Suicide Assessment and Intervention

Suicide assessment and intervention is a topic relevant to all health care providers. Research shows that most people who kill themselves have a diagnosable mental or substance use disorder, or both, and that the majority of them have depressive illness. This course discusses prevalence, risk factors, suicide assessment, and intervention.

Target audience:  Psychologists, mental health counselors, marriage and family therapists, social workers, addiction counselors, nurses

This CE program is designated as intermediate.

Learning Objectives

Upon completing this program, participants should be able to

  • Discuss how to screen clients who are at risk for suicide;
  • Describe the relationship between suicide, mental disorders, and substance abuse.
  • Print Version / Test Preview
  • Part 1: Suicidality
  • Part 2: Suicide and Co-Occurring Disorders
  • CE Test
  • Evaluation

Treatment Improvement Protocol (TIP) Series 42: Substance Abuse Treatment For Persons With Co-Occurring Disorders

Consensus Panel


Stanley Sacks, PhD
Center for the Integration of Research and Practice
National Development and Research Institutes, Inc.
New York, New York


Richard K. Ries, MD
Outpatient Mental Health Services
Dual Disorder Programs
Harborview Medical Center
Seattle, Washington

Workgroup Leaders

Donna Nagy McNelis, PhD
Director, Behavioral Healthcare Education
Associate Professor, Psychiatry
Drexel University
School of Medicine
Philadelphia, Pennsylvania

David Mee-Lee, MD, FASAM
Davis, California

James L. Sorenson, PhD
Department of Psychiatry
San Francisco General Hospital
San Francisco, California

Douglas Ziedonis, MD
Director, Addiction Services
University Behavioral Healthcare System
Piscataway, New Jersey

Joan E. Zweben, PhD
Executive Director
The 14th Street Clinic and Medical Group
East Bay Community Recovery Project
University of California
Berkeley, California


Betty Blackmon, MSW, JD
Parker-Blackmon and Associates
Kansas City, Missouri

Steve Cantu, LCDC, CADAC, RAS
Clinical Program Coordinator
South Texas Rural Health Services, Inc.
Cotulla, Texas

Catherine S. Chichester, MSN, RN, CS
Executive Director
Co-Occurring Collaborative of Southern Maine
Portland, Maine

Colleen Clark, PhD
Research Associate
Department of Community Mental Health
University of South Florida
Tampa, Florida

Christie A. Cline, MD, MBA
Medical Director
Behavioral Health Sciences Division
New Mexico Department of Health
Santa Fe, New Mexico

Raymond Daw, MA
Executive Director
Na'nizhoozhi Center, Inc.
Gallup, New Mexico

Sharon C. Ekleberry, LCSW, LSATP, BCD
Division Director
Adult Outpatient Services
Fairfax County Mental Health Services
Fairfax/Falls Church Community Services Board
Centreville, Virginia

Byron N. Fujita, PhD
Senior Psychologist
Clackamas County Mental Health Center
Oregon City, Oregon

Lewis E. Gallant, PhD
Executive Director
National Association of State Alcohol and Drug Abuse Directors, Inc.
Washington, DC

Michael Harle, MHS
President/Executive Director
Gaudenzia, Inc.
Norristown, Pennsylvania

Michael W. Kirby, Jr., PhD
Chief Executive Officer
Arapahoe House, Inc.
Thornton, Colorado

Kenneth Minkoff, MD
Medical Director
Choate Health Management
Woburn, Massachusetts

Lisa M. Najavits, PhD
Associate Professor of Psychology
Harvard Medical School/McLean Hospital
Belmont, Massachusetts

Tomas A. Soto, PhD
Behavioral Sciences
The CORE Center
Chicago, Illinois

The Chair and Co-Chair would like to thank Kenneth Minkoff, MD, for his valuable contributions to chapter 4 of this TIP.

