Summary of Workshop on Advancing Training in Suicide Prevention Clinical Care: Day Two

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00:00:00 - 01:00:00

The video discusses the importance of suicide prevention training, and how it is essential that providers are trained in suicide assessment and intervention. It also discusses the importance of Coordinated and SGM Affirming Care in order to effectively treat those at risk for suicide.

00:00:00 The presenter is introducing a methodology for understanding barriers and facilitators of successful suicide prevention clinical care training. The methodology draws from biopsychosocial case formulation and systems-based analysis, and also incorporates an implementation science model. The speakers will discuss barriers and facilitators to training emergency department clinicians.
00:05:00 The presenter discusses the problem of suicide prevention clinical care in the U.S., which includes a lack of training for nurses, financial constraints, and prioritization of medical procedures over prevention. They suggest ways to improve training, such as introducing adaptive computerized training.
00:10:00 The presenter discusses the barriers and facilitators to successful training in primary care, including funding and research gaps.
00:15:00 The study "Primary Care and Suicidal Behavior: A Replication and Extension" found that 61% of people who died by suicide within 30 days had said not at all on the PhQ-9 question about thoughts they would be better off dead. This is significant because it shows that suicide prevention interventions should be targeted at those most at risk, not just those with mental illness or substance use conditions.
00:20:00 The speaker describes three studies that demonstrate an increase in suicide rates among black youth. The speaker discusses how the work they are doing is a "ring the alarm moment" and how it is important to address the factors that are driving this increase.
00:25:00 The first study, which was published in the journal of the american academy of child and adolescent psychiatry, found that suicide rates among black youth have increased by 4.9% annually since 2003. The study also found that black girls aged 15-17 are more likely to die by suicide than any other age group, and that black boys aged 15-17 are more likely to die by suicide by firearm. The second study, which was published in pediatrics, found that suicide rates among high school aged youth in the U.S. have increased by 166% since 1991. The study found that there is a significant difference in suicide rates between boys and girls, and that black boys are far more likely to attempt or commit suicide than any other group.
00:30:00 The video discusses a new study that analyzed suicide data from 2015-2017 and found that black youth are more likely to report attempted suicide, without considering thoughts or plans. This reinforces the importance of assessing suicide attempts beyond thoughts and plans, as there may be a group of youth who are experiencing suicidal thoughts and plans, but are also black and/or indigenous.
00:35:00 Alan Mallory's recent study found that racial discrimination and discrimination based on sexual gender minority status put youth at a greater risk of suicide. Many of us are aware of the statistic that suicide is the second leading cause of death for youth in the United States between the ages of 10 to 24, but few are aware of the particular groups that are more vulnerable. Sexual gender minority populations and youth are at a two to four times increased risk of suicide attempt across the life course, and when it comes to youth adolescents, young adults, and transgender and gender non-binary youth, systems such as child welfare, juvenile court, and community-based services are frequently encountered. These interactions can lead to delays in accessing mental health care, disengagement from services, and exacerbation of negative mental health outcomes.
00:40:00 The video discusses the importance of suicide prevention training, and how it is essential that providers are trained in suicide assessment and intervention. It also discusses the importance of Coordinated and SGM Affirming Care in order to effectively treat those at risk for suicide.
00:45:00 The speakers discussed barriers and facilitators to training in suicide prevention in primary care settings. Dr. Lindsay emphasized the importance of understanding the inner context factors that contribute to suicide disparities in black youth. Dr. Passani described the alarming disparities in suicide rates among black youth and highlighted the need to address them.
00:50:00 The presenter discusses the importance of understanding implementation and the challenges of doing so. They go on to discuss how training can be effective, but it is only one part of the equation. It is also critical to have a patient-centered approach and to be comfortable with disclosing suicidal thoughts and engaging with healthcare professionals.
00:55:00 The author discusses the importance of self-efficacy in suicide prevention and how it applies to different providers. He also mentions the fear and resistance that some people have towards asking questions about suicide.

01:00:00 - 02:00:00

This workshop provides an overview of suicide prevention clinical care, discussing the six essential components of effective interventions. The workshop also discusses how a digital therapeutic was developed and funded by We Therapeutics, and how advances in technology could help improve suicide prevention training.

