Suicide Care Training Options

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SUICIDE CARE TRAINING OPTIONS

The Train element of the Zero Suicide framework recommends that all employees, clinical and non-clinical, receive suicide prevention training appropriate to their role. This document may be useful as a reference for Zero Suicide implementation teams when discussing training options. We encourage implementation teams to use the Zero Suicide Workforce Survey to assess the needs of their staff, reference the specific training website and resources linked below, and review any relevant literature when choosing specific trainings as a part of a comprehensive Zero Suicide training plan. These are not training recommendations, a list of best- or evidence-based trainings, or a set of specific trainings that are required for Zero Suicide. This is not an exhaustive list, as new trainings may have been developed or released after the document was last updated in 2018. The Suicide Prevention Resource Center offers a similar matrix available for those seeking community gatekeeper trainings.

TRAININGS FOR ALL CLINICAL STAFF (TARGETED SUICIDE PREVENTION INTERVENTIONS)

Training Program Description Format Audience

» Overview of military suicide, symptoms and treatment modalities related to suicidal Suicide in the Military 1 hour behavior PsychArmor Institute » Health, mental health, and public https://psycharmor.org/courses/suicide-in-the- Online, self- health professionals » Teaches domains associated with paced military/ suicidal mode, how deployments and other experiences affect the military population

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» Teaches how to conduct screening, assessment, and brief interventions, such as safety Preventing Suicide in Emergency Department planning and lethal means counseling for patients in an 2 hours » Open to anyone, especially designed Patients Emergency Department for health care professionals (e.g., medical providers, nurses, behavioral Suicide Prevention Resource Center Online, self- paced health providers) who work in https://zerosuicidetraining.edc.org/ » Addresses patient-centered care emergency departments for persons with suicide risk, patient safety during the ED visit, and incorporating suicide prevention into discharge planning

» Health and mental health Question, Persuade, Refer (QPR): Suicide Triage professionals 6-10 hours » Course teaches detection and Training interviewing of persons in crisis and » Customized versions available for law QPR Institute determining next steps to ensure a Online, self- person at risk’s safety paced enforcement, EMS/firefighters, nurses, www.qprinstitute.com and primary care physicians and physician assistants

» Covers why reducing access to lethal means of self-harm saves lives 2 hours Counseling on Access to Lethal Means (CALM) » Health and mental health Suicide Prevention Resource Center » Teaches practical skills on when Online, self- professionals and paraprofessionals https://zerosuicidetraining.edc.org/ and how to ask suicidal clients paced about their access to lethal means and how to work with them and their families to reduce that access

» Unites staff across behavioral health service lines with a common framework for recovery-oriented Blended SafeSide Behavioral Health » Mental health professionals together SafeSide Prevention suicide prevention. video and group-based with non-clinical patient care personnel https://www.safesideprevention.com/zs-programs » 3-4h of video-based learning for learning the whole team. Virtual office hours and online refreshers year-round

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» Provides staff at all levels with a framework for suicide prevention Blended SafeSide Youth Services with youth. » video and Clinical and non-clinical human SafeSide Prevention group-based services staff in youth-serving https://www.safesideprevention.com/zs-programs » 3-4h of video-based learning for learning organizations the whole team. Virtual office hours and online refreshers year-round.

TRAININGS FOR CLINICAL ASSESSMENT AND MANAGEMENT OF SUICIDE RISK

Training Program Description Format Audience

» Informed by the latest research, Assessing and Managing Suicide Risk (AMSR) is a one-day training that expands the clinical skills of providers and offers a clear and descriptive suicide risk formulation model to inform long-term treatment planning.

