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Live Workshop: Questions That Can Save a Life!: Preventing Suicide in Primary Healthcare
This presentation will be an ONLINE VIRTUAL LIVE broadcast on April 26, 2024, from 12:00 pm - 2:15 pm ET. While this activity is LIVE and can only be viewed during the time specified, the evaluation will be available online until May 24, 2024. Go to the Register tab above to learn how to participate for continuing education credit, watch the broadcast and download the slides.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Session I: Strategies for Depression and Suicide Screening in Primary Care
Research shows that 64% of people who attempt suicide saw their primary care provider in the month prior. Primary care is an important setting for identifying and addressing individuals at risk for suicide, although barriers such as time limitations can make this a challenging setting to do so. This talk will review screening tools for depression and suicide risk in primary care, strategies for responding to patients endorsing suicidal ideation, and provide mental health community resources. This talk will increase the skill and comfort level of primary care providers to screen for and respond to suicidal ideation. An example will be provided of how screening measures can be incorporated into workflow.
LEARNING OBJECTIVES
After this lecture, registrants will be able to:
- Name one measure for screening for depression and one measure for screening for suicide in the primary care setting
- Describe strategies for responding to patients endorsing suicidal ideation in primary care.
- List at least 3 mental health community resources
Session II: Widening the Lens: Thinking About Suicide Risk Assessment in the Broader Clinical Context.
Suicidal ideation is commonly encountered in general clinical practice. According to statistics from the Substance Use and Mental Health Services Administration (SAMHSA), over 12 million people have suicidal ideation in a given year and 1.7 million people in the United States attempt suicide. There is a broad spectrum of suicidal ideation and behavior, and most people who ultimately attempt suicide will make a health care visit in the weeks prior to attempting suicide. Therefore, all clinical health professionals need to understand the basics of performing a suicide risk assessment. Suicide risk assessment involves an appraisal of both a patient's responses on a suicide questionnaire as well as their clinical risk and protective factors. This talk will use the SAMSHA SAFE-T approach to teach participants how to assess risk and protective factors, clarify the extend of suicidal ideation, and then stratify a patient’s suicide risk into low, medium, or high risk. It will then provide suggestions for how to practically manage patients in each of those risk categories, including referring for routine behavioral health services, referring for intensive or crisis behavioral health services, and initiating an emergency petition for an emergency psychiatric evaluation in Maryland.
LEARNING OBJECTIVES
After this lecture, registrants will be able to:
- Recognize the 5 steps in assessing suicide risk according to SAMSHA (SAFE-T)
- Integrate risk factors and protective factors into a suicide risk formulation
- Identify the appropriate action plan for each level of risk
Target Audience
This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.
This event was made possible by a grant by Congressman Jamie Raskin and administered by the Substance Abuse and Mental Health Services Administration.
About the speakers
Sarah Frazell, LCSW-C is a licensed clinical social worker in Maryland. She is the Director of Behavioral Health at Primary Care Coalition in Montgomery County, and she oversees a Collaborative Care behavioral health program that provides behavioral health services for patients at safety-net primary care clinics in Montgomery County, utilizing the collaborative care model. She is a registered clinical supervisor. She has bachelors’ degrees in Spanish and Social Work from Wartburg College in Waverly Iowa, and a Masters’ degree from the University of Minnesota-Twin Cities Campus. Sarah’s areas of interest and expertise include Diversity, Equity, Inclusion and Belonging; Health Equity; and Compassion Fatigue and Vicarious Trauma. Sarah has given presentations for MedChi, The National Association of Social Workers-Maryland chapter, The MidAtlantic Path Forward, SAMSHA (Value Based Care Conference), and the American Public Health Association.
Ashley Maher, PhD, is the lead psychologist of Trauma Disorders Services at Sheppard Pratt. She earned her PhD in clinical psychology from Rosalind Franklin University of Medicine and Science. During her time at Rosalind Franklin University, she developed and coordinated the behavioral health program for the university’s interdisciplinary community care clinic serving an uninsured/under-insured and predominantly Latino and Spanish-speaking population. Dr. Maher completed her postdoctoral fellowship at the VA Pittsburgh Healthcare System, where she focused on posttraumatic stress disorder, military sexual trauma, and combat-related distress.
