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Safety First: Assessing Self-Injury, Suicidal Ideation, and Levels of Care

CE Hours 2

About this course

Clinicians field self-harm and suicidal ideation disclosures constantly, yet many still default to reflexive hospitalization, or just as often, underestimate risk because they're unsure what the behavior actually means. This live 2-hour training gives clinicians a structured, defensible way to assess and respond to self-injury and suicidal ideation, moving beyond gut instinct toward a repeatable protocol.

Participants will learn to distinguish non-suicidal self-injury from suicidal ideation, and to differentiate respondent (automatic) suicidal ideation from operant (functional) suicidal ideation, a distinction that changes the entire treatment response. The session walks through a full risk assessment protocol, from safety planning through the criteria for an emergency petition, along with the language clients use to describe pain that is not suicidal ideation but is often treated as though it is. Participants will also review the ASAM's six dimension of care criteria to support sound, defensible level-of-care decisions.

Learning Objectives

  • Differentiate risk factors between self harm and suicidal ideation.
  • Discern between automatic vs. operant suicidal ideation and their treatment protocols.
  • Implement effective risk and level of care assessments and explain this process to clients to motivate them towards appropriate care.

Learning Levels

  • Beginner
  • Intermediate
  • Advanced

Target Audience

This training is intended for therapists, counselors, social workers, or other relevant mental healthcare providers who work with high acuity clients.

Course Instructor(s)

  • Laura Goldstein, LCMFT

    Laura Goldstein is a licensed clinical marriage and family therapist in Rockville MD. She is the founder and Executive Director of Montgomery County Counseling Center and the founder of TheraCourses! She has worked across multiple settings including in-home behavioral health services, IOPS for adolescent dual diagnosis treatment and young adults struggling to launch, and her private practice. 

    Laura is trained in Dialectical Behavior Therapy (DBT) from Behavioral Tech and has been fine tuning the application of DBT into individual therapy, parent coaching, and family therapy. She also trained in 2017 with The Gottman Couples Method, which is a seamless integration of DBT concepts when working with couples. With over 12 years of experience in the field, Laura has established herself as a local expert in relationship therapy, public speaking, and therapy practice management.

    In 2022, she launched TheraCourses, an e-course platform with innovative solutions to address the obstacles of accessing affordable psychoeducation that parents need in order to prevent and/or treat the adolescent mental health crisis we face today.

Disclosure

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS CE Learning Systems adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity ― including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests). The following relevant financial relationships have been disclosed by this activity’s planners, faculty, and the reviewer: Laura Goldstein, LCMFT is the trainer for this presentation as well as the owner of Montgomery County Counseling Center. Laura Goldstein, LCMFT receives financial benefit from purchases of this training.

References

  • Abd El Salam HF, Badr El Dine FMM, Abd El Kerim AM, Hieba RR, Kholeif WS. The Applicability of Linehan Risk Assessment Scale: a Cross-Sectional Study from Alexandria Poison Centre, Egypt, During the COVID-19 Pandemic. SN Compr Clin Med. 2022;4(1):218. doi: 10.1007/s42399-022-01298-8. Epub 2022 Sep 30. PMID: 36212982; PMCID: PMC9524316.
  • Herzog S, Choo TH, Galfalvy H, Mann JJ, Stanley BH. Effect of non-suicidal self-injury on suicidal ideation: real-time monitoring study. Br J Psychiatry. 2022 Aug;221(2):485-487. doi: 10.1192/bjp.2021.225. PMID: 35081996; PMCID: PMC9296595.
  • American Society of Addiction Medicine. (2024, July 11). About The ASAM Criteria. https://www.asam.org/asam-criteria/about-the-asam-criteria
  • DBT Intensive Training Materials Linehan, M. M. (2014). DBT (R) skills training handouts and worksheets, second edition (2nd ed.). Guilford Publications.

CE Process Info

Content

  • Materials
    7 parts
    • Safety First Slides
    • LRAMP Link
    • Risk Assessment Flow Chart
    • SI Supervision Scale
    • ASAM Levels of Care Chart for Adolescents
    • ASAM Levels of Care Chart for Adults
    • Safety First Training

  • Association of Social Work Boards (ASWB)

    Montgomery County Counseling Center Provider #1935, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continue Education (ACE) program. Regulatory boards are the final authority on courses accepted for continued education credit. ACE provider approval period: (7/22/2024-7/22/2028). Social workers completing this course receive 2 clinical continuing education credits.

Safety First: Assessing Self-Injury, Suicidal Ideation, and Levels of Care
You Have Completed This course
$50
You are enrolled
  • CE Hours
    2
  • Type
    Self-Paced
  • Publication Date
    Jan 22nd, 2025
  • Access Period
    30 Days

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