01:00:00 Catherine Lindsley asks experts how incorporating the voices of people with lived experiences can be helpful in suicide prevention work. Dr. Lindsay and others say that it is important to connect with why people want to talk about their experiences in suicide prevention, and to have champions within organizations who can tell their stories.
01:05:00 The video discusses suicide prevention and the importance of including lived experience in program development. It discusses barriers to change in the mental health system, and provides suggestions on how to make changes.
01:10:00 The presenter discusses ways to improve behavioral health care reimbursement, including incentivizing and disincentivizing behavior. They mention that social workers and community health workers could play a role in reaching people in different ways.
01:15:00 In this workshop, attendees were asked to share ideas on how to improve suicide prevention training. One attendee suggested that health systems should consider incorporating virtual trainings into their training programs, as traditional trainings will not disappear. Another suggested that professionals should be trained in how to identify risk factors for suicide, beyond just traditional markers. Finally, everyone agreed that risk identification and affirmative questioning should be a part of any suicide prevention training program.
01:20:00 The presenter discusses the benefits and drawbacks of using digital tools and technologies in suicide prevention, focusing on motivational interviewing. They discuss how traditional training is not always effective, and how using AI can help overcome some of these challenges.
01:25:00 This workshop goes over how to use a training platform that has ai assisted feedback to help with suicide prevention. The platform has personas that can help trainees understand different types of clients and the platform also tracks how well trainees are using and implementing skills.
01:30:00 Intelligent tutoring systems are computer programs that help train individuals in specific subjects. They are flexible and can be used in a variety of settings, such as schools and hospitals. They are also becoming more popular for psychotherapy training.
01:35:00 The video discusses a workshop on advancing suicide prevention clinical care. The teacher sets the curriculum, which is then fed into an intelligent tutoring system. The system provides the student with a task and an answer, and also provides feedback on their progress. The system is designed to help the student learn and improve their skills in suicide prevention.
01:40:00 The video describes the features and benefits of an "intelligent tutoring system" (ITS), which is designed to help students improve their skills in a specific area. The video also discusses the challenges of creating and implementing an ITS, and the benefits that students typically experience.
01:45:00 This workshop provides an overview of suicide prevention clinical care, including the six essential components of effective interventions. The workshop also discusses how a digital therapeutic was developed and funded by We Therapeutics.
01:50:00 The presenter discusses the importance of high fidelity by clinicians in suicide prevention clinical care, and the lack of evidence that training workshops alone improve outcomes. They present an alternative model of fidelity which integrates cognitive behavioral therapy (CBT) modules into a modular approach, with regular feedback from experts to help clinicians improve their adherence and skill. This model is more sustainable and likely to be more effective than traditional training methods.
01:55:00 The workshop discusses how advances in technology could help improve suicide prevention training, with a focus on the aviva smartphone app. The app is designed to deliver cognitive behavioral treatments (CTBs) directly to patients, with clinical vignettes to demonstrate concepts. Higher adherence rates have been observed in pilot testing, with the potential to shift the focus of clinicians and improve treatment outcomes.

02:00:00 - 03:00:00

This workshop discusses how technology can help improve suicide prevention clinical care. The presenter notes that these tools are most useful for populations with familiarity with digital therapeutics and smartphone apps. They also discuss ways to ensure access to these tools across various settings.

02:00:00 The workshop discussed the benefits of using digital therapeutics to deliver suicide prevention treatment to patients. The workshop discussed the drawbacks of using a technology-based platform, including the lack of ability to customize the content of the intervention to the unique needs of the patient or to customize content to individual differences. The workshop also discussed the potential for reduced adherence to treatment when clinicians use the tool in a theory inconsistent manner.
02:05:00 This talk will discuss how the use of virtual human intelligence (VHI) can help clinicians recognize and manage their negative emotional responses to patients with suicidal thoughts and behavior. The talk will also discuss how academics can help train clinicians in recognizing and managing their emotions.
02:10:00 The workshop discussed how clinicians' emotions are critical in suicide prevention, and how the three component of emotional self-awareness, verbal and practical communication, and facial control of negative emotional responses can be measured. The workshop also presented preliminary results of a training program on empathy communication for suicide intervention.
02:15:00 The study found that, when trained, clinicians' emotional responses to virtual human conversations improved. However, only those with a weak or empathetic emotional Signature responded to the training, indicating that it is likely most beneficial for those in need of it.
02:20:00 The technology discussed in this workshop has the potential to help train providers to be more empathic and effective in their communication with suicidal patients. While the technology is still in development, it is promising and important to see it making progress from research into practice.
02:25:00 The presenter discusses how technology can be used to improve suicide prevention training, and how it can be scaled to be more effective. They discuss challenges in implementing technology and ways to overcome them.
02:30:00 This workshop discusses the benefits and drawbacks of using digital mental health tools in suicide prevention training. The presenter notes that these tools are most useful for populations with familiarity with digital therapeutics and smartphone apps. They also discuss ways to ensure access to these tools across various settings.
02:35:00 The video discusses the drawbacks of using technology when engaging with clinicians and patients, as well as the need for technology to be appropriate, efficacious, and biased-free. Dr. Galinker shared that the focus of the National Institute of Mental Health (NIMH) is on how to use technology in a way that is engaging and empowering for students and trainees.
02:40:00 This workshop discusses how technology can help improve suicide prevention clinical care, focusing on precision precision medicine approaches. Three speakers discuss their research on suicide prevention and how technology can be used to improve quality and efficacy of suicide prevention care.
02:45:00 The video presents a workshop on suicide prevention clinical care, which discusses the four components of the safety planning intervention. The first component, uploading a previously completed safety plan, is described, and the second component, experiential training, is described in more detail. The third component, individual evaluation, is described, and the fourth component, follow-up evaluation, is also described. A cohort of providers has begun the program, and so far, all participants have completed the training with minimal dropouts. The video concludes by discussing the benefits of the training program.
02:50:00 This workshop discusses the importance of safety planning, how it should be done, and the barriers to its implementation. The participants found that the training was effective in maintaining competency levels.
02:55:00 The presenter discusses the importance of training health care providers in suicide prevention, and highlights a number of funding sources. They note that most people who die by suicide have previously encountered the health care system. The presenter discusses the need for training to be delivered broadly and to be tailored to the individual provider's needs.

