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Published in: Community Mental Health Journal 5/2016

01-07-2016 | Original Paper

Continuing Education on Suicide Assessment and Crisis Intervention: What Can We Learn About the Needs of Mental Health Professionals in Community Practice?

Authors: Rebecca Mirick, James McCauley, Joanna Bridger, Larry Berkowitz

Published in: Community Mental Health Journal | Issue 5/2016

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Abstract

This study examined the impact of a 1-day continuing education training for mental health professionals on knowledge and confidence around suicide assessment and intervention. Data on knowledge, confidence and the utility of information were collected through pretests and posttests at 12 trainings at local community agencies. Findings indicate that a continuing education workshop can increase knowledge and self-confidence. Several participant characteristics were associated with knowledge and confidence at pretest; only being trained as a mental health professional and previous training remained significant at posttest. Participants identified training components which were new and useful. Implications for training and education are discussed.
Literature
go back to reference Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17(1), 1–30. Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17(1), 1–30.
go back to reference Bryan, C. J., Stone, S. L., & Rudd, M. D. (2011). A practical, evidence-based approach for means-restriction counseling with suicidal patients. Professional Psychology: Research and Practice, 42(5), 339–346.CrossRef Bryan, C. J., Stone, S. L., & Rudd, M. D. (2011). A practical, evidence-based approach for means-restriction counseling with suicidal patients. Professional Psychology: Research and Practice, 42(5), 339–346.CrossRef
go back to reference Connor, K. R., Wood, J., Pisani, A. R., & Kemp, J. (2013). Evaluation of a suicide prevention training curriculum for substance abuse treatment providers based on treatment improvement protocol number 50. Journal of Substance Abuse Treatment, 44, 13–16. doi:10.1016/j.jsat.201201.008.CrossRef Connor, K. R., Wood, J., Pisani, A. R., & Kemp, J. (2013). Evaluation of a suicide prevention training curriculum for substance abuse treatment providers based on treatment improvement protocol number 50. Journal of Substance Abuse Treatment, 44, 13–16. doi:10.​1016/​j.​jsat.​201201.​008.CrossRef
go back to reference Cramer, R. J., Johnson, S. M., McLaughlin, J., Rausch, E. M., & Conroy, M. A. (2013). Suicide risk assessment training for psychology doctoral programs: Core competencies and a framework for training. Training and Education in Professional Psychology, 7(1), 1–11. doi:10.1037/a0031836.CrossRefPubMedPubMedCentral Cramer, R. J., Johnson, S. M., McLaughlin, J., Rausch, E. M., & Conroy, M. A. (2013). Suicide risk assessment training for psychology doctoral programs: Core competencies and a framework for training. Training and Education in Professional Psychology, 7(1), 1–11. doi:10.​1037/​a0031836.CrossRefPubMedPubMedCentral
go back to reference Cross, W. F., Gibbs, D., & White, A. (2011). Does practice make perfect? A randomized control trial of behavioral rehearsal on suicide prevention gatekeeper skills. Journal of Primary Prevention, 32, 195–211.CrossRefPubMedPubMedCentral Cross, W. F., Gibbs, D., & White, A. (2011). Does practice make perfect? A randomized control trial of behavioral rehearsal on suicide prevention gatekeeper skills. Journal of Primary Prevention, 32, 195–211.CrossRefPubMedPubMedCentral
go back to reference Debski, J., Spadafore, C. D., Jacob, S., Poole, D. A., & Hixson, M. D. (2007). Suicide intervention: Training, roles and knowledge of school psychologists. Psychology in the Schools, 44, 157–170.CrossRef Debski, J., Spadafore, C. D., Jacob, S., Poole, D. A., & Hixson, M. D. (2007). Suicide intervention: Training, roles and knowledge of school psychologists. Psychology in the Schools, 44, 157–170.CrossRef