» Teaching and skills-building Assessing and Managing Suicide Risk (AMSR) methods include video 6.5 hours demonstrations, group discussion, Zero Suicide Institute » Mental health professionals written and paired practice, case In-person and http://zerosuicideinstitute.com/amsr review, and expert teaching online

» Offers three clinical-level trainings: AMSR: Core Competencies for Health and Behavioral Health Professionals Working in Outpatient Settings, AMSR: Core Competencies for Behavioral Health Professionals Working in Inpatient Settings, and AMSR for Substance Use Disorder Treatment Professionals

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» Mental health professionals

Chronological Assessment of Suicide Events » Participants practice a specific » Additional workshops ranging from interviewing strategy in groups to 1-day and 2- 1.5 hour, half-day, to full days (CASE) elicit suicidal ideation, behaviors, day options focused on specific clinical content Shawn Shea, PhD planning, and intent or special populations such as https://suicideassessment.com/ In-person military and veterans and colleges » Uses scripted group role-playing to and schools available through the certification-programs teach the CASE Approach Training Institute for Suicide Assessment and Clinical Interviewing

» Mental health professionals » Training in Cognitive Therapy – Varies Cognitive Therapy – Suicide Prevention (CT-SP) Suicide Prevention (CT-SP), an » Additional training options include Penn Center for the Prevention of Suicide evidence-based, time-limited In-person or suicide risk assessment, safety https://www.med.upenn.edu/suicide/training.html therapeutic framework specifically for consultation suicidal thoughts and behaviors planning intervention, and intensive training in CT-SP

» Teaches the Collaborative Collaborative Assessment and Management of Varies » Mental health professionals Assessment and Management of » Suicidality (CAMS) Suicidality (CAMS), an evidence- There are various CAMS training In-person, options to meet the needs and CAMS-care, LLC based, therapeutic framework online, or emphasizing collaborative expectations of a wide range of https://cams-care.com/ consultation assessment and treatment planning clinicians and systems of care

Dialectical Behavior Therapy (DBT) Varies » Training in foundations and » Mental health professionals Behavioral Tech: A Linehan Institute Training application of Dialectical Behavior In-person, » Various training options including Company Therapy, an evidence-based online, or suicide intervention and DBT therapeutic framework https://behavioraltech.org/ consultation certification

Recognizing & Responding to Suicide Risk » Advanced, interactive training

American Association of Suicidology 2 days » Designed for mental health clinicians » Mental health professionals http://www.suicidology.org/training- who want to acquire skills in twenty- In-person accreditation/rrsr four core clinical competencies for working with suicidal clients

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» Provides tools to help professional caregivers work together with Suicide to Hope: A Recovery and Growth individuals with experiences of suicide to develop recovery goals Workshop 8 hours

LivingWorks » Mental health professionals » Competencies and skills focus on In-person https://www.livingworks.net/programs/suicide-to- structuring and managing work with hope/ an individual recently at risk of suicide and/or coordinating with other caregivers Question, Persuade, Refer, Treat (QPRT): Suicide » Teaches how to conduct a suicide risk 8-12 hours Risk Assessment and Management Training Pro assessment, create a shared risk management plan, and document » Mental health professionals QPR Institute In-person or suicide risk assessments and clinical online www.qprinstitute.com decisions

» ABFT is a brief, empirically supported intervention model to improve family Varies » Mental Health professionals Attachment-Based Family Therapy (ABFT) functioning to better support » Drexel University: ABFT Training Program adolescents at risk for suicide and In-person, Various training options including suicide intervention and ABFT www.abfttraining.com depression. The model is process online, or oriented, trauma informed, and consultation certification. strength based.

TRAININGS SPECIFIC TO EMERGENCY DEPARTMENT AND PRIMARY CARE SETTINGS

Training Program Description Format Audience

» Build skills in screening patients for substance use, mental health disorders, At-Risk in the ED and suicide risk, collaboratively engaging in treatment planning, and referring 1 hour » Kognito patients for further support as part of Emergency department professionals routine care Online, self- (nurses & medical providers), and https://kognito.com/products/at-risk- medical students emergency-department paced » Focused on integrating behavioral health in acute care with interactive, avatar-based role-play simulation

