Assessing and Managing Suicide Risk: Core Competencies for Behavioral Health Professionals Working in Inpatient Settings
According to the Centers for Disease Control and Prevention, in 2021 over 48,000 people died by suicide with 6,529 of them between the ages of 10-24 years old. [1] During that period, 12.3 million adults seriously thought about suicide. [1] Healthcare professionals are critical to the identification, assessment, and management of individuals with suicide risk even though most do not receive the necessary training. [2, 3]
The AMSR for Behavioral Health Staff Working in Inpatient Settings (AMSR-Inpatient) curriculum develops skills in the recognition, assessment, and management of suicide risk and the delivery of effective suicide-specific interventions.
"AMSR for inpatient care has allowed clinicians to become more confident and competent in providing suicide safer interventions for individuals at the peak of a crisis.”
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 both trainings and courses based on the AMSR-Inpatient curriculum for behavioral health clinicians working in inpatient settings who conduct suicide risk and nursing assessments, primarily those with a master’s degree or above, including medical providers and registered nurses. The training and course both provide clinical professionals with vital information and practice to improve their suicide care practice.
AMSR-Inpatient Training is a full-day facilitated workshop offered live in-person or online for clinical professionals seeking to improve their suicide care practice.
AMSR-Inpatient Course is an online asynchronous course that offers eight hours of instruction over five months of access for clinical professionals requiring a more flexible learning schedule.
AMSR-Inpatient Training of Trainers is a three-day facilitated workshop offered in-person or online for qualified participants seeking to lead AMSR training at their place of work. The first day participants will attend the training as provided by an AMSR lead trainer. The second and third day will focus on how to provide the training.
Suicide and People Receiving Mental Health Care
Suicidal behavior is a major cause of death and disability in the United States. According to the Centers for Disease Control and Prevention, in 2022,1.7 million people attempted suicide and 3.7 million people made a plan to die by suicide. [1] Research shows that the risk of suicide death is highest within the first seven days and remains high throughout the 30 days following discharge from an emergency department or inpatient psychiatric unit. [4]
Despite the acute needs of individuals with elevated suicide risk many providers—psychologists, social workers, mental health counselors, and other professionals—are inadequately trained to assess, intervene, and manage suicide risk in the individuals in their care. [2, 3] According to the National Action Alliance for Suicide Prevention, “Many clinical training programs do not fully prepare healthcare professionals to provide suicide care.” [5]
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.
Assessing and Managing Suicide Risk 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.
Behavioral healthcare professionals working in inpatient settings can help patients with elevated suicide risk by using the suicide risk identification, assessment, and management competencies taught in the AMSR-Inpatient training. Delivering best practices in suicide care to individuals with elevated suicide risk during inpatient treatment can offset the high-risk period they may experience post-discharge. [6]
AMSR-Inpatient Training
AMSR-Inpatient training provides participants with the knowledge and skills they need to address suicide risk and behaviors in the inpatient setting. Participants will have the opportunity to increase their knowledge and apply practical skills in the five AMSR competencies.
AMSR-Inpatient training follows national guidelines for caring for people with suicide risk.
- Guidelines
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- National Action Alliance for Suicide Prevention Recommended Standard Care for People with Suicide Risk: Making Healthcare Suicide Safe
- VA/DoD Clinical Practice Guidelines Assessment and Management of Patients at Risk for Suicide
- The Joint Commission recommendations for compliance with NPSG 15.01.01 and Suicide Risk Recommendations from the Suicide Risk Reduction Expert Panel Suicide Prevention Portal
- National Action Alliance for Suicide Prevention Suicide Prevention and the Clinical Workforce: Guidelines for Training
- Citations
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[1] Centers for Disease Control and Prevention (CDC). (2023). Suicide Data and Statistics. Retrieved from: https://www.cdc.gov/suicide/suicide-data-statistics.html
[2] Labouliere, C. D., Green, K. L., Vasan, P., Cummings, A., Layman, D., Kammer, J., Rahman, M., Brown, G. K., Finnerty, M., & Stanley, B. (2021). Is the outpatient mental health workforce ready to save lives? Suicide prevention training, knowledge, self‐efficacy, and clinical practices prior to the implementation of a statewide suicide prevention initiative. Suicide and Life-Threatening Behavior, 51(2), 325–333. https://doi.org/10.1111/sltb.12708
[3]Wakai, S., Schilling, E. A., Aseltine, R. H., Blair, E. W., Bourbeau, J., Duarte, A., Durst, L. S., Graham, P., Hubbard, N., Hughey, K., Weidner, D., & Welsh, A. (2020). Suicide prevention skills, confidence and training: Results from the Zero Suicide Workforce Survey of behavioral health care professionals. SAGE Open Medicine, 8, 205031212093315. https://doi.org/10.1177/2050312120933152
[4] Chung, D., Hadzi-Pavlovic, D., Wang, M., Swaraj, S., Olfson, M., & Large, M. (2019). Meta-analysis of suicide rates in the first week and the first month after psychiatric hospitalisation. BMJ Open, 9(3), e023883. https://doi.org/10.1136/bmjopen-2018-023883
[5] National Action Alliance for Suicide Prevention: Transforming Health Systems Initiative Work Group. (2018). Recommended standard care for people with suicide risk: Making health care suicide safe. Washington, DC: Education Development Center, Inc.
[6] Knesper, D. J., American Association of Suicidology, & Suicide Prevention Resource Center. (2010) Continuity of care for suicide prevention and research: Suicide attempts and suicide deaths subsequent to discharge from the emergency department or psychiatry inpatient unit. Newton, MA: Education Development Center, Inc.
AMSR Direct Care Inpatient
This training is complemented by the 3-hour version of AMSR for Direct Care Staff in Inpatient 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-Direct Care Inpatient Curriculum
“For those who experience suicidal crises and receive acute care interventions in hospitals and Emergency Rooms, suicide risk does not end at the moment of discharge. Rather, their elevated risk continues or is easily rekindled in the days and weeks that follow, leading to heightened rates of suicide during this post-acute care period.”