Suicide Prevention Blog Series: Clinical Tip #2

by Staff and Faculty of the QPR Institute Saturday, October 26, 2013

 

In honor of the launch of the HelpPRO Suicide Prevention Therapist Finder (see Press Releasewe bring you this five part series of clinical tips with the most up to date research and thinking on suicide prevention.  

Paul Quinnett, PhD, President and CEO, The QPR Institute, Inc, says 22 veterans will take their own lives today.  So will someone's daughter, a brother, a co-worker, and far too many working men and grandfathers.  According to the Centers for Disease Control and Prevention, in just one day, more then 105 of our fellow Americans will die by suicide.  Perhaps this clinical tip will save just one.

Clinical Tip #2 -- Documenting Reasons to NOT Hospitalize

When deciding not to hospitalize a patient at risk for suicide, it is important that the clinician conduct a risk-benefit analysis.  The reasons for hospitalization may include the relative assurance of a safer, more controlled environment, a beneficial milieu, multidisciplinary staff evaluation, initiation of stabilizing medications, etc.  The reasons not to hospitalize a suicidal person might include potential loss of self-esteem, stigmatization, risk of losing a job, fostering unwanted dependency, failure to benefit from prior hospitalizations, etc.  When confronted with a possible hospitalization, the patient may also express a willingness to participate in outpatient treatment and adhere to a medication regimen. 

Whatever your reasons to not hospitalize a consumer who has expressed suicidal ideations, prior plans or suicide attempts, it is strongly recommended that the primary care provider seek consultation and/or supervision regarding the decision and to carefully document the reasons for this decision.  In a world of increasing litigation for suicide malpractice, and if a bad outcome is experienced, an uniformed jury will need to be convinced that 1) you thought the problem through, 2) you weighed the risks and benefits carefully with the patient and his or her family, and 3) you took a reasonable and prudent course of action.

The QPR Institute (www.QPRinstitute.com) provides Online Advanced Suicide Prevention Courses for a wide range of professionals including: Mental health professionals, school counselors, crisis line workers, substance abuse professionals, EMS/firefighters, law enforcement, primary care providers, nurses and correctional workers.

For more information please visit our full library of advanced courses!

 

Paul Quinnett, PhD., Founder & CEO QPR Institute, www.QPRinstitute.com

 


Tags: , , , , ,

Self-Care | Social Work | Suicide Bereavement | Suicide Prevention | Treatment Modalities

Suicide Prevention Blog Series: Clinical Tip #1

by Staff and Faculty of the QPR Institute Friday, October 4, 2013

 

In honor of the launch of the HelpPRO Suicide Prevention Therapist Finder (see Press Release) we bring you this five week series of clinical tips with the most up to date research and thinking on suicide prevention.

Clinical tip #1 -- So-called “No-Suicide Contracts”

Despite clinical lore there is no scientific evidence that so-called “no suicide” contracts actually save lives or prevent suicide attempts.  Despite their widespread use, specific training in their purpose, utility, and employment is largely unavailable.  

The use of a no-suicide contract as a defense against a complaint of suicide malpractice is at best dubious and at worst negligent.  However, experts generally agree that the refusal of a suicidal person to enter into a good-faith agreement to remain safe (which implies a willingness to participate in recommended treatment), suggests the risk for a suicide attempt may be higher than first assessed. 
 
Documentation of clinical status, including the results of a mental status examination, together with a detailed suicide risk assessment are the best evidence that due clinical diligence was undertaken. Care planning, level of monitoring, frequency of visits, and similar interventions hinge on the quality of the initial and subsequent reassessment of suicide risk. For the most recent literature review, please see Lisa McConnell Lewis, LCSW’s “No-Harm Contracts: A Review of What We Know, Suicide and Life-Threatening Behavior, vol. 7, #`, February, 2007.

The QPR Institute (www.QPRinstitute.com) provides Online Advanced Suicide Prevention Courses for a wide range of professionals including: Mental health professionals, school counselors, crisis line workers, substance abuse professionals, EMS/firefighters, law enforcement, primary care providers, nurses and correctional workers.

