Suicide and Self-Harm in Our Youth: Assessment Tools and Treatment Approaches that Help Clients Heal

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Tony L. Sheppard, Psy.D., CGP, FAGPA Related seminars and products: 4

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Tony L. Sheppard, Psy.D., CGP, FAGPA, specializes in treating young people suffering from psychiatric issues including self-harm and suicide. A licensed psychologist and certified group psychotherapist, Tony brings over 15 years of experience working with children, adolescents, and young adults to his clinical practice. In addition to his private practice, Groupworks, he has trained hundreds of clinicians, educators, nurses, and physicians across the country in the treatment of self-harm and suicide, and is the author of a training curriculum in group psychotherapy.

Tony’s clinical approach draws from interpersonal neurobiology, Dialectical Behavioral Therapy, solution-focused brief therapy, Cognitive Behavioral Therapy, and positive psychology. His creative and interactive delivery style will draw you into the dire nature of youth suicide and self-harm and have you leaving feeling confident and prepared to handle this most important work.

Speaker Disclosure:

Financial: Tony Sheppard is founder and director of Groupworks, Inc. He receives a speaking honorarium from PESI, Inc.

Non-financial: Tony Sheppard is a member of the American Group Psychotherapy Association; and the International Board for Certification of Group Psychotherapists.

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Objectives

1. Employ clinical screening and assessment tools to help you determine which clients present the highest risk for suicide.
2. Apply motivational techniques that engage resistant suicidal and self-harming teens in the therapeutic process.
3. Develop strategies for incorporating schools and peer groups into your treatment plans for suicidal and self-harming clients, and communicate how this multi-systemic approach can improve treatment outcomes.
4. Articulate how alternative coping strategies can be introduced in-session to help self injuring clients manage triggering situations without engaging in self-harm.
5. Communicate how clinicians can foster support among family members with techniques that promote problem solving and communication, and help young people feel in control and part of the therapeutic process.
6. Utilize therapeutic interventions from Dialectical Behavior Therapy to improve your clients’ coping skills and interpersonal effectiveness.

Outline

• Non-Suicidal Self Injury (NSSI) and Suicide
  • Primary motivations and neuropsychology
  • NSSI and trauma
  • Suicide and Suicidal Ideation – symptom or disease
  • Is youth suicide contagious?
  • Means and means restriction
  • Relationship between NSSI and suicide
• Assessment is the Key to Effective Treatment
  • A matter of trust – clinical implications of research on confidentiality of minors with mental health concerns
  • Differential diagnosis
  • Clinical screening and formal assessment tools for NSSI
    • Recency and frequency
    • Severity
    • Triggers
    • Who’s aware
  • Suicide risk assessment
    • SAFE-T
    • PATH WARM
    • Ideation, plan, means, intent
    • Level of risk
    • Intervention
• Use the Stages of Change/Motivational Interviewing Model in Treatment
  • Assess readiness
  • Gauge interventions
  • Motivational techniques that engage teens and adolescents in their treatment
  • Sustain and maintain recovery
  • Case example
• Therapeutic Interventions Drawn from Interpersonal Neurobiology, CBT, and DBT
  • Develop distraction strategies
  • Build coping skills
  • Enhance self-esteem and self-acceptance
  • Improve relationships and relational skills
  • Address trauma (Big T and Little T)
  • Develop problem solving skills
  • The role of adjunctive therapies
• Replacement Behaviors for NSSI
  • Use of alternative harm behaviors
  • Simulation strategies
    • Proceed with caution
  • Case example
• Employ a Multi-Systemic Treatment Approach
  • Working with parents
    • Educate and consult
    • No one understands me - Validation in the family context
    • The issue of control
    • Contract to curb NSSI and Suicidal Ideation Monitoring
  • The role of the school
    • Who needs to know/how much?
    • Reporting to parents
    • Build “Trusted Adult” support networks
  • The role of peers
  • The impact of Veteran suicide on family dynamics and connectedness
• Social Media, NSSI, and Suicide: The Harm and The Help
  • Cyberbullicide - The impact of online bullying
  • Video sharing, social media and self-injury
  • Support and connection through social media, apps, and other technologies
    • 5 tips for assessing online resources
    • Online tools you can use

Please Note: PESI is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organizations.

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