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CE Course Description

The intent of this CE course is to: reduce current unwarranted practice variations and provide facilities with a structured framework to help improve patient outcomes (prevent suicide and other forms of suicidal self-directed violent behavior); provide evidence-based recommendations to assist providers and their patients in the decision-making process; and identify outcome measures to support the development of practice-based evidence that can ultimately be used to improve clinical guidelines.

Author:  Ron Acierno, PhD Kathleen Chard, PhD Daniella David, MD Matt Friedman, MD (Co-Chair) Matt Jeffreys, MD Terry Keane, PhD Harold Kudler, MD Todd Semla, PharmD Sheila Rauch, PhD Josef Ruzek, PhD (Co-Chair) Steve Southwick, MD Murray Stein, MD.  VA / DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide.  (2013, June).  Department of Veterans Affairs, Department of Defense.

Retrieved from:  https://www.healthquality.va.gov/guidelines/mh/srb/

CE Course Objectives

1. Analyze the three different “risk of suicide attempt” classifications and the evidence that allows a patient to be put into each category.
2. Name three modifiers that increase the level of risk for suicide of any defined level.
3. Explain three objectives and goals of suicide risk assessment.
4. Relate three direct warning signs for the highest likelihood of suicidal behaviors occurring in the near future.
5. Identify the first priority for determining the care setting.
6. Conclude the strongest and most reliable predictor of future suicidal behavior.
7. Determine what should be done for patients at acute risk for suicide who are under the influence of drugs or alcohol.
8. Describe three items that should be included in family sessions and education to ensure optimal family engagement for the suicidal patient.

CE Outline with Main Points

1.  Introduction

2.  Algorithm

a.  Assessment and Management of Risk for Suicide in Primary Care

b.  Evaluation and Management of Risk for Suicide by Behavioral Health Providers

c.  Management of Patient at High Acute Risk for Suicide

3.  Assessment and Determination of Risk for Suicide

a.  Person Suspected to Have Suicidal Thoughts (Ideation), a Recent Previous Suicide Attempt, or Self-directed Violence Episodes

b.  Assess Risk for Suicide

c.  Assessment of Suicidal Ideation, Intent and Behavior

d.  Assessment of Factors that Contribute to the Risk for Suicide

e.  Determine the Level of Risk (Severity of Suicidality)

4.  Initial Management of Patient at Risk for Suicide

a.  Determine the Appropriate Care Setting

b.  Securing Patient's Safety

5.  Treatment of the Patient at Riskk for Suicide

a.  Determine Treatment Plan

b.  Psychotherapy

c.  Suicide-Focused Psychotherapy Addressing the Suicide Risk

d.  Psychotherapy for Co-occurring Mental Disorders Associated with Suicide Risk

e.  Pharmacotherapy to Reduce Risk of Suicide

f.  Pharmacological Treatment to Reduce Ris for Suicide in Patients with Mental Disorders

g.  Electroconvulsive Therapy (ECT) in the Prevention of Suicide

6.  Follow-up and Monitoring of Patient at Risk for Suicide

a.  Follow-up and Monitoring

b.  Reassessment and Monitoring

c.  Adherence to Treatment and Follow-up care Strategies

d.  Continuity of Care

e.  Monitoring after Recovery

ACE credit is not offered for this course. A list of courses offering ACE credit can be found here.

Course Development: Each course is identified and reviewed by the appropriate Quantum Units Education consultant with professional and licensed expertise in the various disciplines we serve. Our professional consultants oversee course development to satisfy the needs of various professionals based on their board requirements, rate course degrees of difficulty and ensure the course content and exam questions are appropriate, relevant and comprehensive. See our professional staff and their bios here.

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Added On: 06/01/2013