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Evaluation of the Commitment to Living (CTL) Curriculum

A 3-Hour Training for Mental Health Professionals to Address Suicide Risk

Published Online: Doi: https://doi.org/10.1027/0227-5910/a000099

Background: Finding effective and efficient options for training mental health professionals to assess and manage suicide risk is a high priority. Aims: To test whether an innovative, brief workshop can improve provider knowledge, confidence, and written risk assessment in a multidisciplinary sample of ambulatory and acute services professionals and trainees. Methods: We conducted a pre/post evaluation of a 3 h workshop designed to improve clinical competence in suicide risk assessment by using visual concept mapping, medical records documentation, and site-specific crisis response options. Participants (N = 338 diverse mental health professionals) completed pre- and postworkshop questionnaires measuring their knowledge and confidence. Before and after the workshop, participants completed documentation for a clinical vignette. Trained coders rated the quality of risk assessment formulation before and after training. Results: Participants’ knowledge, confidence, and objectively-rated documentation skills improved significantly (p < .001), with large effect sizes. Participants’ expectation of their ability to transfer workshop content to their clinical practice was high (mean = 4.10 on 1–5 scale). Conclusions: Commitment to Living is a promising, innovative, and efficient curriculum for educating practicing clinicians to assess and respond to suicide risk. Well-designed, brief, suicide risk management programs can improve clinicians’ knowledge, confidence, and skill.

References

  • American Psychiatric Association . (2003). Assessment and treatment of patients with suicidal behaviors. Retrieved from www.psychiatryonline.com/pracGuide/pracGuideTopic_14.aspx First citation in articleGoogle Scholar

  • Brown, G. K. , Beck, A. T. , Steer, R. A. , Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377. doi: http://dx.doi.org/10.1037/0022-006X.68.3.371 First citation in articleCrossref MedlineGoogle Scholar

  • Bryan, C. J. , Rudd, M. (2006). Advances in the assessment of suicide risk. Journal of Clinical Psychology, 62, 185–200. First citation in articleCrossref MedlineGoogle Scholar

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillside, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Cross, W. , Cerulli, C. , Richards, H. , He, H. , Hermmann, J. (2010). Predicting dissemination of a disaster mental health “train-the-trainer” program. Disaster Medicine and Public Health Preparedness, 4, 339–343. First citation in articleCrossref MedlineGoogle Scholar

  • Fenwick, C. D. , Vassilas, C. A. , Carter, H. , Haque, M. (2004). Training health professionals in the recognition, assessment and management of suicide risk. International Journal of Psychiatry in Clinical Practice, 8, 117–121. doi: http://dx.doi.org/10.1080/13651500410005658 First citation in articleCrossrefGoogle Scholar

  • Gask, L. , Dixon, C. , Morriss, R. , Appleby, L. , Green, G. (2006). Evaluating STORM skills training for managing people at risk of suicide. Journal of Advanced Nursing, 54, 739–750. First citation in articleCrossref MedlineGoogle Scholar

  • Gonzalez, H. L. , Palencia, A. P. , Umana, L. A. , Galindo, L. , Villafrade, M. L. A. (2008). Mediated learning experience and concept maps: a pedagogical tool for achieving meaningful learning in medical physiology students. Advances in Physiology Education, 32, 312–316. First citation in articleCrossref MedlineGoogle Scholar

  • Harris, E. , Barraclough, B. (1997). Suicide as an outcome for mental disorders: A meta-analysis. British Journal of Psychiatry, 170, 205–228. First citation in articleCrossref MedlineGoogle Scholar

  • Holton, E. F., III , Bates, R. A. , Bookter, A. I. , Yamkovenko, V. (2007). Convergent and divergent validity of the Learning Transfer System Inventory. Human Resource Development Quarterly, 18, 385–419. doi: http://dx.doi.org/10.1002/hrdq.1210 First citation in articleCrossrefGoogle Scholar

