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Live Webcast

Disarming the Suicidal Mind: Evidence-Based Assessment and Intervention


Speaker:
Timothy Spruill, MA, EdD
Duration:
Full Day
Format:
Audio and Video
Product Code:
LWC053910
Brochure Code:
PLW63622
Media Type:
Live Webcast

Dates


Description

From Triage to Tomorrow Suicide deaths have increased dramatically in recent years to 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.

Credit


* Credit Note - *

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. This webcast is a broadcast of a live event. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web based activities are 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 cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of 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 profession's standards.

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

CE Information is based on 100% attendance.

 


* Credit Note - Ethics

THIS ACTIVITY QUALIFIES FOR 2.0 HOURS  OF  ETHICS INSTRUCTION. Not all boards allow ethics credit for on-line programs. If ethics is not specified within your licensing board’s approval statement below, please contact your board to determine the applicability and amount of ethics allowed.


Counselors - Counselors

This educational offering consists of 6.25 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 - Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This course qualifies for 6.0 continuing education credits.


Counselors - New York Counselors

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Counselors - South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

This program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Social Workers - Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical) continuing education credits. Course level: Intermediate. Full attendance is required. No partial credit will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.


Social Workers - Canadian Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical) continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - Colorado Social Workers

PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 6.3 continuing education hours. 

COLORADO PARTICIPANTS ONLY: If you did not answer YES to be reported to the Colorado Chapter of the NASW on the evaluation, please contact cepesi@pesi.com and provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.


Social Workers - Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number #50-399. This course qualifies for 6.25 continuing education credits.


Social Workers - Illinois Social Workers

PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Full attendance at this course qualifies for 6.0 contact hours.


Social Workers - Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This course has been approved for 6.0 continuing education hours.


Social Workers - Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This course has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Psychologists - Psychologists

The following state psychologist boards recognize activities sponsored by PESI, Inc. as an approved ACCME provider: Alaska, Arkansas, California, Colorado, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, Oklahoma, Pennsylvania, South Carolina and Wisconsin. This activity consists of 6.25 clock hours of continuing education instruction. Certificates of attendance will be issued for you to submit to your state licensing board to recognize for continuing education credit. Full attendance is required; no partial credits will be offered for partial attendance.

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


Psychologists - Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Psychologists - Florida Psychologists

PESI, Inc. is an approved provider with the Florida Board of Psychology. Provider Number #50-399. This course qualifies for 6.3 continuing education credits.


Marriage & Family Therapists - Marriage & Family Therapists

This activity consists of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the activity advertisement, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. 


Marriage & Family Therapists - Texas Marriage & Family Therapists

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This course qualifies for 6.0 continuing education credits.


Marriage & Family Therapists - Illinois Marriage & Family Therapists

PESI has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this activity qualifies for 6.0 credits. 


Marriage & Family Therapists - New York Marriage & Family Therapists

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


Addiction Counselors - NAADAC

NAADAC

This course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance. 


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.


California Alcoholism & Drug Abuse Counselors (CCAPP-EI)

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: 0S-03-036-1023. This activity meets the qualifications for 6.0 CEHs (continuing education hours).


Chaplains/Clergy

This course is designed to qualify for 6.25 continuing education hours.


Educators/Teachers

This course is designed to qualify towards your professional development requirement. The course is 6.25 clock hours in length.


New Jersey Educators, Administrators & Education Services Personnel

6.0 Actual Professional Development Hours. MEDS-PDN, powered by PESI, Inc. is a registered New Jersey Professional Development Provider with the NJ Dept of Education.


Illinois Educators

IL EDU Logo

6.0 ISBE Professional Development (PD) Clock Hours have been made available through Quincy University. Those requesting ISBE PD Clock Hours will need to complete additional steps in order to receive the ISBE “Evidence of Completion for Professional Development” form. Instructions will be made available the day of the webcast under the “Materials” tab.

 

After completing and passing the online post-test/evaluation you will also need to complete the ISBE required “Evaluation for Workshop, Conference, Seminar, Etc.” form found on the “materials” tab. Please mail this completed form and $20 enrollment fee (if not already paid with, and in addition, to your registration fee) to PESI, Inc., CE Department, PO Box 1000, Eau Claire, WI 54702-1000, along with your name, the full title of the webcast, and date of live broadcast.


Indiana Educators

6.0 Professional Growth Points are available for full attendance at this seminar per the Indiana Department of Education standards. 


Montana Educators

This program is offered for 6.0 Renewal Units. PESI, Inc. is an Approved Renewal Unit Provider with the Montana Office of Public Instruction. 


Texas Educators

PESI, Inc. has been approved as a CPE Provider #500-981 for Texas Educators by the Texas State Board for Educator Certification (SBED). This course qualifies for 6.0 CPE clock hours. 


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


Florida Nurses

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.3 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Ohio Social Workers, Counselors, and Marriage & Family Therapists

PESI is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #:RCST071001. Full attendance at this course meets the qualifications for 6.25 clock hours of continuing education credit.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

This intermediate activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Other Professions

This activity qualifies for 6.25 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Handouts/Brochure

Speaker

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 Advent Health, where he is a founding faculty member of the emergency medicine residency program. Through his work with high-risk patients and his 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, Advent Health, 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. 

 

Speaker Disclosures:
Financial: Timothy Spruill has employment relationships with Loma Linda University School of Medicine, University of Central Florida, Nova Southeastern University, and Continuing Education, Inc. He receives compensation as a national lecturer. Timothy Spruill receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Timothy Spruill is a member of the American Psychological Association and the Society of Teachers of Family Medicine.


Additional Info

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation. You will have access for 90 days after the program for review. 

 


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion.


Objectives

  1. Analyze the rapidly expanding knowledge-base concerning the epidemiology of suicide and self-harm as it relates to clinical practice.
  2. Recognize risk factors associated with suicide attempts, as well as long-term and imminent warning signs to improve client level of functioning.
  3. Articulate common assessment and clinical intervention errors that can be lethal.
  4. Identify ethical issues related to suicidal assessment and involuntary psychiatric commitment.
  5. Implement comprehensive assessment/intervention strategies to put to practical use in session.
  6. Overcome clinical challenges with suicidal clients to improve treatment outcomes.

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
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
  • Limitations of the research and potential risks
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)
    • Adverse childhood experiences (A.C.E. Questionnaire)
  • Teens and children
    • Predictive/protective factors identified in the research
  • Special populations
    • Veterans
    • LGBT
  • Promising, novel methods for assessing risk
    • Implicit cognitions—measuring implicit associations with death and suicide
COMMON INTERVENTIONS, MISTAKES, THINKING ERRORS & 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
  • 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
  • Evidence-based interventions to reduce subsequent suicide attempts
  • DSM-5® new definitions and terminology
    • Assess suicidal ideation at the start of every 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-up counseling
  • Exploring alternative responses should suicidal thoughts increase in frequency/intensity
WHEN LOSING A PATIENT TO SUICIDE — REMAINING RESILIENT AND MOVING FORWARD

Target Audience

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

Reviews

5
4
3
2
1

Overall:      5

Total Reviews: 4

Comments

Amber L

"Great presenter. Very engaging even with at home webinar"

Karen M

"Very informative...learned some surprising details I didn't expect."

Shannon W

"This was an excellent seminar. There was a lot of information to take in. The presenter is very skilled in this area and I appreciate his willingness to share his knowledge. "

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