Meagan N. Houston – Suicide & Non-Suicidal Self Injury: New Directions for the Treatment of Suicidal and NSSI Behaviors

Outline

IDENTIFY CLIENTS AT RISK

DSM-5® Diagnosis

• Schizophrenia Spectrum and other psychotic disorders
• Bipolar and related disorders
• Depressive disorders
• Anxiety disorders
• Obsessive-Compulsive and related disorders
• Trauma and stressor related disorders
• Dissociative disorders
• Feeding and eating disorders
• Substance-related and addictive disorders
• Personality disorders

Risks in Special Population Groups

• Military
• Geriatric
• Adolescents
• College students
• LGBT
• Prison

Recognize and identify the Dangers of Self-Destructive Behavior

• Emotion dysregulation
• Unhealthy coping skills
• Rehearsal
• Preparation
• Desensitization
• Attention-seeking behaviors

ASSESSMENT OF SUICIDAL CLIENTS

Conducting a thorough Suicide Risk Assessment

• 10 essential components
• Chronic and acute risk factors
• Distinguishing morbid ideation vs. suicidal ideation
• Imminent/chronic suicide risk
• Self-care and consultation

When to Hospitalize

• Ethical, legal implications and case studies
• Confidentiality
• Negligence
• Minor clients
• Informed consent and state-specific laws
• Voluntary vs. involuntary commitment
• When and how to use law enforcement
• Homicidal ideation

“Post-Suicide” Risk Assessment

• Changing clinical factors
• Remaining risk factors
• Follow-up recommendations

INTERVENTION AND TREATMENT

Self-Destructive Behavior Treatment Strategies

• Dialectical Behavior Therapy
• Communication
• Case management

Suicidal Behavior Treatment Strategies

• Integrate the four key elements of crisis intervention into treatment
• Cognitive Behavioral Therapy
• Other treatment interventions
• Psychopharmalogical intervention and management
• Recognize when patient returns to “status quo”

Consultation and Technology

• Tele-Therapy & the NEW APA Guidelines
• Social media implications