For more information please visit our full library of advanced courses!

 

  Paul Quinnett, PhD., Founder & CEO QPR Institute, www.QPRinstitute.com

 


Tags:

Self-Care | Social Work | Suicide Bereavement | Suicide Prevention

Heros and the Heat of the Game

by Rosemary De Faria Wednesday, July 17, 2013

There has been a lot of buzz with the play-offs lately.  One has to live under a rock to avoid being affected by it in one form or another.

Not being a sports fan I decided to take a walk on the wild side by accepting an invitation to dinner at a local bar where the final game would be played on every screen in the place.

My immersion experience began with the driver of the shuttle who took us to the bar.  He recounted the story of the previous evening’s game, sharing with emotion how he had been close to tears when it looked like his beloved team may lose.     His voice, hoarse from all the screaming, now had a lilt in it as he spoke of the team’s dramatic win.  They had managed to turn things around and to listen to him; it had been close to a spiritual experience.

In the restaurant people were already seated in the front row.   Dressed in their Heat attire, they were screaming and throwing their hands up to clap for a play which brought the team a little closer to winning.   

I began thinking of the role these sportsmen played for people, young and old from all walks of life and I found myself wondering : “Who do we make our heroes and why? “

When I think of my heroes, the people that come to mind are rarely those with celebrity.  Oh, I admit, Oprah holds a special place for me as I’m sure she does for many, but I think instead, of Sister Mendonca my fifth grade teacher who had the kindest, most loving heart.   She made some difficult times a bit easier to bear and I have never forgotten her for it.  

Now in middle age, I think of my father as another hero.  This surprises me at first, but it is a good choice nonetheless.   He was a tough, scary man, but he modeled some of the most important principles in life for which I am very grateful.  The best parts of me are all as a result of having him as my father. 

I sometimes sit across from my clients and wonder, am I a hero for them?    If so, I hope I can be like my heroes, who in very humble and unassuming ways gave me so much. 

Take the time to seek out your heroes.   They often go unnoticed, flying under the radar with little or no awareness of their own magnificence, but they are heroes nonetheless.

Let them know how they have impacted you.  Then, think about how you can be a hero for someone else and do it.  You may just change a life in unexpected ways.   Unleash the hero within you.  I promise you it’s there …ready and waiting to get into the heat of the game.

Rosemary De Faria, LCSW has a psycho-spiritual psychotherapy practice in Miami, Florida.  With over 20 years experience she uses both traditional and alternative therapies in working with her clients.  To read more about Rosemary or to read more of her articles, please visit www.distincttherapy.com. Mention this blog article for a complementary phone consultation: 954-966-3446.

Tags: , ,

relationships, friendships | Self-Care | Social Work | Therapeutic Relationship

Make Your New Year's Resolution an Everyday Intention

by Tami Boehle Satterfield LGSW Thursday, January 3, 2013

All packed. Note bulging (ish) suitcase

I set my intention for relaxation and peace of mind. I am about to travel almost 3000 miles across the country on a connecting flight. 

Intention is the idea of something made potential through the use of language. Through language, an abstract concept can be transformed into an organized and concrete thought. It is thoughts that inform our emotions and emotions that inform our actions. If what I think informs a healthy feeling, I am more likely to act in ways that are in my best interest. 

At this moment I am feeling anxious. My husband has already been on the West coast for a week on business. I will join him and we will spend 10 days running the coast of Monterey, hiking the hills of Big Sur, and combing the beaches for sea anemones and starfish. So why do I feel anxious? 

When I back up in time, reviewing my actions and the feelings behind them, I find the space where anxiety rose. It was just after thinking that I had successfully packed the big suitcase with 10 days worth of my husband's and my casual clothes for weather ranging in temperature from 55 to 79 degrees. I was feeling very satisfied at the moment of zipping the 50 pound bag shut. And then I thought, "50 pound bag!", and I felt fear. How was I going to carry it down two flights of stairs? What if it weighs over 50 pounds and I am required to pay extra? 

