Targeted Interventions: Firearms, Culture & Suicide Care

This self-paced online course reviews the attitudes, knowledge, and skills needed to support clinicians in working with patients who own and use firearms.

In the United States, self-directed firearm use accounts for approximately half of all suicide deaths. To address this risk in health care settings, clinical guidelines advise health care professionals to engage patients in discussions about reducing firearm access when suicide risk is identified. In practice, broad differences in worldviews and practical knowledge about firearms between clinicians and firearm owners sometimes hinder the success of these discussions. 

In response to this “culture gap,” the online course Targeted Interventions: Firearms, Culture & Suicide Care reviews attitudes, knowledge, and skills to support clinicians in working with patients who own and use firearms.

It covers a framework for cultural competency training, worldviews about firearms and clinical responsibilities cultural factors related to firearm ownership and use and more.


Targeted Interventions: Firearms, Culture & Suicide Care

​Course Length: 3 hours

Course Cost: Free ($25 fee if claiming CME credit)

Topics Covered

  • A framework for cultural competency training
  • Worldviews about firearms and clinical responsibilities
  • Cultural factors related to firearm ownership and use
  • Practical knowledge about firearms and locking devices
  • Frameworks for understanding suicide risk and suicide care
  • Recommendations for culturally informed lethal means counseling

Objectives

By the end of this training, you will be able to:

  • Identify your own cultural worldview about firearms and how this might affect clinical care.
  • Distinguish ethical obligations when engaged in policy-based and clinically-based work.
  • Identify cultural factors associated with firearm ownership and use.
  • Describe the components of the suicidal process and suicide care.
  • Explain the importance of narrative interviewing in suicide care.  
  • Describe the scientific basis for lethal means safety.
  • Use recommended questions to assess for firearm access.
  • Identify steps in a sequence of lethal means counseling: assessment for firearm access, orientation to lethal means safety, motivational interviewing, and case formulation.  


Registration

Click here to register for the course.


Continuing Education Credits

Targeted Interventions: Firearms, Culture & Suicide Care can be taken for CME credit. All participants choosing to claim CME credit are responsible for the additional continuing education credit fee of $25 per course, payable after course completion. CME credit is optional.

CME Accreditation

The University of Washington School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Washington School of Medicine designates this other activity for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Participation

To participate in the Targeted Interventions: Firearms, Culture & Suicide Care course, register and then follow emailed instructions to access the course. The training is currently free for providers and client-facing staff. To receive CME, participants must complete the online educational activity followed by an evaluation and a post-test. To be eligible for CME, participants must receive a minimum score of 75% on the post-test, with two attempts allowed. After successfully completing the post-test, we will report your completion to the UW CME office, who will contact you with instructions for claiming and paying ($25) for CME or a certificate of contact hours.

Disclosure Information

  • Anna Ratzliff, MD, PhD (author and planner): royalties from Wiley

The following authors have indicated they do not have any relationships to disclose: Jennifer Stuber, PhD, Ian Bennett, MD, PhD, John Kern, MD, Molly Adrian, PhD, Mark Reger, PhD, Jeff Sung, MD, Brett Bass

The following planners have indicated they do not have any relationships to disclose: Jennifer Stuber, PhD, Ian Bennett, MD, PhD, John Kern, MD, Molly Adrian, PhD, Mark Reger, PhD, Alan Gojdics, MEd, Betsy Payn, MA, Melissa Farnum, MA, Diana Roll, Emma Mallonee, MPH, Rebecca Vaux, Larry Wright, PhD, Michele Roe

Medium or Combination of Media Used

This CME activity is web-based and requires Internet access as well as a computer, tablet, smartphone, or other device that can connect to the Internet. Media used includes video, audio, text, and graphics.

Date of Release: November 24, 2021

Termination Date: October 31, 2023

Training Details

Length: 3 Hours

Format: Online

Cost: Free (Optional CME at a cost)

Continuing Education: 3 CME ($25 fee to claim, payable after course completion.)

Acknowledgements:

This course was developed by Forefront and the AIMS Center at the University of Washington, thanks to the Harborview Behavioral Health Institute and funding from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Authors: Jeff Sung, Brad Bass

Contributors: Emma Mallonee, MPH, Sabrina Votava, LMHC, Casey Metzger, Zach North, Erica Runge, Jennifer Stuber , PhD, Kathleen Gilligan, Rick Stevenson, Brooks Callison 

Developers: Alan Gojdics, MEd, Melissa Farnum, MA, Diana Roll

Hope and Recovery for Everyone: Cultural Factors in Suicide Care

Hope for Everyone: Cultural Factors in Suicide Care is a self-paced online training course developed for clinicians who already possess basic knowledge of suicide assessment practices and are looking to improve their cultural competency when providing suicide care to patients.