  • Holton, E. F., III , Bates, R. A. , Ruona, W. E. (2000). Development of a generalized learning transfer system inventory. Human Resource Development Quarterly, 11, 333–360. First citation in articleCrossrefGoogle Scholar

  • Hunt, I. M. , Kapur, N. , Robinson, J. , Shaw, J. , Flynn, S. , Bailey, H. , ... Parsons, R. (2006). Suicide within 12 months of mental health service contact in different age and diagnostic groups: National clinical survey. British Journal of Psychiatry, 188, 135–142. First citation in articleCrossref MedlineGoogle Scholar

  • Luoma, J. B. , Martin, C. E. , Pearson, J. L. (2002). Contact with mental health and primary care providers before suicide: A review of the evidence. The American Journal of Psychiatry, 159, 909–916. First citation in articleCrossref MedlineGoogle Scholar

  • McNiel, D. E. , Fordwood, S. R. , Weaver, C. M. , Chamberlain, J. R. , Hall, S. E. , Binder, R. L. (2008). Effects of training on suicide risk assessment. Psychiatric Services, 59, 1462–1465. doi: 10.1176/appi.ps.59.12.1462 First citation in articleCrossref MedlineGoogle Scholar

  • Mintzes, J. , Wandersee, J. , Novak, J. D. (1998). Teaching science for understanding: A constructivist view. San Diego, CA: Academic Press. First citation in articleGoogle Scholar

  • Novak, J. D. (1995). Concept mapping: A strategy for organizing knowledge. In S. M. Glynn, R. Duit, (Eds.), Learning science in the schools: Research reforming practice (pp. 229–245). Hillsdale, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Oordt, M. S. , Jobes, D. A. , Fonseca, V. P. , Schmidt, S. M. (2009). Training mental health professionals to assess and manage suicidal behavior: Can provider confidence and practice behaviors be altered? Suicide and Life-Threatening Behavior, 39, 21–32. First citation in articleCrossref MedlineGoogle Scholar

  • Pisani, A. R. , Cross, W. C. , Gould, M. S. (2011). The assessment and management of suicide risk: State of workshop education. Suicide and Life-Threatening Behavior, 41, 255–276. doi: 10.1111/j.1943-278x.2011.00026.x First citation in articleCrossref MedlineGoogle Scholar

  • Srinivasan, M. , McElvany, M. , Shay, J. M. , Shavelson, R. J. , West, D. C. (2008). Measuring knowledge structure: Reliability of concept mapping assessment in medical education. Academic Medicine, 83, 1196–1203. First citation in articleCrossref MedlineGoogle Scholar

  • Suicide Prevention Resource Center . (2006). Core competencies in the assessment and management of suicide risk. Newton, MA: Author. First citation in articleGoogle Scholar

  • Vacek, J. E. (2009). Using a conceptual approach with a concept map of psychosis as an exemplar to promote critical thinking. The Journal of Nursing Education, 48, 49–53. First citation in articleCrossref MedlineGoogle Scholar

  • West, D. C. , Pomeroy, J. R. , Park, J. K. , Gerstenberger, E. A. , Sandoval, J. (2000). Critical thinking in graduate medical education: A role for concept mapping assessment? Journal of the American Medical Association, 284, 1105–1110. First citation in articleCrossrefGoogle Scholar

  • Wilgis, M. , McConnell, J. (2008). Concept mapping: An educational strategy to improve graduate nurses’ critical thinking skills during a hospital orientation program. Journal of Continuing Education in Nursing, 39, 119–126. First citation in articleCrossref MedlineGoogle Scholar

  • Willemsen, A. M. , Jansen, G. A. , Komen, J. C. , van Hooff, S. , Waterham, H. R. , Brites, P. M. , ... van Kampen, A. H. (2008). Organization and integration of biomedical knowledge with concept maps for key peroxisomal pathways. Bioinformatics, 24(16), i21–27. First citation in articleGoogle Scholar

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