Timothy Spruill – Disarming the Suicidal Mind and Evidence-Based Assessment and Intervention

This video gives you a glimpse inside. the Complex and Knowledge is rapidly expanding-Base the Epidemiology and suicide and Self-While exploring, do not cause harm the most effective measures you can take to save your patients’ lives.

Timothy Spruill – Disarming the Suicidal Mind and Evidence-Based Assessment and Intervention

From Triage to Tomorrow: Suicide deaths have risen dramatically to 40,000 Americans per year in the past few years, an increase that can be attributed to many factors. the Great Recession and wars in Iraq and Afghanistan, and Access to guns and Prescription painkillers – But what about medical error? Thirty-Nine percent of suicide victims have been seen at an ER within the last year. the Past year (many for mental illness complaints and Self-59% of ER patients who sustained injuries by deliberate self were injured,-A psychiatric assessment is not required for those who are suffering from harm. Despite these trends graduate training in assessment and treatment of imminent self-Because of intake policies intended to avoid liability, harm is often minimal and counselors have little to no experience with counseling.

This video gives you a glimpse inside. the Complex and Knowledge is rapidly expanding-Base the Epidemiology and suicide and Self-While exploring, do not cause harm the most effective measures you can take to save your patients’ lives. As long as you recognize signs and symptoms that could lead to suicide attempts, you can save your patients’ lives.-term and Warning signs are imminent and You can accurately evaluate yourself-Harmonization and suicide risk. Discover evidence-Interventions that are based and Explore the The challenges of treating patients with addictive behaviours across all age groups. We will finally deconstruct the Emergency mental health protocols for today and Diagnose common thinking mistakes by identifying them and Intervention mistakes can actually make crisis situations worse

1. Analyze the Knowledge is rapidly expanding-Base the Epidemiology and suicide and Self-Harm as it relates in clinical practice.
2. Recognize the risks associated with suicide attempts and long-term planning.-term and Imminent warning signs to increase client functioning
3. Articulate common assessment and These errors could prove fatal in the case of clinical intervention.
4. Identify ethical issues in suicidal assessment and Involuntary psychiatric committment
5. Implement comprehensive assessment/intervention strategies to put to practical use in session.
6. To improve your treatment outcomes, you must overcome suicidal client challenges.

Would you like a gift? Timothy Spruill – Disarming the Suicidal Mind and Evidence-Based Assessment and Intervention ?

INTRODUCTION to THE GROWING PROBLEM of SUICIDE in AMERICA

• Not to be taken lightly: Statistics are alarming the Suicidal thoughts, suicide attempts and deaths are on the rise
  • Data from the country
  • State-Specific data
  • Career risks for the Professional counselor
• Factors that influence the Inadequate assessment and Triage
  • Inadequate training for physicians and Professional counselors
  • Inadequate funding of mental healthcare (despite many parity laws).
  • Shifting to the Assessment burden for emergency rooms
  • Involuntary admissions are initiated by poorly trained law enforcement officers

EPIDEMIOLOGY — CONTRIBUTING FACTORS

• Risk factors
  • Demographic risk factors (age, gender, ethnicity, etc.)
  • Environmental risk factors (adverse childhood experiences)
  • Addictions
  • Mental illness
  • Employment: Economic Risk Factors
• Warn signs
  • Feeling alone—isolated from family/friends
  • Feel like you are in a movie? “burden” To others
  • There is little to no fear of death
• Red herrings
  • Suicide notes
  • Suicide threats in the future
  • Cutting
  • Pending divorce
• Limitations the Research and potential risks

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

• Mental status exam
• Collateral information
• Adults
  • Relative lethality (Risk/Rescue Scale).
  • Hopelessness (Beck Hopelessness Index)
  • Reasons to live (Brief Reasons of Living Scale).
  • A.C.E. – Adverse Childhood Experiences Questionnaire)
• Teens and Children
  • Predictive/protective factors identified in the Research
• Special populations
  • Veterans
  • LGBT
• New and promising methods to assess risk
  • Implicit cognitions—measuring implicit associations with death and suicide

COMMON INTERVENTIONS, MISTAKES, THINKING ERRORS & ETHICAL ISSUES

• Our natural tendency is to err
  • Feelings of “rightness” These indicators are not reliable
• External factors contribute to errors
• Internal factors can contribute to errors
  • Self-It is vital to take care
  • There are two types of thinking: fast and slow. and slow)
  • Laziness is dangerous “fast” Associative thinking
  • Substitution for easy-To-answer question for more difficult and complex question
• Type 1 vs. Type 1 vs. Type 2 errors (legal responsibility and Ethical issues
  • Patient autonomy and Self-Determination
  • Confidentiality limits

INTERVENTIONS and TREATMENT PLANNING

• Non-Judgmental, empathic listening
• Recognize the reason for concern
• Take advantage of Ambivalence
• The evidence-Interventions based on suicide prevention
• DSM-5® new definitions and Terminology
  • Suicidal thoughts can be assessed at the Start of each visit
  • DSM-5 level one screening questionnaire
  • Suicidal Behavior Disorder
  • Non-Suicidal Self-injury

CHALLENGES TO ACHIEVING SUCCESSFUL TREATMENT OUTCOMES

• Means restriction
• Social support — supervision
• Follow-Take up counseling
• If suicidal thoughts become more frequent/intensified, it is worth exploring other options

WHEN LOSING A PATIENT TO SUICIDE — REMAINING RESILIENT AND MOVING FORWARD