Suicide & Self-Harm: Stopping the Pain

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Objectives

1. Implement a risk assessment strategy that helps clinicians determine which clients present the highest risk for suicide and self-harm.
2. Analyze the concept of suicide “contracts” and communicate their impacts on clients, clinicians, and clinical vigilance.
3. Explain how intent differentiates self-mutilation from suicide attempts and accurately identify the one form of self-mutilation that is a warning sign for potential suicide completion.
4. Implement techniques for effectively intervening in crisis situations and develop a strategy for determining when and how to hospitalize clients.
5. Articulate the role of addictions in the suicidal and self-mutilating population and employ a multi-faceted therapeutic approach that ensures client safety and addresses treatment of the addiction.
6. Determine the purpose behind self-injuring behavior and communicate how alternative coping strategies can be introduced in therapy to help clients manage triggering situations without self-harm.

Outline

The Guiding Principles

Research on Suicide and Research Limitations

• Research on numbers/methods/treatment
• Limitations of a "psychological autopsy"
• No causality in research

The Neurobiological Basis of Suicide

Who Is At Risk?

• Mental Disorders
  • Depression
  • Anxiety
  • Trauma
  • Psychosis
  • Addictions
  • Personality Disorders
  • Other DSM-5® Considerations
• Social Stress Factors
  • Adults Factors
  • Adolescent Factors
  • Childhood Factors
• Psychological Vulnerabilities
  • Performance Anxiety
  • Emotional Constriction
  • Defenseless Personality
• Adaptive Suicide Protectors
• Maladaptive Suicide Protectors
• Fueling Emotions to Suicide and Self-Harm

• All Behaviors are Purposeful!
• Relief from:
  • Dissociative Conditions
  • Self-Hate
  • Emotional Constriction
  • Psychosis
  • Anxiety and/or Depression
  • Loneliness, Isolation, Abandonment, Rejection

• Suicide Rehearsal – The Seventh Goal of NSSI
• The Ideator
• Suicide Threats for Secondary Gain
• The Attempter/Completer

• When to Hospitalize the Ideator
• Six Week Warning Signs for the Suicide Completer
• Six Day Warning Signs for the Suicide Completer

• Identify the Locus of Pain
• Empathic Regard
• Provided Alternatives
• The Role of Motivation
  • Reasons For Living
  • The Continuous Hope Providing Relationship
• Mindfulness
• Relationship Effectiveness
  • Opening Up Your Emotional Door
• Emotional Regulation
  • The Safety Plan
  • The Crisis Plan
• Avoid “Contracts”

Target Audience

• Social Workers
• Psychologists
• Counselors
• Teachers
• School Administrators
• Marriage & Family Therapists
• Case Managers
• Addiction Counselors
• Therapists
• Nurses
• Other Mental Health Professionals

Objectives

1. Implement a risk assessment strategy that helps clinicians determine which clients present the highest risk for suicide and self-harm.
2. Analyze the concept of suicide “contracts” and communicate their impacts on clients, clinicians, and clinical vigilance.
3. Explain how intent differentiates self-mutilation from suicide attempts and accurately identify the one form of self-mutilation that is a warning sign for potential suicide completion.
4. Implement techniques for effectively intervening in crisis situations and develop a strategy for determining when and how to hospitalize clients.
5. Articulate the role of addictions in the suicidal and self-mutilating population and employ a multi-faceted therapeutic approach that ensures client safety and addresses treatment of the addiction.
6. Determine the purpose behind self-injuring behavior and communicate how alternative coping strategies can be introduced in therapy to help clients manage triggering situations without self-harm.

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