Product Detail

Disarming the Suicidal Mind: Evidence-Based Assessment and Intervention
Digital Seminar
$189.99 USD
Product Details
Format:
Digital Seminar
Author:
TIMOTHY SPRUILL, MA, EDD
Publisher:
Vyne Education
Copyright:
11/26/2013
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
WDS020186
Objectives
  • Discuss the rapidly expanding knowledge base concerning the epidemiology of suicide and self-harm
  • Recognize risk factors associated with suicide attempts, as well as long-term and imminent warning signs
  • Describe common assessment and intervention errors that can be lethal
  • Identify ethical issues related to suicidal assessment and involuntary psychiatric commitment
  • Outline comprehensive assessment/intervention strategies
Outline

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

Author

TIMOTHY SPRUILL, MA, EDD

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.

Disclosure:
Financial - Receives a speaking honorarium from Vyne Education, LLC.
Nonfinancial - No relevant nonfinancial relationship exists.

Continuing Education Credits
Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.


Alcoholism and Drug Abuse Counselors
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This educational offering has been approved by Vyne Education, LLC., as a NAADAC Approved Education Provider, for 7 continuing education hours. NAADAC Provider #77600, Vyne Education, LLC. 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.

Alcoholism and Drug Abuse Counselors - California: Provider approved by CFAAP/CAADAC, Provider Number OS-07-902-1117 for 7 CEH’s.

Counselors: This educational offering qualifies for 7 continuing education hours 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.

Counselors - Illinois: Vyne Education, LLC. is a registered counselor continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 197-000144). This educational offering is offered for 7 contact hours 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 - 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 continuing education hours. 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
Vyne Education, LLC. is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This educational offering is offered for seven (7) clock hours 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: Vyne Education, LLC. is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This educational offering is offered for 7 continuing education hours.

Counselor - Texas: Vyne Education, LLC. 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 clock hours.

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 hours of continuing education credit.

Counselors - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 7 continuing education credits.

Marriage & Family Therapists: This educational offering qualifies for 6 continuing education hours 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.

Marriage & Family Therapists - Illinois: Vyne Education, LLC. is a registered marriage and family therapist continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 168-000172). This educational offering is offered for 7 contact hours 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 & 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 continuing education hours. 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 & Family Therapists - Ohio
Vyne Education, LLC. is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This educational offering is offered for seven (7) clock hours of continuing education for marriage family therapists only. Licensed marriage and family therapists in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.

Marriage & Family Therapists - South Carolina: Vyne Education, LLC. is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This educational offering is offered for 7 continuing education hours.

Marriage & Family Therapists - Texas: Vyne Education, LLC. 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 educational offering is offered for 7 clock hours.

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 hours of continuing education credit.

Marriage & Family Therapists - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 7 continuing education credits.


Nurse Practitioners
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Vyne Education, LLC. is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 060313. This educational offering was planned in accordance with AANP Accreditation Standards and Policies. This course is offered for 7 contact hours.


Psychologists
Vyne Education, LLC. is approved by the American Psychological Association to sponsor continuing education for psychologists. Vyne Education, LLC. maintains responsibility for this program and its content. This educational offering offers 7 CE credits 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
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Vyne Education, LLC. provider #1005, "formerly Cross Country Education" 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 1-27-15 to 1-27-18). Vyne Education, LLC. maintains responsibility for the program. Social workers will receive 7 Ethics continuing education clock hours for participating in this educational offering. 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 - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 7 continuing education credits.


Social Workers - New York
Vyne Education, LLC., 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 continuing education hours. 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.

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 hours of continuing education credit.

Ethics: This educational offering is offered for 7 hours of continuing education of which 7 hours includes discussion of ethics issues.


Other Professions
This educational offering qualifies for 7 continuing education hours 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.


Educators: This educational offering may qualify toward your professional development requirement. The educational offering consists of 7 clock hours. Use this information and your board rules and regulations to calculate professional development/continuing education credit.

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

Dr. Spruill’s knowledge and training on suicide assessment is a “must” for anyone working in the mental health, behavioral medicine field. His presentation was excellent. When I heard him speak, not only was I inspired, but a seasoned psychologist sitting near me said it was the best presentation he had heard on the subject of medical errors in his 30 years of practice.
Susan Kauffman, CCMHC, LMHC
Sarasota, Florida