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Evaluation ViewAttendees 5

Half Day Institute - Ticketed

Suicide and Self-Injury

Institute 6 - Cognitive Therapy for Suicide Prevention

Thursday, November 14, 2024
8:00 AM – 1:00 PM EST
Location: 414/415, Level 4, Downtown Marriott
Earn 5 Credit
Ticketed Session
Keywords: Suicide, CBT, Adult
Level of Familiarity: Basic to Moderate
Recommended Readings: Green, K. L. & Brown, G. K. (2015). Cognitive Therapy for Suicide Prevention: An illustrative case example. In C. J. Bryan (Ed.), Cognitive Behavioral Therapy for Preventing Suicide Attempts: A Guide to Brief Treatments Across Clinical Settings. New York, NY: Routledge.,   Royter, E., Sudak, D., & Plakun, E. M. (2024). Cognitive Behavioral Therapy Approaches for Chronic Suicidality. Journal of psychiatric practice, 30(1), 46–50.,   Bryan, C. J. (2019///May 2019 - Jun). Cognitive behavioral therapy for suicide prevention (CBT‐SP): Implications for meeting standard of care expectations with suicidal patients. Behavioral Sciences & the Law, 37(3), 247-258.,   Ilgen, M. A., Olson-Madden, J. H., Price, A., Brenner, L. A., King, C. A., & Blow, F. C. (2023). Cognitive behavioral therapy for suicide prevention among Veterans receiving substance use disorder treatment: Results from a randomized trial. Journal of psychiatric research, 168, 344–352.,   Wu, H., Lu, L., Qian, Y., Jin, X., Yu, H., Du, L., Fu, X., Zhu, B., & Chen, H. (2022). The significance of cognitive-behavioral therapy on suicide: An umbrella review. Journal of Affective Disorders, 317, 142-148.
Cognitive Therapy for Suicide Prevention (CT-SP) is a suicide-specific psychotherapy that is designed to help clients learn specific cognitive or behavioral skills for coping effectively with suicide risk. The primary focus of CT-SP is on targeting suicide risk directly, rather than by treating other psychiatric disorders. CT-SP is driven by an individualized case conceptualization approach that aims to (1) help clients identify specific triggers and proximal risk factors that contribute to suicidal crises and (2) develop individualized treatment goals and corresponding skills to prevent and/or cope with future crises. CT-SP has been recognized as one of the few evidence-based psychotherapy interventions specifically for suicide prevention. In a landmark randomized controlled trial CT-SP was found to be efficacious for preventing suicide attempts as well as decreasing other risk factors for suicide such as depression and hopelessness. Specifically, patients who received CT-SP were approximately 50% less likely to make a repeat suicide attempt during the follow-up period than those who did not receive CT-SP (Brown et al., 2005). Recently, CT-SP has been adapted for individuals who have chronic suicidal thoughts but may not have had recent suicidal behavior. This adapted version has been found superior to Enhanced Usual Care in reducing suicidal ideation (Green, Brown, et al., unpublished data). Such adaptations are especially important because some high-risk groups such as older adults make fewer suicide attempts and are more likely to die on their first attempt (Dombrovski et al., 2005). Therefore, targeting suicidal ideation is critical for averting suicide in such individuals. This Institute will focus on teaching case conceptualization for individuals with chronic suicidal ideation, as well as adaptations made to the original treatment for this population.

Outline:
1. Initial Phase of Treatment and Adaptations for Treating Chronic Suicidal Ideation
2. Case conceptualization for chronic suicidal ideation
3. Middle Phase of Treatment and Adaptations for Treating Chronic Suicidal Ideation
4. Later Phase of Treatment and Adaptations for Treating Chronic Suicidal Ideation

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Summarize the empirical evidence for CT-SP.
  2. Conduct a narrative interview to elucidate proximal and modifiable factors that maintain suicide risk.
  3. Formulate a case conceptualization and treatment goals to reduce suicide risk for individuals with chronic suicidal ideation.
  4. Implement strategies to foster hope and engagement in treatment.
  5. Apply suicide-specific CBT strategies to target suicidal ideation and suicide risk.
  6. Long-term Goal: Apply suicide-specific case conceptualization to reduce suicidal thoughts and behaviors in at-risk patients.
  7. Long-term Goal: Use case conceptualization to select cognitive and behavioral treatment strategies with a suicide risk reduction focus.