Kyoto Hall - Marinela

RE&CBT: Assessment and Treatment Planning for Suicidality. The domino effect of the major Explained Factors of Suicide Attempts

Suicide has been a significant public health crisis for a long time and it is still surrounded by limited public awareness and understanding. Furthermore, existing literature suggests that several factors are involved in understanding a suicide attempt and subsequent treatment.  This presentation will explore some of the main suicide factors and how they can be identified along a “wanting to live/wanting to die” continuum instead of using a categorical approach “I want to die” or “I want to live.”  This workshop will address high-risk suicidal thinking in terms of subjective versus objective attitude; utilizing a collaborative approach; identifying verbal versus nonverbal communication when assessing clients at high-risk for suicide; the importance instilling hope and addressing ambivalence and understanding hesitation.  Other areas of discussion will include the role the environment plays; the delay-discounting process; structured versus unstructured assessment; a one size fits all versus a client-centered assessment approach; assessing acute versus chronic suicide, and treatment strategies.  A model of a “Suicide Domino Effect” will be presented to integrate these factors within an RE & CBT perspective. This workshop is intended to discuss philosophical properties of REBT extensively such as the Belief-Cognition (B-C) connection versus the Activation Event-Cognition (A-C) connection, the presence of implicit suicidal beliefs, and the understanding of the Person in the Context of his suicidality (UPCS). Finally, participants are encouraged to come prepared with clinical cases for discussions. Learning objectives Participants will describe the function of a suicidality assessment Participants will discuss how to formulate a treatment plan with an individualized case conceptualization Participants will explain the importance of instilling hope as an effective tool in treating suicidal clients Participants will utilize the “Domino Effect” of suicidality when treating clients at risk of suicide