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Pediatric Grand Rounds (RECORDING) Empirically-Based Strategies for Adolescent Suicide Prevention


Pediatric Grand Rounds (RECORDING) Empirically-Based Strategies for Adolescent Suicide Prevention Banner

  • Overview
  • Faculty
  • Begin


Date & Location
Friday, December 16, 2022, 12:00 AM - Friday, December 15, 2023, 11:59 PM

Overview

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice.  This session  reviews evidence-based strategies for reducing adolescent suicide and suicide attempts, including brief safety interventions and ongoing psychotherapy approaches.


Registration

  Release Date: December 16, 2022
  Expiration Date: December 15, 2023
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 11/11/2022.


Credits
AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience
Specialties - Pediatrics, Psychiatry & Behavioral Sciences

Objectives
At the conclusion of this activity, participants should be able to:

  1. Discuss the scope of adolescent suicidal behavior and suicide risk
  2. Identify brief safety interventions for reducing adolescent suicide risk that can be used in primary care.
  3. Employ evidence-based psychotherapy approaches for suicidal youth to facilitate linkage from primary care to appropriate mental health care.

Accreditation

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Additional Information

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography

Addy. (2014). How to create a self-harm safety box. My Journey with Depression.
https://myjourneywithdepression.wordpress.com/2014/02/02/how-to-create-a-self-harm-safety-box/

Asarnow, J. R., Hughes, J. L., Babeva, K. N., & Sugar, C. A. (2017). Cognitive-Behavioral
Family Treatment for Suicide Attempt Prevention: A Randomized Controlled Trial.
Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 506–514.
https://doi.org/10.1016/j.jaac.2017.03.015

Asarnow, J. R., Porta, G., Spirito, A., Emslie, G., Clarke, G., Wagner, K. D., Vitiello, B., Keller,
M., Birmaher, B., McCracken, J., Mayes, T., Berk, M., & Brent, D. A. (2011). Suicide
attempts and nonsuicidal self-injury in the treatment of resistant depression in
adolescents: findings from the TORDIA study. Journal of the American Academy of
Child and Adolescent Psychiatry, 50(8), 772–781.
https://doi.org/10.1016/j.jaac.2011.04.003

Charpignon, M. L., Ontiveros, J., Sundaresan, S., Puri, A., Chandra, J., Mandl, K. D., &
Majumder, M. S. (2022). Evaluation of Suicides Among US Adolescents During the
COVID-19 Pandemic. JAMA pediatrics, 176(7), 724–726.
https://doi.org/10.1001/jamapediatrics.2022.0515

Esposito-Smythers, C., Spirito, A., Kahler, C. W., Hunt, J., & Monti, P. (2011). Treatment of
co-occurring substance abuse and suicidality among adolescents: a randomized trial.
Journal of consulting and clinical psychology, 79(6), 728–739.
https://doi.org/10.1037/a0026074

Glenn, J. J., Werntz, A. J., Slama, S. J., Steinman, S. A., Teachman, B. A., & Nock, M. K.
(2017). Suicide and self-injury-related implicit cognition: A large-scale examination and
replication. Journal of abnormal psychology, 126(2), 199–211.
https://doi.org/10.1037/abn0000230

Huey, S. J., Jr, Henggeler, S. W., Rowland, M. D., Halliday-Boykins, C. A., Cunningham, P.
B., Pickrel, S. G., & Edwards, J. (2004). Multisystemic therapy effects on attempted
suicide by youths presenting psychiatric emergencies. Journal of the American Academy
of Child and Adolescent Psychiatry, 43(2), 183–190.
https://doi.org/10.1097/00004583-200402000-00014

Ivey-Stephenson, A. Z., Demissie, Z., Crosby, A. E., Stone, D. M., Gaylor, E., Wilkins, N.,
Lowry, R., & Brown, M. (2020). Suicidal Ideation and Behaviors Among High School
Students. Centers for Disease Control and Prevention: Morbidity and Mortality Weekly
Report (MMWR), 69(1), 47-55. https://www.cdc.gov/mmwr/volumes/69/su/su6901a6.htm

McCarty, C. A., Russo, J., Grossman, D. C., Katon, W., Rockhill, C., McCauley, E., Richards,
J., & Richardson, L. (2011). Adolescents with suicidal ideation: health care use and
functioning. Academic pediatrics, 11(5), 422–426.
https://doi.org/10.1016/j.acap.2011.01.004

McCauley, E., Berk, M. S., Asarnow, J. R., Adrian, M., Cohen, J., Korslund, K., Avina, C.,
Hughes, J., Harned, M., Gallop, R., & Linehan, M. M. (2018). Efficacy of Dialectical
Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical
Trial. JAMA psychiatry, 75(8), 777–785.
https://doi.org/10.1001/jamapsychiatry.2018.1109

Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., Larsson, B. S.,
Stanley, B. H., Miller, A. L., Sund, A. M., & Grøholt, B. (2014). Dialectical behavior
therapy for adolescents with repeated suicidal and self-harming behavior: a randomized
trial. Journal of the American Academy of Child and Adolescent Psychiatry, 53(10),
1082–1091. https://doi.org/10.1016/j.jaac.2014.07.003

Monto, M. A., McRee, N., & Deryck, F. S. (2018). Nonsuicidal Self-Injury Among a
Representative Sample of US Adolescents, 2015. American journal of public health,
108(8), 1042–1048. https://doi.org/10.2105/AJPH.2018.304470
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M.,
& Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal
behavior among adolescents: results from the National Comorbidity Survey Replication
Adolescent Supplement. JAMA psychiatry, 70(3), 300–310.
https://doi.org/10.1001/2013.jamapsychiatry.55

