], 'integrity': [2762], 'itself.': [2766], 'plan,': [2770], 'assigned': [2773, 2814], 'member': [2779], 'services': [2784], 'team': [2785], 'but,': [2786], 'rather,': [2787], 'protector': [2790], 'valuable': [2793], 'sanctuary—the': [2794], 'itself—as': [2796], 'place': [2798], 'confusion,': [2802], 'fear,': [2803], 'hopelessness,': [2804, 2961], 'distorted': [2806], 'perceptions': [2807], 'sorted': [2810], 'out.': [2811], 'understand': [2818], 'accept': [2820], 'opportunity': [2825], 'choose': [2830], 'alternative': [2831], 'methods': [2832], 'inevitable': [2837], 'arise.': [2840], 'stakes': [2842], 'high,': [2845], 'certainly': [2849], 'involved,': [2850], 'capacity': [2853], 'tolerate': [2855], 'asset': [2860], 'both': [2862], '(56,': [2868], '57).In': [2869], 'beginning': [2875], 'article,': [2878], 'had': [2881], 'concern.': [2887], 'case,': [2891], 'family': [2906], 'history.': [2907], 'appearance': [2910], 'context': [2915], 'represent': [2920], 'first': [2922], 'time': [2923], 'emerged': [2933], 'period,': [2937], 'herald': [2941], 'onset': [2943], 'depression.': [2947, 2978], 'vignette,': [2955], 'gradual': [2957], 'development': [2958, 3463], 'depression,': [2960], 'contrast': [2966], 'behavior)': [2970], 'emergence': [2973], 'Appropriate': [2979], 'antidepressant': [2980], 'might': [2982], 'started': [2986], 'already': [2995], 'effectively': [2997], 'engaged': [2998], 'Brief': [3001], 'necessary,': [3005], 'indicated': [3008], 'extremely': [3010], 'hold': [3017], 'lifeline': [3020], 'seemed': [3023], 'weakening.': [3026], 'accomplishing': [3035], 'smooth': [3041], 'sailing,': [3042], 'superimposed': [3047], 'not-yet-resolved': [3051], 'intrapsychic': [3053], 'world,': [3054], 'tenuous': [3058], 'trust': [3059], 'built': [3061], 'therapist.TABLE': [3067], '1Enlarge': [3068], 'tableTABLE': [3069], '2Enlarge': [3070], 'tableReceived': [3071], 'Oct.': [3072, 3076], '4,': [3073], '2005;': [3074, 3886], 'accepted': [3075], '6,': [3077], '2005.': [3078], 'From': [3079], 'Department': [3081, 3100], 'Psychiatry': [3083, 3102, 3321, 3335, 3538, 3595, 3657, 3770, 3825, 3908, 3938, 4095, 4123], 'Behavioral': [3085, 3104], 'Sciences,': [3086, 3105], 'Medical': [3087, 3106], 'University': [3088, 3107], 'South': [3090, 3109], 'Carolina.': [3091], 'Address': [3092], 'correspondence': [3093], 'reprint': [3095], 'requests': [3096], 'Dr.': [3098], 'Carolina,': [3110], '67': [3111], 'President': [3112], 'St.,': [3113], 'Charleston,': [3114], 'SC': [3115], '29425;': [3116], '[email': [3117], 'protected]': [3118], '(e-mail).Figure': [3119], 'Balance': [3121], 'Combined': [3123], 'According': [3125], 'Type': [3127], 'DisorderaaFor': [3131], 'combination': [3139], 'indicated.': [3145], 'Reliance': [3146], 'greater,': [3151], '1–3,': [3161], 'until': [3162], 'regulation': [3164], 'stabilized.': [3169], 'Adapted': [3170], 'permission': [3172, 3193], 'American': [3174, 3254, 3350, 3378, 3408, 3578, 3641, 3717, 3783, 3800, 3841, 3858], 'Psychiatric': [3175, 3246, 3255, 3351, 3379, 3409, 3579, 3642, 3718, 3784, 3801, 3842, 3859], 'Publishing,': [3176, 3256, 3719, 3802, 3860], 'Inc.': [3177], '(2).Figure': [3178], 'Priorities': [3181], 'Two': [3183], 'Psychotherapeutic': [3184], 'Approaches': [3185], 'DisorderaaAdapted': [3191], '(21).References1.': [3208], 'Clarkin': [3209], 'JF,': [3210, 3495], 'Widiger': [3211], 'T,': [3212], 'Frances': [3213], 'A,': [3214, 3868, 4109, 4111], 'Hunt': [3215], 'SW,': [3216], 'Gilmore': [3217], 'M:': 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[3275], 'Akiskal': [3276, 3299], 'HS:': [3277], 'Subaffective': [3278], 'disorders:': [3279, 4004], 'dysthymic,': [3280], 'cyclothymic': [3281], '"borderline"': [3288], 'realm.': [3289], 'Psychiatr': [3290, 3434], 'Clin': [3291, 3320, 3435], 'North': [3292, 3436], 'Am': [3293, 3333, 3437, 3536, 3593, 3655, 3768, 3936, 4093, 4121], '1981;': [3294], '4:25–46Crossref,': [3295], 'Scholar5.': [3298], 'HS,': [3300], 'Chen': [3301], 'SE,': [3302, 3751, 3921], 'Davis': [3303], 'GC,': [3304], 'Puzantian': [3305], 'VR,': [3306], 'Kashgarian': [3307], 'M,': [3308, 4027], 'Bolinger': [3309], 'Borderline:': [3311], 'adjective': [3313], 'search': [3315], 'noun.': [3318], 'J': [3319, 3334, 3468, 3517, 3537, 3572, 3594, 3607, 3633, 3656, 3737, 3769, 3824, 3883, 3937, 3970, 4064, 4094, 4122], '1985;': [3322], '46:41–48Medline,': [3323], 'Scholar6.': [3325], 'Klein': [3326], 'DF,': [3327], 'Liebowitz': [3328], 'MR:': [3329], 'Hysteroid': [3330], '(letter).': [3332], '1982;': [3336], '139:1520–1521Link,': [3337], 'Scholar7.': [3339], 'JG:': [3341, 3524], 'Disorder:': [3344, 3368, 3702], 'Clinical': [3346], 'Guide.': [3347], 'Press,': [3352, 3380, 3410], '2001Google': [3353], 'Scholar8.': [3354], 'Zanarini': [3355, 3456, 3992, 4038, 4100], 'MC:': [3356], 'spectrum': [3363], 'Etiology': [3369], 'Treatment.': [3371, 3549], 'Paris': [3374], '1993,': [3381], '67-85Google': [3383], 'Scholar9.': [3384], 'Siever': [3385], 'LJ:': [3386], 'Relationship': [3387], 'compulsivity:': [3391], 'synthesis,': [3393], 'Impulsivity': [3395], 'Compulsivity.': [3397], 'JM,': [3401, 3745, 3793, 3851, 3915, 4075], 'Hollander': [3402], 'E,': [3403, 3725, 3894], 'Skodol': [3404, 3746, 3775, 3794, 3852, 3916, 3978, 4034, 4072], 'AE.': [3405], '1996,': [3411], '261-272Google': [3413], 'Scholar10.': [3414], 'PS,': [3416, 3808, 3832], 'Heslegrave': [3417], 'RJ:': [3418], 'Prospective': [3419], 'outcome:': [3422], 'mechanisms': [3425], '2000;': [3438, 3973], '23:137–150Crossref,': [3439], 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