Special thanks go to Douglas Ziedonis, MD, for providing content on nicotine; Donna Nagy McNelis, PhD, for providing content for the workforce development section; Tim Hamilton, for providing content for the section on dual recovery self-help groups in chapter 7; Theresa Moyers, PhD, for her critical review of the motivational interviewing section; George A. Parks, PhD, for his input into the relapse prevention section; Cynthia M. Bulik, PhD, for writing the section on eating disorders; Lisa M. Najavits, PhD, for her contributions to the PTSD section; Loreen Rugle, PhD, for writing the section on gambling disorders; Barry S. Brown, PhD, for providing consultation to the Chair; and Jo Scraba for her editorial assistance to the Chair.

Adapted from the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder (MDD). Washington, DC: VA/DoD Clinical Practice Guideline Working Group, Veterans Health Administration, Department of Veterans Affairs, and Health Affairs, Department of Defense, May 2009. Available at

APA approved, Yo! At Health is approved by the American Psychological Association to sponsor continuing education for psychologists. At Health maintains responsibility for the program and its content.

At Health is an approved provider of the California Board of Behavior Sciences (PCE 3319). These courses meet the qualifications for continuing education credit for MFTs, LPCCs, LEPs, and/or LCSWs as required by the California Board of Behavioral Sciences.

At Health is a provider approved by the California Board of Registered Nursing (CA BRN), Provider # CEP 15512.

California Licensed Vocational Nurses and California Psychiatric Technicians can take online courses by California Board of Registered Nursing (CA BRN) approved providers, such as At Health, to fulfill their CE requirements.

NBCC approved, Yo! At Health, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6719. Programs that do not qualify for NBCC credit are clearly identified.  At Health, Inc. is solely responsible for all aspects of the programs.

Programs are available for continuing education credit for social workers through the co-sponsorship of At Health, Inc., and Amedco, LLC.  Amedco, #1346, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program. Amedco maintains responsibility for the program. ASWB Approval Period: 6/24/2016 to 6/24/2019. Social workers should contact their regulatory board to determine course approval for continuing education credits. The following recognize the ASWB program: AB, AK, AL, AR, AZ, BC, CA, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KY, LA, MA, MD, MI, MN, MO, MS, MT, NH, NM, NC, ND, OH, OK, OR, PA (PA requires that courses be at least 2 credits), RI, SC, TN, TX, UT, VA, VI, VT, WA, WI, and WY.  Participants must pass a posttest with a score of 80% or higher and complete an attendance/evaluation form in order to receive a certificate of completion/attendance. is an approved provider of the Texas State Board of Examiners of Marriage and Family Therapists, provider #908.

These programs meet the criteria of an approved continuing education program for social work in Arkansas.

These programs meet the criteria of an approved continuing education program for social workers, professional counselors, marriage and family therapists, master's level psychologists, licensed clinical psychotherapists, and alcohol and other drug abuse counselors in Kansas.

These programs meet the criteria of an approved continuing education program for mental health practice and for social work in Nebraska.

These programs meet the criteria of an approved continuing education program for psychologists, pastoral psychotherapists, clinical social workers, clinical mental health counselors, marriage and family therapists, and alcohol and drug abuse counselors in New Hampshire.

These programs meet the criteria of an approved continuing education program for social workers, professional counselors, marital and family therapists, and clinical pastoral therapists in Tennessee. is approved as a continuing education provider by the National Association of Alcoholism and Drug Abuse Counselors (NAADAC) Provider #148460 (Exp. August 1, 2017).

The above CE sponsorships are honored by many additional state boards of social work, marriage and family therapy, and licensed professional counseling. Some restrictions may apply. Check with your state board or certifying organization to find out if online courses or home study are accepted as part of your continuing education requirement for license renewal or re-certification, or call At Health at 888-284-3258 for information regarding CE approvals.

Page last modified on July 27, 2016

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Type: Text    Credits: 1 CE    Price: $12   Refund Policy
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