Pineda, J., & Dadds, M. R. (2013). Family intervention for adolescents with suicidal
behavior: a randomized controlled trial and mediation analysis. Journal of the American
Academy of Child and Adolescent Psychiatry, 52(8), 851–862.
https://doi.org/10.1016/j.jaac.2013.05.015

Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in
adolescents: a randomized controlled trial. Journal of the American Academy of Child
and Adolescent Psychiatry, 51(12), 1304–1313.e3.
https://doi.org/10.1016/j.jaac.2012.09.018

Stanley, B., & Brown, G. K. (2012). Safety planning intervention: A brief intervention to
mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264.
https://doi.org/10.1016/j.cbpra.2011.01.001

Stanley, B., Brown, G. K., Brenner, L. A., Galfalvy, H. C., Currier, G. W., Knox, K. L.,
Chaudhury, S. R., Bush, A. L., & Green, K. L. (2018). Comparison of the Safety
Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the
Emergency Department. JAMA psychiatry, 75(9), 894–900.
https://doi.org/10.1001/jamapsychiatry.2018.1776

Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Baral Abrams, G., Barreira, P.,
& Kress, V. (2013). Nonsuicidal self-injury as a gateway to suicide in young adults. The
Journal of adolescent health : official publication of the Society for Adolescent Medicine,
52(4), 486–492. https://doi.org/10.1016/j.jadohealth.2012.09.010

Wilkinson, P., Kelvin, R., Roberts, C., Dubicka, B., & Goodyer, I. (2011). Clinical and
psychosocial predictors of suicide attempts and nonsuicidal self-injury in the Adolescent
Depression Antidepressants and Psychotherapy Trial (ADAPT). The American journal of
psychiatry, 168(5), 495–501. https://doi.org/10.1176/appi.ajp.2010.10050718

Wood, A., Trainor, G., Rothwell, J., Moore, A., & Harrington, R. (2001). Randomized trial of
group therapy for repeated deliberate self-harm in adolescents. Journal of the American
Academy of Child and Adolescent Psychiatry, 40(11), 1246–1253.
https://doi.org/10.1097/00004583-200111000-00003

Yard, E., Radhakrishnan, L., Ballesteros, M. F., Sheppard, M., Gates, A., Stein, Z., Hartnett,
K., Kite-Powell, A., Rodgers, L., Adjemian, J., Ehlman, D. C., Holland, K., Idaikkadar,
N., Ivey-Stephenson, A., Martinez, P., Law, R., & Stone, D. M. (2021). Emergency
Department Visits for Suspected Suicide Attempts Among Persons Aged 12-25 Years
Before and During the COVID-19 Pandemic - United States, January 2019-May 2021.
MMWR. Morbidity and mortality weekly report, 70(24), 888–894.
https://doi.org/10.15585/mmwr.mm7024e1

For CME general questions, please contact 
 
   Email: [email protected]



Mitigation of Relevant Financial Relationships


Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.



Member Information
Role in activity
Nature of Relationship(s) / Name of Ineligible Company(s)
Alan R. Schroeder, MD
Clinical Professor
Stanford University
Co-Course Director
Nothing to disclose
Olivera Marsenic Couloures, MD
LPCH
Course Director and Reviewer
Nothing to disclose
Michele Berk, PhD
Stanford University
Faculty
Consulting Fee-Melon Health (Relationship has ended)
Debra Babcock, MD
Stanford Childrens (PCHA)
Planner
Nothing to disclose
Faculty Photos
Lisa Jo Chamberlain, MD
Professor of Pediatrics – General Pediatrics
Stanford Children's Health
Planner
Nothing to disclose
Faculty Photos
Baraka Dechelle Floyd, MD
Clinical Assistant Professor and Associate Chair for Diversity, Equity, and Inclusion
Stanford University School of Medicine
Planner
Nothing to disclose
Charles Gawad, MD, PhD
Associate Professor
Stanford
Planner
Ownership-BioSkryb Genomics
Faculty Photos
Allison Guerin, EdD
Stanford
Planner
Nothing to disclose
Faculty Photos
Mary Beth Leonard, MD, MSCE
Arline and Pete Harman Professor and Chair, Department of Pediatrics
Stanford University
Planner
Nothing to disclose
Ryan Lion, MD, MS
Stanford University
Planner
Nothing to disclose
Lauren E O'Brien, MD
Clinical Assistant Professor
LPCH
Planner
Nothing to disclose
Stephen J Roth, MPH, MD
Attending, Cardiovascular ICU
Lucile Packard Children's Hospital Stanford
Planner
Nothing to disclose
Faculty Photos
Stephanie Squires, MD
Pediatric Hospital Medicine Fellow
Stanford Health Care/ Stanford Children's Hospital
Planner
Nothing to disclose
Ke-You Zhang, MD
Stanford University
Planner

Pediatric Grand Rounds (RECORDING) Empirically-Based Strategies for Adolescent Suicide Prevention
INSTRUCTIONS:  Click the Launch YouTube button to watch the video on YouTube. Next, click the Attestation button. Attest to your participation, view results, and complete the evaluation. After successful completion, your credit transcript will be available to view and download immediately in MY CE portal. 

Can’t find the evaluation? Click the MY CE button and select the Evaluation and Certificates tile. Select the Complete Evaluation button associated with the activity. 
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