03:00:00 - 04:00:00

This workshop discusses the importance of training clinicians in suicide prevention, and highlights the challenges that exist in implementing such training. The panelists discuss the need for more research on the role of peers in suicide prevention, as well as on indigenous community engagement in suicide prevention.

03:00:00 This two-day workshop discusses interventions that can be used to prevent suicide in both primary care and behavioral health settings. Many of these interventions have been empirically tested and have evidence-based clinical requirements. The obstacles to implementing these interventions in health care systems are also opportunities for research.
03:05:00 The workshop discusses the challenges of providing suicide prevention clinical care training in a short amount of time and offers ideas for addressing these challenges. Many of the training interventions currently available are evidence-based but can be difficult to implement in a practical way.
03:10:00 The workshop discusses how to train suicide prevention professionals, and discusses current national recommendations for clinical training. The workshop provides an overview of the national strategy for suicide prevention, and discusses how clinical training can lead to changes in how care is delivered and how providers use recommended practices.
03:15:00 The workshop discusses ways to improve suicide prevention training for clinical professionals, emphasizing the need for evidence-based training. There are currently 10 different ways that states require training for different professions, with different requirements and levels of training.
03:20:00 The transcript excerpt discusses how professions need to adopt suicide prevention clinical care competencies and how to increase suicide prevention training in order to improve outcomes. The transcript also discusses how policies regarding suicide prevention training should be designed, as well as how to reach out to non-licensed professionals who may be able to help support people at risk for suicide.
03:25:00 The workshop discusses ways to scale up suicide prevention training for clinicians, and discusses the barriers to progress. It discusses how market forces can help to incentivize training and discusses how state legislation and licensing can influence training.
03:30:00 This workshop discusses the importance of safety planning and how it has been a paradigm shift in suicide prevention clinical care. It also discusses the Zero Suicide Initiative and how Michael Schoenbaum has been a powerful advocate for it.
03:35:00 The three presenters discussed suicide prevention, with Greg Brown discussing the generalizability of collaborative safety planning. Jennifer Johnson and Lauren Weinstock discussed similar issues in other settings. One question asked was how generalizable suicide prevention training is when it is only offered in a few places. The other question asked was how to discharge patients from an emergency room without them getting lost in the system.
03:40:00 The workshop discussed the many logistical challenges of implementing suicide prevention training and highlighted the importance of policy changes that would accompany the transition to 988. They also discussed the need for a large and healthy pipeline of future crisis service workers.
03:45:00 The video discusses suicide prevention, and the panelists discuss how the workforce needs to be improved, with a focus on training providers in suicide prevention and optimizing peer support. A grant is being awarded to develop training and safety planning for peer support.
03:50:00 The workshop discussed ways to create more effective training for suicide prevention, including the need for widespread buy-in and engagement from stakeholders. There is a need for more research on the role of peers in suicide prevention, as well as on indigenous community engagement in suicide prevention.
03:55:00 The speaker discusses the challenges facing those working to prevent suicide, noting that there are not enough trained professionals and that even if individuals receive help from trained professionals, it doesn't always exist in abundance. The speaker also discusses the importance of peers in suicide prevention and their ability to fill in a vital gap in training, as well as their personal belief in recovery and support for those at risk. The speaker concludes by noting that despite the challenges, many individuals have survived suicide attempts and are still alive, which underscores the importance of quality training for clinicians.

04:00:00 - 04:20:00

The presenter of this workshop discusses the importance of training in suicide prevention clinical care and suggests ways to improve the training process. They emphasize the importance of including individuals with lived experience in the training process and of keeping policies and procedures connected to the community level.