Behavioral Health Bulletin

Suicide Prevention Month Special Issue

Issue 10, September 2022

In observance of Suicide Prevention Month, we take the opportunity to share tools and resources to help you effectively address suicidality in your practice. Continue reading for recommendations on evaluating suicide risk and determining interventions, information for families living with veterans and their firearms, and more. 

Behavioral Health Events

Some events are CME-accredited; please refer to the individual event landing pages for details


September 14, 2022

Managing Suicidal Patients in Primary Care


Social (In)Justice and Mental Health


October 3, 2022

Frontiers in Psychiatric Treatment: Personality Disorders


October 12, 2022

Barriers to Screening for Substance Use


November 9, 2022

Motivational Interviewing: Engaging Patients and Families in Destigmatized Substance Use Care


December 14, 2022

Effective Treatments for Substance Use

September is Suicide Prevention Month


In 2020, there were nearly twice as many suicides in the United States as there were homicides. Suicide was the twelfth leading cause of death across all age groups, and the second leading cause of death among children ages 10-14 and adults ages 25-34.* It is, without question, something we all must work together to prevent.

*Source: National Institute of Mental Health

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Addressing and Assessing Suicidality


What do you do when a patient presents with suicidality? When do you manage these patients yourself and when should they be sent to the ED?


We will be discussing these questions in our next Mind Matters ECHO meeting this Wednesday, September 14th. Dr. Robert Fields, Chief Population Health Officer for the Mount Sinai Health System, will also share his experience losing a patient to suicide. 

Suicide Prevention Resources from MSHP


New! Provider's Guide to Suicide Risk Assessment


This guide walks you through starting the conversation about suicidality, documenting and assessing risk, determining appropriate interventions, and conceptualizing these tools with practice scenarios.


Suicide Prevention Webpage


Find information about risk factors, warning signs, and suicide myths as well as short (1 minute or less) video tips with Anitha Iyer, PhD, Director of Behavioral Health Population Management.


New on the Blog! Suicidality: Patient Engagement and Intervention 


Encountering patients who express suicidal ideation can be unsettling and difficult. How do you know which interventions to make? At what point do emergency services need to get involved? How can you support your patients through their most difficult moments in the least invasive and traumatizing way? Beyond triaging patients who disclose suicidal ideation, how do you identify patients who may be at risk for suicide but are not (yet) willing to disclose such thoughts to you? 


Blog: A Holistic Approach to Suicide Prevention


About half of all patients who die by suicide denied any suicidal ideation or behaviors at their last visit, and about half of all completed suicides are by patients identified as “low risk." Amy Bennett-Staub, RN, MPA, discusses the SAFE-T protocol and how it can help providers perform a more holistic assessment of suicidality.

Mind Matters ECHO

What is Mind Matters ECHO?


Mind Matters ECHO is a monthly meeting for healthcare providers to discuss a peer-presented case followed by a didactic presentation from a health system expert.


Register for the next meeting


September 14, 2022

Managing Suicidal Patients in Primary Care


View the recording of the last meeting


August 10, 2022

Mind Matters ECHO: Difficulty Sleeping and Depression


Mind Matters ECHO is appropriate for any clinician who encounters behavioral health needs or challenges in their practice.

 

Submit a patient case for our upcoming Mind Matters sessions

 

Do you have a case to present? We're seeking cases related to suspected or diagnosed substance usePresenters have reported they find sharing their cases and the feedback they receive to be a valuable tool in their practice.

 

How it Works


Email Anitha Iyer, PhD and Course Director to discuss your potential case. If selected, you'll complete our online case submission form and our team will use that information to create slides for your presentation. We'll also schedule a 30 minute run through with you ahead of your presentation to ensure everything goes smoothly.

Behavioral Health Tip of the Month

Consider behavioral interventions first in patients with insomnia


The American College of Physicians recommends cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. This guideline is based on a systematic review of randomized, controlled trials published in English from 2004 through September 2015.


To supplement, or in lieu of, CBT-I, we have prepared some resources to support you in managing patients with insomnia:


  • Our CBT-I Overview provides an overview of basic CBT-I techniques and resources, including two apps the VA developed that your patients can download and use on their own or with therapy
  • Our Sleep Hygiene Guidelines offer suggested behavioral modifications to support healthy sleep habits, and can be shared directly with patients


Additional behavioral health resources can be accessed on our website.


Source: Katie Angelova, MD

Engaging Veterans’ Loved Ones in Suicide Prevention

A new website to help friends and family of veterans


Marianne Goodman, MD, Professor of Psychiatry at Icahn School of Medicine at Mount Sinai developed a new website to help families living with a veteran and their firearms. The website shares information on the safe storage of firearms, how to limit access to firearms during times of distress, how to start conversations with loved ones about suicide and safety, and resources for seeking help and support.


Learn more

Behavioral Health in the Literature

Safety planning-type interventions for suicide prevention: meta-analysis


A recent meta-analysis published in the British Journal of Psychiatry found that the risk of suicidal behavior was reduced by 43% in patients using a safety planning-type intervention (SPTI). The authors found that other interventions may be needed to reduce suicidal ideation, however.



Learn more


Watch this quick video on safety planning with Dr. Anitha Iyer to learn more about how to safety plan with your patients.

Mount Sinai Health Library

Information to share with your patients: suicidal behavior


Peruse the Mount Sinai Health Library for information to share with your patients. With over 100 psychiatry topics presented in patient-friendly language, the Health Library can be a valuable source for your patients to help understand their diagnoses.


This month, share information on suicidal behaviors with your patients.

Center for Stress, Resilience, and Personal Growth

Try Out the New eConsult Program for Help Addressing Your Mount Sinai Employee Patients’ Mental Health Needs


Are you seeing a Mount Sinai employee in need of behavioral health support? The Center for Stress, Resilience, and Personal Growth (CSRPG) has developed an eConsult request order in Epic specifically to assist providers treating our employees. You can now use eConsult to request a phone consult with The Center's psychiatrist, Dr. Mary Christopher. Receive guidance on delivering mental health care to your patient within the primary care setting OR request that the patient be seen by the CSRPG for therapy and/or psychiatric care. 


The eConsult order set can be accessed in Epic encounters through the "Orders" tab by entering "ECONSULT/REFERRAL TO FPA RESILIENCE CENTER". 


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