go back to reference Edwards, S. J., & Sachmann, M. D. (2010). No-suicide contracts, no-suicide agreements, and no-suicide assurances: A study of their nature, utilization, perceived effectiveness and potential to cause harm. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 31(6), 290–302. doi:10.1027/0227-5910/a000048.CrossRef Edwards, S. J., & Sachmann, M. D. (2010). No-suicide contracts, no-suicide agreements, and no-suicide assurances: A study of their nature, utilization, perceived effectiveness and potential to cause harm. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 31(6), 290–302. doi:10.​1027/​0227-5910/​a000048.CrossRef
go back to reference Ellis, T. E., & Dickey, T. O. (1998). Procedures surrounding the suicide of a trainee’s patient: A national survey of psychology internships and psychiatry residency programs. Professional Psychology: Research and Practice, 29, 492–497.CrossRef Ellis, T. E., & Dickey, T. O. (1998). Procedures surrounding the suicide of a trainee’s patient: A national survey of psychology internships and psychiatry residency programs. Professional Psychology: Research and Practice, 29, 492–497.CrossRef
go back to reference Fenwick, C. D., Vassilas, C. A., Carter, H., & Haque, M. S. (2004). Training health professionals in the recognition, assessment and management of suicide risk. International Journal of Psychiatry in Clinical Practice, 8, 117–121.CrossRefPubMed Fenwick, C. D., Vassilas, C. A., Carter, H., & Haque, M. S. (2004). Training health professionals in the recognition, assessment and management of suicide risk. International Journal of Psychiatry in Clinical Practice, 8, 117–121.CrossRefPubMed
go back to reference Giggie, M. A., Olvera, R. L., & Joshi, M. N. (2007). Screening for risk factors associated with violence in pediatric patients presenting to a psychiatric emergency department. Journal of Psychiatric Practice, 13, 246–252.CrossRefPubMed Giggie, M. A., Olvera, R. L., & Joshi, M. N. (2007). Screening for risk factors associated with violence in pediatric patients presenting to a psychiatric emergency department. Journal of Psychiatric Practice, 13, 246–252.CrossRefPubMed
go back to reference Goldsmith, S. K., Pellmar, T. C., Kleinman, A. M., & Bunney, W. E. (Eds.). (2002). Reducing suicide: A national imperative. Washington, DC: The National Academies Press. Goldsmith, S. K., Pellmar, T. C., Kleinman, A. M., & Bunney, W. E. (Eds.). (2002). Reducing suicide: A national imperative. Washington, DC: The National Academies Press.
go back to reference IBM Corp. (2012). IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp. IBM Corp. (2012). IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.
go back to reference Jobes, D., Rudd, M., Overholdser, J., & Joiner, T. (2008). Ethical and competent care of suicide patients: Contemporary challenges, new developments and considerations for clinical practice. Professional Psychology: Research and Practice, 39, 405–413.CrossRef Jobes, D., Rudd, M., Overholdser, J., & Joiner, T. (2008). Ethical and competent care of suicide patients: Contemporary challenges, new developments and considerations for clinical practice. Professional Psychology: Research and Practice, 39, 405–413.CrossRef
go back to reference Kenner, C., & Weinerman, J. (2011). Adult learning theory: Applications to non-traditional college students. Journal of College Reading and Learning, 41(2), 87–96.CrossRef Kenner, C., & Weinerman, J. (2011). Adult learning theory: Applications to non-traditional college students. Journal of College Reading and Learning, 41(2), 87–96.CrossRef
go back to reference Kleespies, P. M., Penk, W., & Forsyth, J. (1993). The stress of patient suicidal behavior during clinical training: Incidence, impact, and recovery. Professional Psychology: Research and Practice, 24, 293–303. doi:10.1037/0735-7028.24.3.293.CrossRef Kleespies, P. M., Penk, W., & Forsyth, J. (1993). The stress of patient suicidal behavior during clinical training: Incidence, impact, and recovery. Professional Psychology: Research and Practice, 24, 293–303. doi:10.​1037/​0735-7028.​24.​3.​293.CrossRef
go back to reference Knowles, Malcolm S. (1980). The modern practice of adult education: From pedagogy to andragogy (2nd ed.). New York: Cambridge Books. Knowles, Malcolm S. (1980). The modern practice of adult education: From pedagogy to andragogy (2nd ed.). New York: Cambridge Books.