Elizabeth Ryznar, MD, MSC is the Director of Medical Education at Sheppard Pratt, as well as a board-certified psychiatrist. After earning her bachelor’s degree at Harvard College, she obtained her master’s degree from the University of Oxford and her medical degree from Harvard Medical School. Dr. Ryznar completed residency at McGaw Medical Center of Northwestern University and a postdoctoral research fellowship in medical education at Johns Hopkins. She was then appointed Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Johns Hopkins and served as an attending physician there, before moving to Sheppard Pratt. Her clinical focus is consultation-liaison psychiatry. Her research interests include consultation-liaison psychiatry, childhood trauma, psychiatric diagnosis, decision-making capacity, medical education, and curriculum development. Dr. Ryznar is co-editor of “Landmark Papers in Psychiatry,” published by Oxford University Press in 2020, and has several peer-reviewed articles. She has been recognized by the American Psychiatric Association as a Leadership Fellow (2017-2019), by the American College of Psychiatrists as a Laughlin Fellow (2018) and returning fellow (2019), and by the Academy of Consultation-Liaison Psychiatry for best review article in Psychosomatics (2021). She is also the recipient of clinical teaching awards at Northwestern and Johns Hopkins.
Rachel Smolowitz, PhD is a clinical-community psychologist serving as the program manager of Sheppard Pratt Collaborative Care at GBMC. Dr. Smolowitz completed her doctoral program at the University of South Carolina and wrote her dissertation on empowerment of adults with serious mental illness. She then worked as a clinical psychologist with adults who have co-occurring mental illness and substance use disorders. Dr. Smolowitz is focused in her work on developing capacity to improve the lives of people with serious mental illness.
Disclosure Statements
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Sarah Frazell, LCSW-C , Ashley Maher, PhD, Elizabeth Ryznar, MD, MSC, & Rachel Smolowitz, PhD, reports that they have no relationships with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. They will not discuss any products, services, or off-label uses in this presentation.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Larry Epp, EdD, Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this live activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 2.0 contact hours for nurses.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. Sheppard Pratt designates this educational activity for a maximum of 2.0 contact hour for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 2.0 contact hour in Category I credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 2.0 NBCC clock hour.
Available Credit
- 2.00 ACEP NBCC clock hours
- 2.00 AMA PRA Category 1 Credit™
- 2.00 Category I credits for Social Workers
- 2.00 Psychologists
- 2.00 MNA Contact Hours for Nurses
- 2.00 Participation
This presentation will be an ONLINE VIRTUAL LIVE broadcast on April 26, 2024, from 12:00 pm - 2:15 pm ET. While this activity is LIVE and can only be viewed during the time specified, the evaluation will be available online until May 24, 2024. Go to the Register tab above to learn how to participate for continuing education credit, watch the broadcast and download the slides.
WATCH THE BROADCAST
The codeword will be announced during the live event. The codeword is used to prove you attended the event. You will not need it to access the broadcast.
The broadcast cannot be accessed through cme.sheppardpratt.org. You will need to use the link provided below to watch the broadcast.
On April 26, 2024, at 12:00 pm ET, please click on, or copy and paste this link into your web browser to view the lecture online. This link is LIVE at 11:30 am ET. An email address is required to log into the broadcast.
https://onlinexperiences.com/Launch/Event/ShowKey=249646
DOWNLOAD THE HANDOUT.
Use this link to download the handout. This handout will be available for download on Thursday, April 25, 2024, at 12:00 pm ET.
Handout 1 Slide Per Page(79 Pages): Handout 1xPg
Handout 3 Slides Per Page(29 Pages): Handout 3xPg
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EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
BEFORE THE EVENT: Log into your Sheppard Pratt Ethos account and register. Select the activity by series, title, or speaker name. Go to the last tab, REGISTER and select the GREEN RECTANGLE, TAKE COURSE, and follow the prompts. You will not be able to work further until you are marked attended by entering the codeword announced during the live broadcast. There is no pretest requirement for this workshop.
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Required Hardware/software
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher
Minimum Requirements
Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
Hardware/Software Specifications
This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.