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Digital Seminar

Disarming the Suicidal Mind: Evidence-Based Assessment and Intervention


Faculty:
Timothy Spruill, MA, EdD,
Duration:
6 Hours 22 Minutes
Format:
Audio and Video
Copyright:
Dec 30, 2015
Product Code:
WDS020186
Brochure Code:
WDBHDSARM
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
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Description

From Triage to Tomorrow
Suicide deaths have increased dramatically in recent years to nearly 40,000 Americans annually, a leap that has been attributed variously to the Great Recession, wars in Iraq and Afghanistan, and access to guns and prescription pain killers – but what about medical error? Thirty-nine percent of suicide completers have been seen in an ER within the past year (many for mental health complaints and self-harm), while 59% of ER patients with injuries from deliberate self-harm do not receive a psychiatric assessment. Despite these trends, graduate training in assessment of imminent self-harm is often limited, offering little practical experience in counseling labs due to intake policies designed to avoid liability.

This course offers a revealing look inside the complex and rapidly expanding knowledge base concerning the epidemiology of suicide and self-harm, while exploring the most effective measures you can take to save your patients’ lives. Learn to recognize risk factors associated with suicide attempts, as well as long-term and imminent warning signs, and accurately assess self-harm and suicide risk. Discover evidence-based interventions and explore the challenges of treatment across populations, including patients with addictive behaviors. Finally, we will deconstruct the emergency mental health protocols of today and identify common thinking errors leading to diagnostic and intervention mistakes that actually worsen crisis situations.

 


Course Content

Introduction to the growing problem of suicide in America

  • Need for concern: statistics revealing the increasing trend in suicidal ideation, attempts, deaths
    • national data
    • state-specific data
    • career risks for the professional counselor
  • Factors contributing to the failure of adequate assessment and triage
    • inadequate training of physicians and professional counselors
    • inadequate funding for mental health (despite numerous parity laws)
    • shifting of the burden of assessment to emergency rooms
    • poorly trained law enforcement officers initiating involuntary admissions
  • DSM-5 new definitions and terminology
    • Suicidal Behavior Disorder
    • Non-Suicidal Self-injury

 

EPIDEMIOLOGY — CONTRIBUTING FACTORS

  • Risk factors
    • demographic risk factors (age, gender, ethnicity, etc.)
    • environmental risk factors (adverse childhood experiences)
    • addictions
    • mental illness
    • economic risk factors (employment)
  • Warning signs
    • feeling alone—isolated from family/friends
    • feeling like a “burden” to others
    • little or no fear of death
  • Red herrings
    • suicide notes
    • contingent suicide threats
    • cutting
    • pending divorce

 

ASSESSMENTS/MEASURES TO AID IN DETERMINING RISK LEVEL — A COMPREHENSIVE STRATEGY

  • Mental status exam
  • Collateral information
  • Adults
    • relative lethality of plans/attempt (Risk/Rescue Scale)
    • hopelessness (Beck Hopelessness Inventory)
    • reasons for living (Brief Reasons for Living Scale)
    • social connectedness/alienation (Three-Item Loneliness Scale)
    • adverse childhood experiences  (A.C.E. Questionnaire)
  • Teens and children
    • predictive/protective factors identified in the research
  • Special populations
    • veterans
    • LGBT
  • Rule of “Thirds” — three broad categories of risk
  • Promising, novel methods for assessing risk
    • implicit cognitions—measuring implicit associations with death & and suicide

 

COMMON INTERVENTION MISTAKES, THINKING ERRORS, AND ETHICAL ISSUES

  • Our natural tendencies to err
    • feelings of “rightness” are not reliable indicators
  • External factors contributing to errors
  • Internal factors contributing to errors
    • self-care is critical
    • two types of thinking (fast & and slow)
    • dangers of lazy, “fast” associative thinking
    • substitution of easy-to-answer question for more difficult and complex question
  • 13 common types of “thinking bias” to guard against
  • Type 1 vs. Type 2 errors (legal liability and ethical issues)
    • patient autonomy and self-determination
    • confidentiality limits

 

INTERVENTIONS AND TREATMENT PLANNING

  • Non-judgmental, empathic listening
  • Acknowledging reason for concern
  • Taking advantage of ambivalence

 

CHALLENGES TO ACHIEVING SUCCESSFUL TREATMENT OUTCOMES

  • Means restriction
  • Social support — supervision
  • Follow-up counseling
  • Exploring alternative responses should suicidal thoughts increase in frequency/intensity

 

When Losing a Patient to Suicide — Remaining Resilient and Moving Forward

Credits


Alcoholism and Drug Abuse Counselors

This course has been approved by , as a NAADAC Approved Education Provider, for 7.0 continuing education hour(s). NAADAC Provider #77600, is responsible for all aspects of their programming. Content includes elements of one of the NAADAC 8 Counselor Skills Group. Full attendance is required to receive credit, variable credit for partial attendance may not be awarded based on the NAADAC guidelines.


Counselors - California

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 7.0 hours of continuing education credit.


Counselors - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 7.0 continuing education credit(s).


Counselors - Illinois

is a registered counselor continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 197-000144). This program is offered for seven (7.0) contact hour(s) of continuing education for counselors. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Counselors - National

This educational offering consists of 7.0 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements. 


Counselors - New York

Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed  mental health counselors #MHC-0027. This educational offering is acceptable for 7.0 continuing education hour(s). Full attendance is required to receive credit for Mental Health Counselors; variable credit for partial attendance may not be awarded based on the State Board guidelines.