go back to reference Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall. Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall.
go back to reference Levitt, A. J., Lorenzo, J., Yu, V., Wean, C., & Miller-Solarino, S. (2011). Teaching note: Suicide awareness and prevention workshop for social workers and paraprofessionals. Journal of Social Work Education, 47(3), 607–615.CrossRef Levitt, A. J., Lorenzo, J., Yu, V., Wean, C., & Miller-Solarino, S. (2011). Teaching note: Suicide awareness and prevention workshop for social workers and paraprofessionals. Journal of Social Work Education, 47(3), 607–615.CrossRef
go back to reference Mackelprang, J. L., Karle, J., Reihl, K. M., & Cash, R. E. (2014). Suicide intervention skills: Graduate training and exposure to suicide among psychology trainees. Training and Education in Professional Psychology, 8(2), 136–142. doi:10.1037/tep0000050.CrossRefPubMedPubMedCentral Mackelprang, J. L., Karle, J., Reihl, K. M., & Cash, R. E. (2014). Suicide intervention skills: Graduate training and exposure to suicide among psychology trainees. Training and Education in Professional Psychology, 8(2), 136–142. doi:10.​1037/​tep0000050.CrossRefPubMedPubMedCentral
go back to reference McAdams, C. R., & Foster, V. A. (2000). Client suicide: Its frequency and impact on counselors. Journal of Mental Health Counseling, 22(2), 107–121. McAdams, C. R., & Foster, V. A. (2000). Client suicide: Its frequency and impact on counselors. Journal of Mental Health Counseling, 22(2), 107–121.
go back to reference Mundt, J. C., Greist, J. H., Jefferson, J. W., Federico, M., Mann, J. J., & Posner, K. (2013). Prediction of suicidal behavior in clinical research by lifetime suicidal ideation and behavior ascertained by the electronic Columbia-Suicide Severity Rating Scale. The Journal of Clinical Psychiatry, 74(9), 887–893.CrossRefPubMed Mundt, J. C., Greist, J. H., Jefferson, J. W., Federico, M., Mann, J. J., & Posner, K. (2013). Prediction of suicidal behavior in clinical research by lifetime suicidal ideation and behavior ascertained by the electronic Columbia-Suicide Severity Rating Scale. The Journal of Clinical Psychiatry, 74(9), 887–893.CrossRefPubMed
go back to reference Neimeyer, R. A. (2000). Suicide and hastened death: Toward a training agenda in counseling psychology. The Counseling Psychologist, 28, 551–560.CrossRef Neimeyer, R. A. (2000). Suicide and hastened death: Toward a training agenda in counseling psychology. The Counseling Psychologist, 28, 551–560.CrossRef
go back to reference Oordt, M. S., Jobes, D. A., Fonseca, V. P., & Schmidt, S. M. (2009). Training mental health professionals to assess and manage suicidal behavior: Can provider confidence and practice behaviors be altered? Suicide and Life-Threatening Behavior, 39, 21–32. doi:10.1521/suli.2009.39.1.21.CrossRefPubMed Oordt, M. S., Jobes, D. A., Fonseca, V. P., & Schmidt, S. M. (2009). Training mental health professionals to assess and manage suicidal behavior: Can provider confidence and practice behaviors be altered? Suicide and Life-Threatening Behavior, 39, 21–32. doi:10.​1521/​suli.​2009.​39.​1.​21.CrossRefPubMed
go back to reference Pasco, S., Wallack, C., Sartin, R. M., & Dayton, R. (2012). The impact of experiential exercises on communication and relational skills in a suicide prevention gatekeeper-training program for college resident advisors. Journal of American College Health, 60(2), 134–140.CrossRefPubMed Pasco, S., Wallack, C., Sartin, R. M., & Dayton, R. (2012). The impact of experiential exercises on communication and relational skills in a suicide prevention gatekeeper-training program for college resident advisors. Journal of American College Health, 60(2), 134–140.CrossRefPubMed
go back to reference Pratt, C. C. (2000). Measuring program outcomes: Using retrospective pretest methodology. American Journal of Evaluation, 21(3), 341–349.CrossRef Pratt, C. C. (2000). Measuring program outcomes: Using retrospective pretest methodology. American Journal of Evaluation, 21(3), 341–349.CrossRef
