Webinar Archives

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The Adverse Childhood Experiences (ACEs) study, led by CDC and Kaiser Permanente, was a large-scale, retrospective study of the relationship between childhood trauma and household challenges on lifetime health outcomes, including suicide attempts, adult depression, and substance abuse. In this webinar, Deb Stone, ScD, MSW, MPH, of the Division of Violence Prevention at the Centers for Disease Control and Prevention described: the importance of comprehensive suicide prevention that includes a focus upstream on preventing suicide risk before it happens; ACEs as an important area of that focus, and examples of collaborative, evidence-based interventions to prevent early adversities. Ingrid Bou-Saada MA, MPH, Injury Prevention Program Consultant with the Injury & Violence Prevention Branch at the North Carolina Department of Health and Human Services Division of Public Health, and Elizabeth Cuervo Tilson, MD, MPH, State Health Director and Chief Medical Officer for the North Carolina Department of Health and Human Services, presented on the path North Carolina is taking to use a multi-agency collaborative approach that links ACEs to state behavioral health priorities such as suicide prevention and to multi-disciplinary initiatives. The North Carolina Department of Health and Human Services has provided leadership on a multi-agency collaboration connecting ACEs with state priorities in substance abuse prevention and the opioid epidemic and in the prevention of domestic violence, sexual assault, and suicide. 

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Child Maltreatment

Image of four people siting on chairs and studying with the text "The Rationale for Developing Comprehensive Approaches to Suicide Prevention and One State’s Experience with This Approach"

In this webinar, Eric Caine, M.D., Co-Director of the Center for the Study and Prevention of Suicide at the University of Rochester Medical Center, discussed the rationale for a comprehensive and highly coordinated approach to suicide prevention and described the role that public health can play in the implementation of this approach.  This presentation also considered what elements are necessary for creating and sustaining the mosaic of efforts that are needed for preventing suicide and its antecedent risks, as well as for preventing other related forms of premature death. Jarrod Hindman, M.S., Deputy Chief of the Violence and Injury Prevention-Mental Health Promotion Branch at the Colorado Department of Public Health and Environment, spoke about how the state of Colorado is adapting this approach in the planning and implementation of the Colorado National Collaborative, an initiative to develop, implement and evaluate a comprehensive approach to reduce suicide in Colorado by 20 percent by 2024. 

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Are you considering applying to participate in the Injury Control Research Center for Suicide Prevention's (ICRC-S) Research Training Institute (RTI) at the University of Rochester, May 7 - 11, 2018? If so, watch the archive of this webinar to hear 5 RTI alumni share their RTI experiences. These 5 participants from the 2013, 2014, and 2016 RTI's, spoke about their motivations for applying for the RTI, their experiences during the week-long Institute, and how participation in the RTI has impacted their work. The speakers are researchers and injury prevention practitioners who are based in a state health department, a medical center, an injury prevention research center and universities. They briefly described their RTI research projects and explained how those projects evolved over time, with influence from the RTI. You'll also learn about the challenges these alumni have faced and how the RTI has supported their work. 

For more information about the RTI and the Application, visit: http://suicideprevention-icrc-s.org/rticop1718

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Are you interested in developing a new suicide prevention research project?  This Community of Practice (CoP) webinar featured an expert panel of ICRC-S faculty from the University of Rochester Medical Center who responded to your questions about how to create a successful research project. Learn about how to formulate a research question, design a research project, and get IRB approval for your project. Hear about strategies for forming partnerships and conducting collaborative research and for getting your research published. Some of the common pitfalls and challenges that researchers encounter and get some tips for how to overcome these challenges were also discussed.  

The link to the first webinar in this series, along with the Call for Applications for the 2018 RTI, is here: http://suicideprevention-icrc-s.org/rticop1718 

For an overview of the Call for Applications and information on how to apply, watch our archived webinar.

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The Injury Control Research Center for Suicide Prevention (ICRC-S) is pleased to announce that its fourth Research Training Institute (RTI) will take place on Monday, May 7th to Friday, May 11th, 2018 at the University of Rochester in Rochester, NY.  A webinar to provide information about the RTI and the RTI application process was held on Thursday, September 21st from 3:00 p.m. – 4:00 p.m. Eastern Time.  This webinar provided an overview of the purpose and approach of the RTI, walked through the Call for Applications and the application form, and answered any questions that you may have had about the RTI.  

The RTI is a five-day series of interactive workshops, presentations, mentoring and small group sessions designed to promote collaboration between suicide prevention researchers and those involved in suicide prevention practice. Faculty include staff from the University of Rochester Medical Center and other experts in the suicide prevention research field.  Applicants were selected through a competitive process that requires researchers and injury prevention/suicide prevention professionals to work as partners to submit one joint application describing a research project which focuses on public health approaches to suicide prevention. The application deadline was Friday, January 12, 2018 at 5:00 p.m. ET.  

