A person looking at a training book
AMSR-DC Outpatient

Assessing and Managing Suicide Risk for Direct Care Staff Working in Outpatient Health and Behavioral Healthcare Settings

Over 48,000 people died by suicide in the U.S. each year. Outpatient mental health professionals play a critical role in the identification, assessment, and long-term management of suicide risk among their clients. 

The AMSR for Direct Care Staff Working in Outpatient Settings curriculum develops skills in the recognition, assessment, and management of suicide risk and the delivery of effective suicide-specific interventions.

“Educating the mental health workforce to assess and respond to suicide risk is essential to the National Strategy for Suicide Prevention, and to efforts such as the Zero Suicide initiative for providing ‘suicide safer’ care systems.”

Pisani, A.R., Murrie, D.C., Silverman, M.M. (2016). Reformulating Suicide Risk Formulation: From Prediction To Prevention. 

Assessing and Managing Suicide Risk

Assessing and Managing Suicide Risk (AMSR) teaches best practices recommended by the nation's leading experts in the research and delivery of suicide care.

We offer AMSR workshops based on the AMSR-Direct Care Outpatient curriculum for direct care professionals who work in outpatient treatment settings including mental health technicians, LPNs, teachers, and recreation and expressive therapists. Training in how to deliver AMSR-Direct Care Outpatient training is included in the AMSR-Outpatient Training of Trainers.

ASMR-Direct Care Outpatient Training is a half-day facilitated workshop offered in-person or online for non-clinical professionals seeking to improve their suicide care practice.

AMSR-Direct Care Outpatient Course is an on-demand course that offers three hours of instruction over three months of access for non-clinical professionals requiring a more flexible learning schedule.

Suicide and People Receiving Mental Health Care

Suicidal behavior is a major cause of death and disability in the United States. Each year, over 45,000 people die by suicide [1] and hundreds of thousands are seen in hospital emergency departments for suicide attempts [2]. A significant proportion of people who died by suicide had recent contact with a mental health professional. [3] However, many providers—psychologists, social workers, and other mental health counselors—are inadequately trained to assess, treat, and manage suicide risk in their clients. [4]

Assessing and Managing Suicide Risk (AMSR) fills that training gap by teaching the core competencies that meet suicide care standards established by national organizations including The Joint Commission, the National Action Alliance for Suicide Prevention, the Substance Abuse and Mental Health Services Administration, the Veterans Administration, and others.

Outpatient direct care professionals can help identify and support clients with suicide risk by using the suicide risk identification, assessment, and management competencies taught in the AMSR-Direct Care Outpatient training.

AMSR-Direct Care Outpatient Training

AMSR-Direct Care Outpatient training provides participants with the knowledge and skills they need to address suicide risk and behaviors in outpatient setting clients. Participants will have the opportunity to increase their knowledge and apply practical skills in the five areas of AMSR competency. 

Learn More

AMSR-Direct Care Outpatient training follows national guidelines for caring for people with suicide risk.


[1] Centers for Disease Control and Prevention (CDC). (2019). 2017, United States Suicide Injury Deaths and Rates per 100,000. WISQARS.  National Center for Injury Prevention and Control, NCHS Vital Statistics System for numbers of deaths. Bureau of Census for population estimates.

[2] Rui P, Kang K, Ashman JJ. (2016). National Hospital Ambulatory Medical Care Survey: 2016 emergency department summary tables. Table 16. Emergency department visits related to injury, poisoning, and adverse effect, by intent: United States, 2016.

[3] Ahmedani, B. K., Simon, G. E., Stewart, C., Beck, A., Waitzfelder, B. E., Rossom, R., … Solberg, L. I. (2014). Health care contacts in the year before suicide death. Journal of general internal medicine, 29(6), 870–877. doi:10.1007/s11606-014-2767-3

[4] Schmitz, W. M., Jr, Allen, M. H., Feldman, B. N., Gutin, N. J., Jahn, D. R., Kleespies, P. M., . . . Simpson, S. (2012). Preventing suicide through improved training in suicide risk assessment and care: An American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training. Suicide and Life Threatening Behavior, 42(3), 292–304.


This training is complemented by the 6.5-hour version of AMSR for Outpatient Settings, which helps treatment teams of clinicians and direct care staff speak the same risk assessment and management language to provide consistent, effective care organization-wide.

AMSR-Outpatient Curriculum