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Anticipated Suicide Stigma, Secrecy and Suicidality among Suicide Attempt Survivors

credit limit =
total earned credit = +

This course is based upon material published in Suicide and Life-Threatening Behavior and is available as an open-access article.

Objective: Suicidal behavior is stigmatized, and suicide attempt survivors often keep their experiences secret. Although secrecy can protect from discrimination, research from related fields suggests that both the experience of stigma and secrecy can contribute to suicidality. Although suicide attempt survivors are at high risk for reattempt, research investigating the link between suicide stigma and suicidality among this group is rare.

Method: A community sample of 159 suicide attempt survivors participated in an online survey in the US. We used multiple linear regression models to test the association between anticipated suicide stigma and current suicidality, as well as a path model to test the mediating effect of secrecy.

Results: After controlling for age, sex, number of lifetime suicide attempts, and time since the most recent suicide attempt, anticipated suicide stigma was significantly associated with increased suicidality. In a controlled path model, this link was partially mediated by increased secrecy.

Conclusion: These results provide initial support that anticipated suicide stigma, and secrecy can contribute to suicidality among suicide attempt survivors. Therefore, programs to support suicide attempt survivors in coping with suicide stigma and secrecy, as well as interventions to reduce harmful aspects of public suicide stigma, could contribute to suicide prevention.

This course on suicide stigma and secrecy 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 or increase their knowledge of suicidality factors among suicide attempt survivors. It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal.  

The course is based on a journal article that includes research.  It contains statistical analysis and data that some clinicians enjoy reading and others do not.  A major benefit of reading research-based articles for continuing education is they provide practitioners with the latest findings in their field. 

Authors:  Mayer, Rusch, Frey, Nadorff, Drapeau, Sheehan, and Oexle

Learning Objectives: This course will provide the practitioner with detailed information regarding suicide stigma, secrecy, and suicidality among survivors.  Specifically, a professional will:

  • Identify social groups at high risk for suicidality
  • Recognize how stigma develops
  • Summarize the effect of secrecy on suicidality

Citation:  Mayer, L., et al.  Anticipated Suicide Stigma, Secrecy, and Suicidality among Suicide Attempt Survivors.  Suicide and Life-Threatening Behavior 50(3) June 2020.

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] => California Board of Registered Nursing.
            [Description] => CEP 15647 Expires 11/30/2026.
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            [Name] => California Association of DUI Treatment Programs (CADTP)
            [Description] => Provider Number 231
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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 1 Clinical continuing education clock hours.
  • The National Board for Certified Counselors (NBCC) Ce-Classes.com has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6320. Programs that do not qualify for NBCC credit are clearly identified. Ce-Classes.com is solely responsible for all aspects of the programs.
  • 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: 2439%2Fanticipated-suicide-stigma-secrecy-and-suicidality-among-suicide-attempt-survivors
  • 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 Non Interactive .

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