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The Zero Suicide model builds on the foundational belief that death by suicide for individuals receiving care within the health and behavioral health system is preventable. Collaborative safety planning, a critical component of the model, is an approach that allows clinicians to develop safety plans with any person identified for suicide risk. In this webinar, Adam Swanson of the Suicide Prevention Resource Center provided an overview of the Zero Suicide model and how safety planning contributes to the model. Dr. Barbara Stanley of Columbia University described the role safety planning has in preventing suicide, the six components of the Safety Planning Intervention (Stanley & Brown, 2012), and the research and evidence that supports safety planning. Dr. Stanley detailed how, in order to be effective, safety planning must be treated as a collaborative clinical intervention rather than a form to be completed. She briefly summarized the theoretical underpinnings of safety planning, its intended use, and the training necessary to embed the intervention in health care settings. Mr. Michael Cain of Southwest Behavioral Health Center in Utah discussed why the Center chose to incorporate collaborative safety planning as part of clinical workflows, how it is being implemented, and the challenges and successes encountered.

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The Good Behavior Game (GBG), a universal classroom behavior management method, was tested in first- and second-grade classrooms in Baltimore beginning in the 1985–1986 school year. Follow-up at ages 19–21 found significantly lower rates of drug and alcohol use disorders, regular smoking, antisocial personality disorder, delinquency and incarceration for violent crimes, suicide ideation, and use of school-based services among students who had played the GBG. Several replications with shorter follow-up periods have provided similar early results. (1) Evidence shows that Good Behavior Game benefits continue to accrue. In 2008, Holly Wilcox, PhD discovered that children who played the Game were half as likely as young adults to report suicidal thoughts and about a third less likely to report a suicide attempt. As a result, the Good Behavior Game is cited as a promising program in the National Suicide Prevention Strategy. (2) 
In this webinar, Holly Wilcox summarized the evidence behind the Good Behavior Game and described the relevant suicide prevention related research.  Dr. Wilcox also spoke about the development of the GBG, its intended use, and training that is available and needed to use it.  Mr. Longinaker, a first grade teacher in the Baltimore City School system, shared how he has used the Good Behavior Game in his classrooms and described the benefits and challenges of the program. 
1. The Good Behavior Game and the Future of Prevention and Treatment. Addict Sci Clin Pract. 2011 Jul; 6(1): 73–84. Sheppard G. Kellam, M.D.,Amelia C. L. Mackenzie, B.S., C. Hendricks Brown, Ph.D., Jeanne M. Poduska, Sc.D.,Wei Wang, Ph.D., Hanno Petras, Ph.D., and Holly C. Wilcox, Ph.D.
For more information about the Good Behavior Game, including training for teachers, visit: 

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Sleep disturbances, including difficulty initiating sleep, difficulty maintaining sleep, nightmares and early morning awakening are believed to be common among people who attempt suicide. (1) Nightmares are disturbing, visual dream sequences that occur in your mind and wake you up from your sleep. Nightmares are very common and can begin at any age. Nightmare disorder develops when you have nightmares on a frequent basis. Nightmare disorder is not as common as nightmares. Dr. Michael Nadorff reviewed the literature on nightmares and suicide, including possible mediators of the relation. He also discussed the literature on nightmare treatments, and how they may hold promise for reducing suicide risk. Dr. Barry Krakow focused his presentation on Imagery Rehearsal Therapy, which is a recommended treatment for nightmare disorder. He also discussed how to conduct the treatment in a time-limited fashion, as well as ways to overcome implementation barriers.

(1)    American Academy of Sleep Medicine. "Sleep Disturbances, Nightmares Are Common Among Suicide Attempters." ScienceDaily.  2 January 2007. <www.sciencedaily.com/releases/2007/01/070101113027.htm>

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The U.S death rate from suicide is stubbornly consistent, promoting calls for research to provide novel directions for prevention and treatment. While previous research has established systematic patterning across psychological, social, and geographical levels, and multilevel influences have been theorized, U.S. research integrating insights across promising etiological streams has been largely blocked by the absence of large-scale data sets combining individual and contextual levels. This webinar presents findings from a project that addressed this bifurcation in research efforts by merging a number of well-known data sets and harmonizing key, available variables. The resulting United States Multi-Level Suicide Data Set (US-MSDS) provides the ability to see how individual level risk factors change depending on geographic residence. The analyses provide some novel findings that have critical implications for future research and programming.

Bernice A. Pescosolido, Ph.D. is Distinguished and Chancellor’s Professor of Sociology at Indiana University, Director of the Indiana Consortium for Mental Health Services Research (ICMHSR), and Co-Director of the Indiana University Network Science Institute (IUNI). Dr. Pescosolido has focused her research and teaching on social issues in health, illness, and healing. Her research agenda addresses how social networks connect individuals to their communities and to institutional structures, providing the "wires" through which people’s attitudes and actions are connected and shaped. In the area of suicide research, she has examined claims on the utility of official suicide statistics, the contemporary effects of religious affiliation, and the potential of a network translation of Durkheim’s theory.

