Suicide Safety Planning: Clinician Training, Comfort, and Safety Plan Utilization

Moscardini, Emma H.; Hill, Ryan M.; Dodd, Cody G.; Do, Calvin; Kaplow, Julie B.; Tucker, Raymond P.

doi:10.3390/ijerph17186444

Cited by 28 publications

(12 citation statements)

References 17 publications

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“…For more information about how to use the template, visit suicidesafetyplan.com. Some clinicians express not knowing how to ask about means and recommending ways to restrict them [93]: the Suicide Prevention Resource Center provides free online training via their Counseling on Access to Lethal Means program [94].…”

Section: What Steps Would You Take Next? What Are Interventions All Suicidal Patients Should Receive?mentioning

confidence: 99%

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

et al. 2021

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Adult patients affected by myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) are at an increased risk of death by suicide. Based on the scientific literature and our clinical/research experiences, we identify risk and protective factors and provide a guide to assessing and managing suicidality in an outpatient medical setting. A clinical case is used to illustrate how information from this article can be applied. Characteristics of ME/CFS that make addressing suicidality challenging include absence of any disease-modifying treatments, severe functional limitations, and symptoms which limit therapies. Decades-long misattribution of ME/CFS to physical deconditioning or psychiatric disorders have resulted in undereducated healthcare professionals, public stigma, and unsupportive social interactions. Consequently, some patients may be reluctant to engage with mental health care. Outpatient medical professionals play a vital role in mitigating these effects. By combining evidence-based interventions aimed at all suicidal patients with those adapted to individual patients’ circumstances, suffering and suicidality can be alleviated in ME/CFS. Increased access to newer virtual or asynchronous modalities of psychiatric/psychological care, especially for severely ill patients, may be a silver lining of the COVID-19 pandemic.

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Section: What Steps Would You Take Next? What Are Interventions All Suicidal Patients Should Receive?mentioning

confidence: 99%

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

et al. 2021

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“…Effective safety plans emphasize agency in treatment (Rogers et al, 2021) and collaboration with practitioners in a manner that clients feel their concerns are heard and understood (Kayman et al, 2015). However, observational studies in hospitals have indicated that safety plans are not always implemented with fidelity and competency (Gamarra et al, 2015;Green et al, 2018), and the results found here may support practitioner calls for further training in safety planning (Moscardini et al, 2020).…”

Section: Discussionmentioning

confidence: 63%

Perceived Usefulness of Self-Guided Versus Collaborative Suicide Safety Plans in Online Help-Seekers

Rainbow,

Tatnell,

Blashki

et al. 2024

Crisis

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Background: Suicide safety plans were originally devised to be paper-based and clinician-guided, but digital self-guided plans are now common. Aim: This study explored whether plan format (paper vs. digital), assistance (self-authored vs. collaboration), and suicide attempt history were associated with differences in suicidal ideation, suicide-related coping, and perceived usefulness. Method: An online sample of safety plan users ( N = 131) completed a survey assessing suicidal ideation, suicide-related coping, and perceived usefulness of their plan. t tests compared outcomes by plan format, collaboration, and suicide attempt history. Pearson correlations explored associations between reasons for plan use, suicidal ideation, and suicide-related coping. Results: Suicidal ideation was significantly higher, and perceived usefulness significantly lower in participants with a past suicide attempt (vs. none) and in those who had collaborated to make their safety plan (vs. self-authored). Collaborators were largely health professionals. No significant differences were found between plan formats. Suicide-related coping was associated with higher perceived usefulness overall. Limitations: Our study design was cross-sectional, utilizing a largely young, female, English-speaking, online help-seeking sample. Conclusions: For clients with prior suicide attempts and higher levels of suicidal ideation, meaningful collaboration may be needed to find safety plan coping strategies that are perceived as useful.

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“…The CRP, a core component of BCBT, has been demonstrated to reduce risk of suicide attempt by 76% when compared to TAU (Bryan et al, 2017). The SPI, which is similar in format and content to the CRP, also contains distinct features (e.g., an overt focus on means safety planning; Moscardini et al, 2020). SPI demonstrated improved treatment outcomes over TAU with those randomized to receive a safety plan and follow-up phone calls demonstrating a 45% relative reduction in subsequent suicide attempts at 6-month follow-up assessments (B.…”

Section: The Ccm Of Suicide Prevention Training: Foundation and Appli...mentioning

confidence: 99%

Updated suicide prevention core competencies for mental health professionals: Implications for training, research, and practice.

Cramer,

Hawgood,

Kaniuka

et al. 2023

Clinical Psychology: Science and Practice

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Suicide is a global public health concern. Training for mental health professionals (MHPs) is a common approach to ensuring sound clinical care for persons experiencing suicidality. This article proffers an updated set of suicide prevention core competencies for MHPs through a literature-driven process. First, we outline a stepwise model of suicide prevention training ranging from gatekeeper approaches to advanced suicide-specific assessment and intervention skills. We then review recent paradigm shifts in the suicide prevention literature: (a) emergence of ideation-to-action and fluidity theories; (b) shift to therapeutic prevention-focused risk assessment; (c) increased attention to cultural factors in suicide; and (d) advances in suicide-specific intervention. These trends in the suicide literature serve as a rationale to update the Core Competency Model (CCM) of Suicide Prevention, a training program intentionally designed to improve beginner-to-intermediate providerfocused (e.g., managing one's own suicide attitudes) and clinical (e.g., clinical documentation) skills. We outline changes to competency wording and training, providing a sample CCM training curriculum. The Suicide Competency Assessment Form (SCAF), a self-and observer-rated measure of skill acquisition, is revised to reflect the updated competencies. Finally, we provide recommendations for (a) future psychometric assessment of the revised SCAF (SCAF-R); (b) suicide prevention training, implementation, and evaluation; and (c) ways to extend suicide prevention core competencies beyond MHPs. Public Health Significance StatementSuicide prevention skills can be addressed for lay and clinical professionals through a tiered approach to training. The updated Core Competency Model of Suicide Prevention Training provides a roadmap to enhance beginner-to-intermediate clinical skills for mental health professionals. The Suicide Competency Assessment Form-Revised is a tool that can be used by clinicians and researchers in areas such as training evaluation, attitude self-assessment, and clinical supervision.

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Suicide Safety Planning: Clinician Training, Comfort, and Safety Plan Utilization

Cited by 28 publications

References 17 publications

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Identifying and Managing Suicidality in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Perceived Usefulness of Self-Guided Versus Collaborative Suicide Safety Plans in Online Help-Seekers

Updated suicide prevention core competencies for mental health professionals: Implications for training, research, and practice.

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