Suicide Assessment, Treatment, and Management

Suicide assessment, prevention, 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, screening, assessment, safety planning, treatment, and management. Topics include a clinical practice guideline for the assessment and management of patients at risk for suicide, co-occurring mental and substance use disorders, suicide in the military, suicide risk in children, suicide crisis intervention strategies, and ethical considerations in the assessment and management of suicide risk.

This course meets the Washington State requirement for 6 credits of CE in suicide prevention and is on the WA 2017 Model List. If you are a WA mental health or nursing professional who is required to earn 6 CEUs for suicide prevention and management, this online course will allow you to earn the credits quickly and easily from the comfort of your office. This course also meets the requirements for some mental health professionals in Kentucky. See CE approvals for KY at http://athealth.com/ce-approvals/  (Click on Am I Covered Box? and choose Kentucky and then your discipline.)

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

This CE program is designated as beginning to intermediate.


Learning Objectives

Upon completing this program, you should be able to:

  • List the risk factors and protective factors for suicide
  • Screen and assess for suicide risk
  • Determine the level of risk for suicide and refer for proper treatment
  • Identify evidence-based treatments for suicide prevention and management
  • Create a Safety Plan with patients/clients
  • Provide complete and thorough written documentation of the steps taken to assess for suicide and refer for treatment
  • Describe the relationship between suicide, mental disorders, and substance abuse
  • Identify and use specific strategies for managing suicidal clients
  • Apply Joiner’s interpersonal-psychological theory in assessing and treating military personnel.
  • Apply guidelines for developmentally appropriate interviewing in assessing children for suicide
  • Manage suicide risk assessment and safety planning using ethical principles.
  • Print Version / Test Preview
  • Part 1: Suicide Facts
  • Part 2: Suicide Assessment and Management-VA/DoD Clinical Practice Guideline
  • Part 3: Co-Occurring Mental and Substance Use Disorders and Suicidal Behavior
  • Part 4: Safety Planning
  • Part 5: Documentation of Assessment and Treatment
  • Part 6: A Cognitive-behavioral Strategy for Preventing Suicide
  • Part 7: A Suicide Crisis Intervention Model with 25 Practical Strategies for Implementation
  • Part 8: Understanding Suicidal Behavior in the Military
  • Part 9: Understanding and Treating Suicidal Risk in Young Children
  • Part 10: Assessing Suicide Risk in Children: Guidelines for Developmentally Appropriate Interviewing
  • Part 11: Ethical Considerations in the Assessment and Management of Suicide Risk
  • Part 12: Additional Reading
  • Part 13: Screening and Assessment Tools
  • Part 14: Resources
  • CE Test
  • Evaluation

Editor:

John L. (Jack) Miller, MD: Dr. Miller is President and CEO of At Health, Inc. He graduated from Indiana University School of Medicine and completed residencies in pediatrics and adult psychiatry, as well as a fellowship in child psychiatry. He practiced adult and adolescent psychiatry in Bellevue, WA, and later joined the TRICARE Northwest Lead Agency at Madigan Army Medical Center as the Mental Health Director. At Madigan Dr. Miller also served as the Mental Health Disease Management Chief in the Outcomes Management Division and the Health Information Management Director of the Child, Adolescent and Family Behavioral Health Office. He later joined the Behavioral Health Data Portal (BHDP) Program Management Office as a clinical subject matter expert to provide technical and clinical oversight for the redesign, development, pilot testing, and deployment of the Behavioral Health Data Portal (BHDP) to more than fifty of the Army’s mental health clinics. As a member of the Behavioral Health Data Portal (BHDP) team, Dr. Miller shared in the Excellence in Enterprise Information Award from the Association for Enterprise Information as the Government Awardee for 2013.

Authors:

Suicide Assessment and Management – VA/DoD Clinical Practice Guideline

U.S. Department of Veterans Affairs & U.S. Department of Defense. (2013). VA/DoD clinical practice guideline for assessment and management of patients at risk for suicide. Washington, DC: Author. List of contributors available at http://www.healthquality.va.gov/guidelines/MH/srb/VADODCP_SuicideRisk_Full.pdf

 Co-Occurring Mental and Substance Use Disorders and Suicidal Behavior:

Center for Substance Abuse Treatment. Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2009. (Treatment Improvement Protocol (TIP) Series, No. 50.) Part 3, Section 1, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment: A Review of the Literature. Available from: http://www.ncbi.nlm.nih.gov/books/NBK64013/