People across all cultural groups are impacted by suicide, yet individual experiences of suicide, non-fatal suicidal behavior, and suicidal ideation are not universal. Health care professionals may need to adapt their approaches to suicide care for each individual to account for a variety of factors, including cultural factors.

In this training, participants will explore a clinically focused definition of culture and ways that cultural factors influence suicide risk.

Two clinical tools, the DSM-5 Cultural Formulation Interview and The Cultural Assessment of Risk for Suicide Screener, are then introduced to help facilitate culturally sensitive assessment and management of suicide risk.

Please note that this training was developed under the assumption that participants already possess basic knowledge of suicide risk assessment.

Training Details

Length: 1 hour

Format: Online

Cost: Free (Optional CME at a cost)

Continuing Education: 1 CME ($25 fee to claim, payable after course completion.)

Acknowledgements:

This course was developed by Forefront and the AIMS Center at the University of Washington, thanks to the Harborview Behavioral Health Institute and funding from the Substance Abuse and Mental Health Services Administration (SAMHSA).

PARSWeb Training

Preventing Addiction Related Suicide (PARS) is a prevention intervention provided to addiction treatment patients who are at higher risk of suicide.

About

The PARS module is an interactive psychoeducational suicide prevention program designed to be used within community addiction group therapy treatment by addiction specialists and counselors, like SUDPs in Washington.

It is a three-hour PowerPoint based interactive group session focusing on future suicide prevention, not acute treatment. The PARS intervention was designed with input from addiction patients, counselors, and administrators to fit easily into intensive outpatient programs, the most common form of addiction treatment in the U.S.

Prior to PARS, no evidence-based suicide prevention intervention had been developed for alcohol/drug addiction treatment populations.


Training Details

​PARSWeb is an online training to help counselors deliver the PARS intervention to their clients in group settings. It includes:

  • a copy of the PARSWeb manual
  • A web-based workbook that includes expanded guidance, sample discussion prompts, and facilitation tips from the UW CSPAR PARS team based on live group observations
  • A full video example of Dr. Ries facilitating the PARS training live at a community addiction treatment center
  • Highlights of key content sections and group discussions

If you unsure about purchasing, we recommend reviewing the PARSWeb manual for free!

Length: 4 hours

Format: Online

Cost: $100.00

Continuing Education: No CE. A completion certificate is available upon passing the quiz.

Acknowledgements:

These materials were developed in collaboration with the AIMS Center and Dr. Richard Ries.  

Questions?

Email us at [email protected]

Please allow for up to 48 business hours for a response.

PARSWeb Manual

Preventing Addiction Related Suicide (PARS) is a prevention intervention provided to addiction treatment patients.

About

The free manual consists of the PARS PowerPoint slides for administration to clients/patients and along with an integrated brief guide for counselors on leading discussions around slide content. If you are looking for additional training around use of this manual, we recommend the full PARSWeb training.


Training Details

Length: Varies

Format: PDF

Cost: Free with Registration

Continuing Education: Not available

Acknowledgements:

These materials were developed in collaboration with the AIMS Center and Dr. Richard Ries.  

Questions?

For more information, email [email protected]

Please allow for up to 48 business hours for a response.

Caring Contacts Online Training

Caring Contacts is a simple but powerful suicide prevention intervention that radically changes the relationship between clinicians and clients.

About

Instead of waiting for clients to reach out in distress, a clinician or other caring individual sends 8 or more messages of care, support and connection to a suicidal individual over the course of a year or longer. Reaching out out to clients repeatedly over time leads to moments of connection and provides opportunities to offer help when it is needed.

Training Details

This is a one-hour, interactive, self-paced training. It is designed to give providers and client-facing staff an additional tool to prevent suicide.

Length: 1 hour

Format: Online

Cost: Free

Continuing Education: This course does not provide CE.

Acknowledgements:

This training was developed in collaboration with the AIMS Center and Behavioral Health Institute with Amanda Kerbrat, LICSW CSPAR Research Scientist.

Questions?

Email [email protected]