go back to reference Rudd, M. D., Mandrusiak, M., & Joiner, T. (2006). The case against no-suicide contracts: The commitment to treatment statement as a practice alternative. Journal of Clinical Psychology, 62, 243–251.CrossRefPubMed Rudd, M. D., Mandrusiak, M., & Joiner, T. (2006). The case against no-suicide contracts: The commitment to treatment statement as a practice alternative. Journal of Clinical Psychology, 62, 243–251.CrossRefPubMed
go back to reference Sanders, S., Jacobson, J. M., & Ting, L. (2008). Preparing for the inevitable: Training social workers to cope with client suicide. Journal of Teaching in Social Work, 28(1–2), 1–18.CrossRef Sanders, S., Jacobson, J. M., & Ting, L. (2008). Preparing for the inevitable: Training social workers to cope with client suicide. Journal of Teaching in Social Work, 28(1–2), 1–18.CrossRef
go back to reference Scheerder, G., Reynders, A., Andriessen, K., & Audenhove, C. V. (2010). Suicide intervention skills and related factors in community and health professionals. Suicide and Life-Threatening Behavior, 40(2), 115–124.CrossRefPubMed Scheerder, G., Reynders, A., Andriessen, K., & Audenhove, C. V. (2010). Suicide intervention skills and related factors in community and health professionals. Suicide and Life-Threatening Behavior, 40(2), 115–124.CrossRefPubMed
go back to reference Shea, S. C. (2002). The practical art of suicide assessment: A guide for mental health professionals and substance abuse counselors. New York: Wiley. Shea, S. C. (2002). The practical art of suicide assessment: A guide for mental health professionals and substance abuse counselors. New York: Wiley.
go back to reference Stanley, B., & Brown, G. K. (2012). Safety planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19, 256–264.CrossRef Stanley, B., & Brown, G. K. (2012). Safety planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19, 256–264.CrossRef
go back to reference Ting, L., Sanders, S., Jacobson, J. M., & Power, J. R. (2006). Dealing with the aftermath: A qualitative analysis of mental health social workers’ reactions after a client suicide. Social Work, 51(4), 329–341.CrossRefPubMed Ting, L., Sanders, S., Jacobson, J. M., & Power, J. R. (2006). Dealing with the aftermath: A qualitative analysis of mental health social workers’ reactions after a client suicide. Social Work, 51(4), 329–341.CrossRefPubMed
go back to reference Webster-Wright, A. (2009). Reframing professional development through understanding authentic professional learning. Review of Educational Research, 79(2), 702–739.CrossRef Webster-Wright, A. (2009). Reframing professional development through understanding authentic professional learning. Review of Educational Research, 79(2), 702–739.CrossRef
go back to reference Wilkins, N., Thigpen, S., Lockman, J., Mackin, J., Madden, M., Perkins, T., et al. (2012). Putting program evaluation to work: A framework for creating actionable knowledge for suicide prevention practice. Translational Behavioral Medicine, 2(2), 1–13. Wilkins, N., Thigpen, S., Lockman, J., Mackin, J., Madden, M., Perkins, T., et al. (2012). Putting program evaluation to work: A framework for creating actionable knowledge for suicide prevention practice. Translational Behavioral Medicine, 2(2), 1–13.
go back to reference Wozny, D. A. (2005). The prevalence of suicide and violence assessment/intervention courses in CACREP and COAMFTE-accredited counseling curriculums. In G. R. Waltz & R. Yep (Eds.), VISTAS: Compelling perspectives on counseling (pp. 271–274). Alexandria, VA: American Counseling Association. Wozny, D. A. (2005). The prevalence of suicide and violence assessment/intervention courses in CACREP and COAMFTE-accredited counseling curriculums. In G. R. Waltz & R. Yep (Eds.), VISTAS: Compelling perspectives on counseling (pp. 271–274). Alexandria, VA: American Counseling Association.
Metadata
Title
Continuing Education on Suicide Assessment and Crisis Intervention: What Can We Learn About the Needs of Mental Health Professionals in Community Practice?
Authors
Rebecca Mirick
James McCauley
Joanna Bridger
Larry Berkowitz
Publication date
01-07-2016
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 5/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-015-9884-2

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