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» Prepares primary care personnel to screen At-Risk in Primary Care patients for mental health and substance abuse disorders including suicide risk, 1 hour » Kognito perform brief interventions, and refer Primary care professionals who screen patients to treatment Online, self- patients for mental health and substance https://kognito.com/products/at-risk- abuse disorders in-primary-care paced » Interactive, avatar-based role-play simulation

» Teaches how to integrate suicide risk Recognizing & Responding to Suicide assessments into routine office visits, to Risk in Primary Care formulate relative risk, and to work 1 hour » Medical providers such as nurses, American Association of Suicidology collaboratively with patients to create physicians, physician assistants, and treatment plans Online, self- nurse practitioners working in primary http://www.suicidology.org/training- paced care accreditation/rrsr-pc » Includes a pocket assessment tool and reproducible patient handouts

SafeSide Primary Care » Brief teaching, demonstrations, and group SafeSide Prevention discussion that provide a framework and Blended video practical steps for primary care. and group- » Primary care providers and staff https://www.safesideprevention.com/zs- based learning programs » Three 50-min group video-based sessions.

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TRAININGS FOR ALL INDIVIDUALS

Please note: Trainings in this section are not explicitly clinical trainings; they are often designed for broader audiences such as community members and administrative staff. See individual websites for more information.

Training Program Description Format Audience

» Informed by the latest research, Assessing and Managing Suicide Risk (AMSR) for Direct Care Staff is a half-day training that that develops skills in the recognition, assessment, and management of suicide risk and the delivery of effective suicide- specific intervetions Assessing and Managing Suicide Risk » Direct care staff including mental health and patient care technicians, LPNs, » Teaching and skills-building methods 3.5 hours (AMSR) teachers, recreation and expressive include video demonstrations, group therapists, case managers, recovery Zero Suicide Institute discussion, written and paired practice, In-person coaches, life skills, peer, and employment case review, and expert teaching http://zerosuicideinstitute.com/amsr specialists, and others.

» Offers two curricula for direct care staff: AMSR for Direct Care Staff Working in Outpatient Health and Behavioral Health Care Settings and AMSR for Direct Care Staff Working in Inpatient Behavioral Health Care Settings

» Workshop teaches the warning signs of Applied Suicide Intervention Skills suicide, how to help individuals at risk for Training (ASIST) suicide stay safe in the moment, respond, 15 hours » For community members and seek further help as needed Living Works In-person » Persons 16 or older www.livingworks.net/programs/asist » A standardized training customizable to local resources

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» Teaches warning signs and interventions with a person at risk for suicide 6 hours » Community members and professionals Connect Suicide Prevention/Intervention Training » Examines prevention and intervention in In-person » Training is offered by audience including National Alliance on Mental Illness: the context of an individual, family, American Indian/Alaska Native, Education, New Hampshire community, tribe (if applicable), and society 4 hours Law Enforcement, Military, Mental www.theconnectprogram.org Health/Substance Abuse, Social Services, » Applies a public health approach, including Online Suicide Prevention Coalitions, and Youth the socio-ecological model

» Training on how to coordinate a Connect Postvention Training comprehensive and safe response to suicide death including strategies for 6 hours National Alliance on Mental Illness: » For community members and reducing the risk of contagion New Hampshire In-person professionals www.theconnectprogram.org » Optional second day for development of postvention response plan

Question, Persuade, Refer (QPR): 1 to 2 hours Gatekeeper Training for Suicide » » Teaches the warnings signs of individuals at Geared towards gatekeepers including Prevention risk for suicide, how to recognize them, In-person or community members QPR Institute offer hope, and get help online www.qprinstitute.com

» Training to improve awareness and Suicide Alertness for Everyone: Tell, identification of as well as response to a Ask, Listen, and Keep Safe (safeTALK) person with suicidal thoughts 3.5 hours » Anyone 15 or older

Living Works » How to apply the steps specific to safeTALK In-person » Can be taught in English and French www.livingworks.net/programs/safetalk and help connect a person at risk or in crisis with resources