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Unlocking Suicidal Secrets: New Thoughts on Old Problems in Suicide Prevention ~ 6.5 CEUs
Providence St. Vincent's Souther Auditorium
Portland, OR
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At this time there are no more seats available for attendees, please contact the CDTC at 503-805-0989 to be placed on this training wait list. This training event has ended. Please see our website for additional training opportunities.


Unlocking Suicidal Secrets: New Thoughts on Old Problems in Suicide Prevention ~ 6.5 CEUs
Providence Health and Services is providing this training. Two days of training are being offered. There is a discount for attending both days! Lunch is additionally included. 6.5 hours of CEUs offered daily.

Goal of Training
This full-day workshop provides front-line clinicians with the state of the art skills necessary to tackle some of the most difficult clinical situations facing experienced clinicians regarding suicide assessment and prevention, documentation of risk, treatment planning, and building resiliency. Dr. Shea begins the day by tracking down the answers to two elusive and controversial questions: What is the nature of happiness? and What is the nature of human nature itself? He then demonstrates, with specific clinical examples, how the answers to these philosophical questions can be powerfully applied - a model called "matrix treatment planning" - to transform the types of stalled treatment plans that may lead to suicide. In addition he provides a remarkably fresh definition of happiness, which has numerous ramifications for problem solving, transforming difficult times, suicide prevention, and finding hope, while providing a surprisingly refreshing antidote to clinician "burn-out" as both client and clinician undertake their respective quests for happiness.

In the next workshop, a sophisticated look is given to the concept of risk and protective factors, focusing on their immediate application to the clinical formulation of suicide potential (including detailed looks at the SAD PERSONS SCALE, the NO HOPE Scale and the new warning signs mnemonic from the American Association of Suicidology). Dr. Shea then proceeds to dissect the fine art of documenting a suicide assessment, providing tips for writing a sound document that is both a useful clinical tool and a written record that can keep the clinician "out of court." After lunch the focus shifts to direct methods of uncovering dangerous secrets.

The first afternoon workshop is devoted to understanding five practical validity techniques: the behavioral incident, shame attenuation, gentle assumption, symptom amplification and denial of the specific - the cornerstones for effectively eliciting suicidal ideation. Dr. Shea demonstrates how these interviewing techniques can also provide powerful gateways for uncovering the types of sensitive topics that may lead to suicidal thoughts including: physical abuse, drug abuse, antisocial behavior, and incest.

The final workshop of the day is devoted to a demonstration of how these validity techniques can be woven into a specific strategy for uncovering suicidal ideation and intent  the Chronological Assessment of Suicide Events (the CASE Approach). The highly acclaimed CASE Approach has been described by David Jobes Ph.D., a former President of the American Association of Suicidology, as follows:
The CASE Approach moves the clinician almost imperceptibly into the secret internal workings of the mind and soul of the patient tormented by suicidal ideation. I believe that the CASE Approach is a remarkable conceptual and clinical contribution to the field of suicidology. It should be taught to any front-line clinician. It has the power to meaningfully save lives.

All interviewing techniques will be clearly demonstrated through the use of videotape examples from actual client interviews.

Behavioral Objectives
Be able to effectively apply the principles of matrix treatment planning and understand their relationship to the quest for a more resilient form of happiness and suicide prevention (including healing matrix effects, damaging matrix effects, and the Red Herring Principle).

Be able to use the current state of the art regarding risk and protective factors to better formulate suicide risk, including the ability to utilize interviewing techniques for uncovering psychotic risk factors such as command hallucinations, feelings of alien control, and hyper-religious ideation

Be able to create better risk documentation by understanding how attorneys use the written document to attack or defend in malpractice suits and the "Seven Protective Principles for Suicide Documentation."

Recognize and be able to utilize the following five interviewing techniques for increasing validity: the behavioral incident, shame attenuation, gentle assumption, symptom amplification, and denial of the specific.

Be able to utilize flexible strategies for weaving the above five validity techniques into effective methods of uncovering sensitive material related to suicide such as antisocial behavior, substance abuse, and violent ideation, while maintaining a powerful engagement.
Be able to apply the CASE Approach to uncover hidden suicidal ideation, actions, and intent.

8 a.m. to 8:30 a.m.Registration
8:30 a.m. to 10 a.m.
The Art of Matrix Treatment Planning and the Quest for Happiness: Suicide Prevention in a New Light
10 a.m. to 10:15 a.m.15 minute break
10:15 a.m. to 11:45 a.m.
An Updated Approach to Using Risk and Protective Factors in Suicide Assessment and the Art of Sound Documentation
12 p.m. to 1 p.m.Lunch
1 p.m. to 2:30 p.m.
Innovative Interviewing Techniques for Uncovering Suicidal Ideation and Other Taboo and Sensitive Material
2:30 p.m. to 2:45 p.m.15 minute break
2:45 p.m. to 4:15 p.m.
The Delicate Art of Eliciting Suicidal Ideation: the Chronological Assessment of Suicide Events (CASE Approach)
4:15 p.m. to 4:30 p.m.Wrap Up

Shawn Shea, M.D., Director, Training Institute for Suicide Assessment and Clinical Interviewing, Keene, New Hampshire

Shawn C. Shea, MD, is an internationally acclaimed workshop leader and educational innovator in the fields of suicide prevention, resiliency, and clinical interviewing, having given over 850 presentations worldwide.

Dr. Shea is the author of six books and numerous articles including one of the classic texts in the field of suicide prevention, The Practical Art of Suicide Assessment. Both editions of his book, Psychiatric Interviewing: the Art of Understanding, have been chosen by the Medical Library Association for the Brandon/Hill List as one of the sixteen most important books in the field of psychiatry.

Dr. Sheas book on creating resiliency in difficult times, Happiness Is., was chosen as a Brodart Library Gem, a Bowker's Title to Watch, and as the Philosophy Book of the Month by the Radical Academy.

Dr. Shea is the Executive Director of the Training Institute for Suicide Assessment and Clinical Interviewing, Inc., a training and consultation service providing workshops, consultations, and quality assurance design in mental health assessments. Dr. Shea is also in private practice.

Pre-registration and payment in advance is required.
This course has been approved by CDTC as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #100385. CDTC is responsible for all aspects of their programming.


Providence St. Vincent's Souther Auditorium (View)
9205 SW Barnes Rd.
Portland, OR 97225
United States



Minimum Age: 16
Kid Friendly: No
Dog Friendly: No
Non-Smoking: Yes!
Wheelchair Accessible: Yes!


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