Mental health institutions are encouraged to actively support this process. CONCLUSION: Any practitioner who may be faced with a homicidal patient should have ready access to the relevant guidelines. Three Dutch guidelines about professional secrecy are important when making an assessment about whether or not one should break the rules of confidentiality. However, psycho-dynamic aspects and feelings of countertransference should also be taken into account during therapy. emdr and aggression regulation therapy appear to be effective treatments for underlying trauma and anger. The risk assessment evaluates the motives and the proclivity to act. A psychotic disorder, an antisocial personality disorder, alcohol abuse, (bipolar) depression, long-existing (severe) domestic violence, possession of a weapon or a previous conviction for a death threat are important risk increasing factors. 1 Suicidal ideation is more common than suicide attempts or completed suicide. There are far more instances where the patient does not follow through with their threat. Suicidal behavior can be characterized as a spectrum that ranges from fleeting suicidal thoughts to completed suicide. RESULTS: During consultation, a death threat is not equatable with the announcement of murder. However, homicidal thoughts can lead to intentions, which can lead to plans and motivate behavior, especially when: substance abuse is involved a person has a history of violent threats or behavior a person is experiencing psychotic symptoms a person has an intended target a person has a specific. METHOD: A systematic literature review of the epidemiology, diagnostics, risk assessment and treatment of homicidal threats. AIM: To provide background information and tools for the practitioner who receives a homicidal threat from a patient. Many therapists don't know how to handle these. Except in the most severe cases, temperament alone cannot indicate that a child may become dangerous or violent. Death threats are common in the therapist's office. A temperamentally difficult child may behave in ways that are impulsive, insensitive to others, easily threatened, aggressive or withdrawn.
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