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Professional Counselors Conceptualizations of the Relationship between Suicide and Self-Injury

credit limit =
total earned credit = +

Course Description: This course is based upon material published in the Journal of Mental Health Counseling and is available as an open-access article.

This study sought to increase understanding of the relationship between suicide and self-injury (SI). Advanced professional counselors were asked to discuss their conceptualizations of the relationship and how SI impacts clinical assessment and intervention. Data were collected via an online survey. Analysis was conducted by a research team using qualitative content analysis. Categories identified were (a) the relationship between suicide and SI, (b) the functions of SI, (c) debate about the potential for elevated risk, (d) whether or not suicide risk should be assessed differently with clients who self-injure, (e) how SI may impact treatment planning and goals, (f) how professional counselors intervene with clients who self-injure, and (g) how SI is identified. Self-injury (SI) is nonsuicidal, volitionally self-inflicted harm to the body that is not socially sanctioned (Klonsky, Muehlenkamp, Lewis, & Walsh, 2011); suicide attempts involve self-injurious behavior with the intent to die (Claes et al, 2010). Suicide and SI are among the most anxiety-provoking clinical issues professional counselors face. They are fairly common, potentially dangerous, difficult to predict and challenging to treat (Janis & Nock, 2008). Although our understanding of each has increased in recent years, the relationship between suicide and SI remains unclear (Claes et al, 2010). There is, however, an established link between the two–the risk of suicide is heightened among those who self-injure (Brausch & Gutierrez, 2010; Toprak, Cetin, Guven, Can, & Demircan, 2011).

This course has been updated with new information.  The updated content includes epidemiological data, general risk factors, risk factors associated with serious mental illness, and protective factors. In addition, the course content describes best practice guidelines for suicide risk assessment and provides links to valid and reliable assessment tools for brief screening and standardized clinical assessments.  This course on the relationship between suicide and self-injury is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work.  This course is appropriate for beginning, intermediate, and advanced level practitioners who wish to develop their intervention skills with suicide and self-injury treatment. The course material includes a brief literature review.  It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal.  

Authors:  Whisenhunt, Chang, Brack, Orr, Adams, Paige, Suicide Prevention Resources Center, American Psychiatric Association

Learning Objectives: This course will provide the practitioner with detailed information regarding suicide and self-injury treatment. Specifically, a professional will:

  • Describe the differences between suicide and self-injury.

  • Identify the functions of self-injury and its associated risks.

  • Recognize treatment planning and goals for suicidal patients.

Citation: Suicide Prevention Resource Center and American Psychiatric Association in partnership with SAMHSA.  (2020).  Suicide and Serious Mental Illness:  An Overview of Considerations, Assessment and Safety Planning. Retrieved from https://smiadviser.org/wp-content/uploads/2020/12/SMI-Adviser-Suicide-and-Serious-Mental-Illness.pdf on 8/31/2021.  And Whisenhunt, J. L., Chang, C. Y., Brack, G. L., Adams, L. G., Paige, (2014). Professional counselors’ conceptualizations of the relationship between suicide and self-injury. Journal of Mental Health Counseling.  

This course content is based on a publication that has been peer-reviewed, the scientific standard for evaluating academic work. All studies and scientifically derived evidence have limitations that should be considered. If you have any questions about the accuracy or limitations of the content, please contact us at support@ce-classes.com and we will get back to you.
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This Ce-Classes.com course is approved for CE credit by:

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            [Name] => Texas Board of Professional Counselors -
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  • The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
  • Association of Social Work Boards (ASWB) Ce-Classes.com, Provider #1142, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Ce-Classes.com maintains responsibility for this course. ACE provider approval Period: 1/5/2029
  • Social workers participating in this course will receive 2 Clinical continuing education clock hours.
  • California Board of Behavioral Sciences. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, to satisfy renewal requirements.
  • California Board of Registered Nursing. CEP 15647 Expires 11/30/2026.
  • California Association of DUI Treatment Programs (CADTP) Provider Number 231
  • California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-174-0627 Expires 6-2027
  • Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2027
  • Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2028 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
  • Illinois – CE-Classes.com is a registered social work CE sponsor by the State of Illinois. License 159.001607 Expires 11/30/2027
  • Massachusetts Authorization Number: 1375%2Fprofessional-counselors-conceptualizations-of-the-relationship-between-suicide-and-self-injury
  • New York Mental Health Practitioners Board CE-Classes.com, Inc. is recognized by the New York State Education Departments State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0260.
  • New York Psychology Board CE-Classes.com, Inc. is recognized by the New York State Education Departments State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0211
  • New York Social Work Board – Ce-Classes.com is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0120.
  • Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Approval from a state licensing board for counselors, social workers, marriage and family therapists is accepted by the OH CSWMFTB.
  • Oklahoma Board of Behavioral Health Licensure (LPCs, LMFTs and LBCs)
  • South Carolina – CE-Classes.com is approved by the S.C. Board of Examiners for Licensure of Professional Counselors, Marriage & Family Therapist, Addiction Counselors, and Psycho-Educational Specialists (#4696).
  • Texas Board of Marriage & Family Therapists CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
  • Texas Board of Professional Counselors – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
  • Texas Board of Social Work Examiners – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
  • This course is NOT available for NBCC credit.

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