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Image of pills falling out of a bottle with the words "Poisoning and Self-Injury Mortality: Can Reclassification of Drug Deaths Lead to Improved Prevention?"

Dr. Ian Rockett began the webinar by providing information about suicide misclassification, especially as it relates to poisoning and the current opioid epidemic. He also discussed this misclassification as a problem for understanding and preventing suicide and then explained the concept of death from drug self-intoxication (DDSI) and the need for an enhanced category of self-injury mortality that transcends registered suicides. Dr. Eric Caine built on the prior presentation by placing this work into a public health-prevention context. Of note, many programmatic efforts – e.g., preventing suicide or DDSI – are based on the manner of death and the factors that were apparent during the last moments of life. Prevention efforts for self-injury mortality, however, must be developed long before these final, fatal moments.

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Substance Abuse

This was the first webinar in the ICRC-S's 2017 webinar series, which will explore Critical Issues in Suicide Prevention Research and Practice.

The suicide rate among U.S. middle school-aged children doubled between 2007 and 2014, according to data released in 2016 by the Centers for Disease Control and Prevention (CDC).  In 2007, among children ages 10 – 14, there were 180 suicide deaths, while in 2014 the number of suicide deaths in this age group increased to 425.  For the first time in 2014, the death rate due to suicide in this age range was the same as for injuries resulting from motor vehicle traffic crashes (1).  While the number of suicide deaths is low when compared to other age groups, any death by suicide is a tragedy felt by family, friends and society.  Moreover, the trend of suicide deaths among middle school-aged children indicates a growing public health problem that must be understood and addressed by researchers and practitioners. 

In this webinar, Sally Curtin, an author of the recently released CDC data report entitled Increase in Suicide in the United States, 1999–2014, described the trends in injury and violence-related deaths among children and youth and explained the data on suicide deaths in children ages 10-14. Jeffrey Hill, Violence and Injury Prevention Program Manager and Youth Suicide Prevention Project Manager in Rhode Island, described elements of Rhode Island’s Suicide Prevention Initiative (SPI) and their use of surveillance data for targeted program efforts.

(1) QuickStats: Death Rates for Motor Vehicle Traffic Injury, Suicide, and Homicide among Children and Adolescents Aged 10–14 Years — United States, 1999–2014. MMWR Morb Mortal Wkly Rep 2016;65:1203. DOI: http://dx.doi.org/10.15585/mmwr.mm6543a8

Community-based participatory research (CBPR) is a collaborative research approach that is designed to ensure meaningful participation by communities in all aspects of the research process. (1) This webinar focused on how to develop and sustain research collaborations for suicide prevention and describe purposes, principles, pitfalls and practices of these partnership systems.  The presenter, Dr. Ann Marie White, also discussed examples of collaborative research projects and how co-leadership with community stakeholders can advance the prevention of suicide. 
(1) Viswanathan, M. et al. (July 2004). Community based Participatory Research: Assessing the Evidence.  AHRQ Publication No. 04 - E022 2.

This webinar focused on the use of student-generated social media data to detect and monitor behavior patterns predictive of risk for suicide and self-injury. The Durkheim Project Application (DPA) is an existing digital technology, originally designed to apply machine learning algorithms to social media data to improve identification of risk for suicide in veterans. The presenters, Molly Adrian, Ph.D. and Aaron Lyon, Ph.D. of the University of Washington discussed their research into applying the DPA as a universal suicide prevention strategy to a general high school population in order to examine the extent to which student-generated social media data provide the information needed to accurately predict and reduce suicide risk compared to more traditional paper-and-pencil screening approaches.

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While the use of communication strategies is becoming increasingly popular in public health approaches to suicide prevention, few efforts regularly adopt recommended practices associated with successful messaging including the use of data to drive campaign activities. In this webinar, Dr. Karras provided guidance in this area by discussing empirical methods to inform the development and evaluation of suicide prevention messaging, and presented examples of those utilized by the Department of Veterans Affairs (VA) to assess outcomes associated with VA sponsored campaigns. She concluded her presentation with discussion of and recommendations for a framework for the effective use of suicide prevention communications. Sleep disturbance has been identified as a risk factor associated with suicidal thought and behavior and may represent a low stigma presenting problem for initiating psychotherapy. Dr. Bishop briefly reviewed the literature regarding relationships among sleep disturbance and suicidal thought and behavior and discussed ongoing work in the development of interventions to simultaneously address sleep, depression, and suicide, and the importance of this work to the Veteran community.

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This Community of Practice (CoP) webinar took place on Thursday, August 11, 2:00 – 3:00 p.m. Eastern Time and addressed two topics of interest to many early career researchers – career development and disseminating your research results. Eric Caine, MD and Yeates Conwell, MD, both Co-Directors of the ICRC-S, were the featured presenters.

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