 


Counselors - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for seven (7.0) clock hour(s) of continuing education for counselors only. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Counselors - South Carolina

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This program is offered for 7.0 continuing education hour(s).


Counselors - Texas

is an approved sponsor of continuing education for licensed professional counselors through the Texas State Board of Examiners of Professional Counselors (Provider number 2709). This course is offered for 7.0 clock hour(s).


Educators

This educational offering may qualify toward your professional development requirement. The educational offering consists of 7.0 clock hour(s). Use this information and your board rules and regulations to calculate professional development/continuing education credit.


Ethics

This educational offering is offered for 7.0 hour(s) of continuing education of which 7.0 hour(s) includes discussion of ethics issues.


Marriage & Family Therapists - California

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 7.0 hours of continuing education credit.


Marriage & Family Therapists - National

This educational offering consists of 7.0 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.


Marriage and Family Therapists - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 7.0 continuing education credit(s).


Marriage and Family Therapists - Illinois

is a registered marriage and family therapist continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 168-000172). This program is offered for seven (7.0) contact hour(s) of continuing education for marriage and family therapist. Licensed marriage and family therapist in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Marriage and Family Therapists - New York

Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed  marriage and family therapists #MFT-0020. This educational offering is acceptable for 7.0 continuing education hour(s). Full attendance is required to receive credit for Marriage and Family Therapists; variable credit for partial attendance may not be awarded based on the State Board guidelines.


Marriage and Family Therapists - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for seven (7.0) clock hour(s) of continuing education for counselors and marriage family therapists. Licensed counselors and marriage and family therapists in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Marriage and Family Therapists - South Carolina

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104).  This program is offered for 7.0 continuing education hour(s).


Marriage and Family Therapists - Texas

is an approved sponsor of continuing education for licensed marriage and family therapists through the Texas State Board of Examiners of Marriage and Family Therapists (Provider number 195). This course is offered for 7.0 clock hour(s).


Other Professions

This educational offering qualifies for 7.0 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Psychologists

is approved by the American Psychological Association to sponsor continuing education for psychologists. maintains responsibility for this program and its content. This program offers 7.0 CE credit(s) for psychologists. Full attendance is required to receive credit for psychologist, variable credit for partial attendance may not be awarded based on the APA guidelines.


Social Workers

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 (an approved provider since 1999, approved period 1/27/2018-1/27/2021). maintains responsibility for the program. Social workers will receive 7.0 Ethics Social Work continuing education clock hour(s) for participating in this course. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB's website at www.aswb.org for more information. This educational offering is at the Intermediate level for social workers.


Social Workers - California

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 7.0 hours of continuing education credit.


Social Workers - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 7.0 continuing education credit(s).


Social Workers - New York

, SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed Social Workers #0043. This educational offering is acceptable for 7.0 continuing education hour(s). Full attendance is required to receive credit for Social Workers; variable credit for partial attendance may not be awarded based on the State Board guidelines.



Handouts

Faculty

Timothy Spruill, MA, EdD, Related seminars and products


TIMOTHY SPRUILL, MA, EdD, has conducted more than 3,500 emergency psychiatric assessments in one of Orlando's busiest emergency departments as a consultant at Florida Hospital, where he is a founding faculty member of the Emergency Medicine residency program. Through his work with high-risk patients and his passion for staying abreast of the latest research in the area of suicidology, Dr. Spruill has developed an evidence-based approach to emergency mental health that urges progress far beyond the fragile gains of traditional (and contemporary) psychological triage.

His extensive experience conducting assessments and evaluations reaches back to his work in private psychiatric hospitals in the early 1980s. Dr. Spruill earned his Master's degree in Counseling Psychology from George Mason University in 1977. After four years of teaching, he left for the applied world of a community psychiatric setting and pursued his Doctorate in Counseling Psychology at Western Michigan University. In addition to his ongoing consulting work, he returned to academia in 1991 to share his experience and extend his research capabilities. During his time with Andrews University and, subsequently, Florida Hospital, he has continued to collect data on suicide and conduct research in his chosen field of Behavioral Medicine. Since 2010, he has taught continuing education courses on the topics of suicide assessment, preventing medical errors, and violence. He has also presented his findings at numerous conferences, traveling as far as Cape Town, South Africa, to speak on suicide.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Psychiatrists, Psychologists, Social Workers, Counselors, Marriage and Family Therapists, Psychiatric Nurses, Case Managers, Alcoholism and Drug Abuse Counselors, Mental Health Administrators, Educators, Nurse Practitioners

 

Reviews

5
4
3
2
1

Overall:      4.4

Total Reviews: 89

Comments

William W - LUBBOCK, Texas

"The seriousness of this subject had me not being initially as interested in it as I eventually became. Dr. Spruill engaged me in such a totally comprehensive approach that, along with his dry wit, really had me very appreciative that I had taken the seminar."

Russell M - LONGVIEW, Texas

"Excellent presentation. Practical ideas about working with clients who are experiencing a crisis. "

Holly W - Harrisburg, North Carolina

"Excellent course. Excellent presenter"

Lisa C - JACKSONVILLE, Florida

"I really appreciated this program and the presenter. He was engaging and informative. This was a very good use of my resources."

Jennifer W - ALEXANDRIA, Minnesota

"Excellent statistics provided which will enhance practices within my hospital."

Janelle M - UNION BRIDGE, Maryland

"I really enjoyed this training. Very methodical, thorough, wide ranging and he really held my interest to the end. Excellent!"

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Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

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We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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