Fear escalates from anxiety to panic. Should I unpack and rethink what I am bringing? Maybe I can empty the suitcase and carry the contents to the car and pack there. How can I know if it is too heavy? Why am I bringing his clothes? I should have never... And so my monkey mind runs. 

Bringing Intention In

This is the perfect place for intention. This everyday space. This moment. A moment in my life. Here and now. I can continue along with my monkey mind and setting off fireworks, dodging land mines, lamenting down memory lane, and pointing ahead to all the ways it will never work. And it is guaranteed that I will feel miserable, defeated, and unhappy as I set out for 10 days alone with the man I love in some of the most beautiful countryside in the world. This is not how I want to start my vacation. 

I center myself. Bringing my attention to my feet, noticing them flat on the floor. Hands on my thighs, I breathe in for the count of four, hold it for two, and exhale for six. I repeat it two more times. And as I bring myself more fully present in my body, I bring my awareness to the expanisve feeling I have created. 

Body relaxed, breath slowed, mind quieted. It is in this space of time that I set my intention for travel. 

What Intention is and How to Set it.

Merriam-Webster's first definition of intention reads: "a determination to act in a certain way." Thoughts inform emotions, emotions inform actions, and actions inform future possibilities. What do I want to make possible? This is important because what I want is not the same as what I don't want. Right now, what I most clearly know is what I don't want. I don't want to start my vacation miserable, defeated, and unhappy.

In setting an intention, I empower an idea that I desire to become a reality. I choose my words to attract what I desire. Watching my words carefully, as they are the directions on my map of reality and I would like to steer myself on the most direct course to the destination of relaxation and peace of mind. Attracting all possibilities for supporting and improving my opportunities to attain relaxation and peace of mind, not misery, defeat, and unhappiness. 

Notice for yourself. Place your feet flat on the floor, hands on your thighs, and practice three breaths in this way: In for four, hold for two, and exhale for six. Now say, "I don't want to be stressed out." Notice how you feel. Bring your awareness to your feet, your stomach, your chest, and your head. What do you notice? Now, do it again and say, "let me be free to experience relaxation and peace of mind." Any difference? You might notice a calmer stomach, lighter chest, and more expansive feeling in your head. You might experience more positive sensations. 

When I am present in this moment, I find myself afraid about my 50 pound suitcase. I notice that my monkey mind takes me off to the races. Here and there. Back and forth. I breathe. Feet flat on the floor, hands on my thighs, and I breathe. I see that in this moment I am reliant on my environment. There is no other way. I am dependent on the airline to transport me, their scale to weigh my bag, and my own brain and brawn to get the darn thing down the stairs. I realize that this interdependency or oneness means a relinquishing of control. I can't possibly know all the things that might happen at any moment and all the things that are interdependent of those things. To be honest, I can't know anything for certain. And if I attempt to control that which is outside my influence, I will feel more anxious. It is at this juncture, when I am willing, that I can shift my focus from control to cooperation. This is the "aha" moment. I let go and welcome the "I don't know mind." I don't know how I will get my 50 pound suitcase down the stairs, but with some curiosity and my intention set for an expansive mind, I am sure I will figure it out. And I will feel good doing it. 

This January, when you sit down to write your New Year's resolution, carefully choose words to attract what you desire and to empower you to think, feel, and act on it. And then support it with everyday intention.

***

Tami Boehle-Satterfield, LGSW, NBCCH, HTA is a licensed professional therapist, certified hypnotherapist, and practitioner of Healing Touch energy medicine. She practices therapy from a solution oriented approach called Attention to Living Therapy. She utilizes many treatment techniques that facilitate shifts to increase motivation, creativity, and self confidence. www.attentiontoliving.com

Tags:

Self-Care

Calendar

<<  February 2020  >>
SMTWTFS
2627282930311
2345678
9101112131415
16171819202122
23242526272829
1234567

View posts in large calendar

Page List

    Month List