Paul Brasler – PESI – Suicide Assessment and Intervention: Today’s Top Challenges for Mental Health Professionals

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Paul Brasler – PESI – Suicide Assessment and Intervention: Today’s Top Challenges for Mental Health Professionals

Speaker: Paul Brasler, MA, MSW, LCSW

Duration: 2 Hours 44 Minutes

Format: Audio and Video

Copyright: Sep 27, 2019

Media Type: Digital Seminar

Description

What would you do?

“I woke up this morning and decided I didn’t have anything to live for. I told my dad that he would find me dead when he came home,” said Michelle, a 13-year-old girl sitting in a hospital bed. Her father reacted to his daughter’s declaration by bringing her to the hospital. I was asked to assess Michelle.

After some introductions and an explanation as to why I was there, Michelle agreed to speak with me by herself.

“So, was today the first time you’d had thoughts of killing yourself?” I asked.

“Yes,” she replied, “I woke up tired of feeling this way, you know, depressed.”

“Have you thought about how you might try to kill yourself?”

“Not really; I figured I’d look around the house to see what I could use,” she stated.

What would you do next? Is this a person who needs to be hospitalized? How would you handle this situation differently if you were seeing Michelle in your office instead of a hospital?

Suicidal behaviors and suicidal ideation represent some of the most challenging things we deal with as clinicians.

Watch this recording to learn how to help your most vulnerable clients with the real-life skills and knowledge they don’t teach in graduate school.

Speaker

Paul Brasler, MA, MSW, LCSW

Paul Brasler, MA, MSW, LCSW, became a Licensed Clinical Social Worker in 2002. He is the owner of Providence Consulting and Education, LLC, through which he provides clinical supervision and professional education services. Paul has extensive experience working with adults and adolescents living with substance use disorder and co-occurring disorders. He maintains a private practice and has worked in community mental health clinics, hospital emergency departments, a juvenile drug treatment court, ketamine-assisted psychotherapy, and adolescent residential treatment.

Paul has been a PESI presenter since 2016, and he has presented classes on Mental Health Emergencies, High-Risk Clients, and substance use disorder treatment across the country. His first book, High Risk Clients: Evidence-Based Assessment & Clinical Tools to Recognize and Effectively Respond to Mental Health Crises (PESI Publishing), was published in August 2019. His second book, The Clinician’s Guide to Substance Use Disorders: A Practical Guide to Assessment, Treatment & Recovery, was published in 2022 (PESI Publishing & Media).

Speaker Disclosures:
Financial: Paul Brasler maintains a private practice and has employment relationships with LifeStance Health and Alchemy Wellness. He receives a speaking honorarium, recording, and book royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Brasler has no relevant non-financial relationships.

Objectives

1. Conduct a thorough suicide assessment that includes both risk and protective factors.
2. Implement clinical techniques to support clients’ ability to self-regulate, problem solve, and communicate their needs.
3. Develop and monitor realistic safety plans that clients will participate in.
4. Create accurate and comprehensive documentation of clinical crises to protect all parties involved and minimize liability risks.

Outline

Assessment: Your Comprehensive Guide to Identify Suicidal Risk

• Suicide, ideation, plan, means and intent
• Why do people kill themselves?
• Risk and protective factors
• How to identify implicit suicidal intent
• Strategies for asking direct questions (even when it’s uncomfortable)
• How to engage shut down, withdrawn or resistant clients

Suicide Intervention Strategies: Supporting Clients From “Passive” Ideation to Full-Blown Crisis

• Psychological interventions
• Problem solving
• Emotional regulation
• Communication
• Pharmacology: Short and long term interventions
• Why “no harm” contracts are a dangerous idea (and what to do instead)
• When to break client confidentiality
• How and when to involve loved ones/caregivers
• Hospitalization: Why, when, how

• Clinicians inside the ER: When to admit/planning for home
• After the ER: Limiting the risk

• Documentation: Protect your client, protect your license

Other Clinical Considerations

• Non-suicidal self-injury (NSSI)
• Relationship between suicide, mental illness and trauma
• Tips for managing clinician anxiety around suicidality

Target Audience

• Social Workers
• Psychologists
• Counselors
• Teachers
• School Administrators
• Marriage & Family Therapists
• Case Managers
• Addiction Counselors
• Therapists
• Nurses
• Other Mental Health Professionals

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