Chair, Part 1 and Part 2 Consensus Panels

Kenneth R. Conner, PsyD., M.P.H.
Associate Professor of Psychiatry
University of Rochester Medical Center
Rochester, New York

Safety Planning

U.S. Air Force Medical Operations Agency. (2014). Air Force guide for suicide risk assessment, management, and treatment. San Antonio, TX: Author. List of contributors available at https://www.usuhs.edu/sites/default/files/media/mps/pdf/mholloway-afguidesuiciderisk.pdf

Documentation of Assessment/Treatment Plan

U.S. Air Force Medical Operations Agency. (2014). Air Force guide for suicide risk assessment, management, and treatment. San Antonio, TX: Author. List of contributors available at https://www.usuhs.edu/sites/default/files/media/mps/pdf/mholloway-afguidesuiciderisk.pdf

A Cognitive-behavioral Strategy for Preventing Suicide

Marjan Ghahramanlou-Holloway, PhD
Associate Professor
Department of Medical and Clinical Psychology
Department of Psychiatry
Director Laboratory for the Treatment of Suicide-Related Ideation and Behavior

Laura L. Neely, PsyD
Psychologist
Associate Director Laboratory for the Treatment of Suicide-Related Ideation and Behavior

Jennifer Tucker, PhD
Postdoctoral Fellow
Laboratory for the Treatment of Suicide-Related Ideation and Behavior
Uniformed Services University of the Health Sciences Bethesda, Maryland

Disclosures
Support for research on inpatient cognitive-behavioral therapy for the prevention of suicide provided to Principal Investigator, Dr. Ghahramanlou-Holloway by the Department of Defense, Congressionally Directed Medical Research Program (W81XWH-08-2-0172), Military Operational Medicine Research Program (W81XWH-11-2-0106), and the National Alliance for Research on Schizophrenia and Depression (15219).

© 2014. Frontline Medical Communications. All rights reserved. Current Psychiatry by FRONTLINE MEDICAL COMMUNICATIONS. Reproduced with permission of FRONTLINE MEDICAL COMMUNICATIONS in the format Post in a course management system via Copyright Clearance Center.

Suicide Crisis Intervention Model with 25 Practical Strategies for Implementation

Darcy Haag Granello is affiliated with The Ohio State University. Correspondence concerning this article should be addressed to Darcy Haag Granello, PhD, LPCC, Counselor Education, 448 PAES Building, 305 W. 17th Avenue, Columbus, Ohio 43210. E-mail: granello.1@osu.edu. Used with permission of AMHCA.

Understanding Suicidal Behavior in the Military

Michael D. Anestis and Thomas E. Joiner are affiliated with Florida State University. Craig J. Bryan and Michelle M. Cornette are affiliated with Wilford Hall Medical Center; Dr. Cornette is also affiliated with the Clement J. Zablocki Veterans Administration Medical Center. Correspondence concerning this article should be addressed to Thomas E. Joiner, Florida State University, Department of Psychology, 1107 W. Call St., Tallahassee, FL, 32306-4301. Used with permission of AMHCA

Understanding and Treating Suicidal Risk in Young Children

Abby Ridge Anderson, Department of Psychology, The Catholic University of America; Grace M. Keyes, Hearts of Hope, Elk City, Oklahoma; David A. Jobes, Department of Psychology, The Catholic University of  America.  David A. Jobes is a Chief Executive Officer and Co-owner of CAMs-care, LLC, which is a training and consultation company for the intervention described in this article.
© 2016. American Psychological Association. All rights reserved.
Practice Innovations Journal by American Psychological Association. Reproduced by permission of AMERICAN PSYCHOLOGICAL ASSOCIATION - JOURNALS in the format post in a course management system via Copyright Clearance Center.

Assessing Suicide Risk in Children

Casey A. Barrio, PhD, is an Assistant Professor of Counseling at the University of North Texas. Dr. Barrio’s teaching areas include community counseling, multicultural counseling, diagnosis in counseling, and counseling skills. Used with permission of AMHCA.

Ethical Considerations in the Assessment and Management of Suicide Risk

Rebecca A. Bernert, PhD, Instructor, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Laura Weiss Roberts, MD, MA, Professor, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA. Address correspondence to Rebecca A. Bernert, PhD, Stanford University, Department of Psychiatry, 401 Quarry Road, Palo Alto, CA 94304; e-mail: Rbernert@stanford.edu. Reprinted with permission from FOCUS, (Copyright ©2012). American Psychiatric Association

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) www.aswb.org, 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.

Athealth.com 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.

NAADAC_logoAthealth.com 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: PDF    Credits: 6 CE    Price: $85   Refund Policy
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