26-year-old gender non-conforming graduate student by Richard Shadick https://padlet.com/drrichardshadick/2mklnhsabekx Practice scenario #2 - share 2 thoughts from your practice en-us 2019-03-10 11:43:35 UTC 2019-03-21 18:31:08 UTC hello@padlet.com Assessing previous suicide attempts? How is current functioning- sleeping, eating, impulsive behavior https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343947892 2019-03-21 18:21:30 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343947892 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948319 Assessment of safety and evaluating the last 48 hours would be important in determining a plan for safety and identification of supports.  Also identification of dominant symptoms currently and evaluation of drug/alcohol use/abuse]]> 2019-03-21 18:22:13 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948319 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948471 Current safety level? 
Self-harm versus suicide behavior? ]]> 2019-03-21 18:22:29 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948471 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948759 There are quite a few risk factors. I want to assess for protective factors ]]> 2019-03-21 18:23:01 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948759 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948788 There are a lot of factors to assess.
I am strengths based focus on hope, strengths and protective factors more. Could this be a problem if the client is really feeling hopeless or suicidal. Does this minimize their feelings?]]> 2019-03-21 18:23:03 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343948788 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949056 Normalization of ideation and completing a full assessment using sequencing ]]> 2019-03-21 18:23:28 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949056 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949244 It was important to ask how likely they were  to actually utilize their safety plan and also identify possible barriers to using it.]]> 2019-03-21 18:23:47 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949244 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949378 Triggers for last suicide attempt?
Support system?
Protective factor- academics and relationship and support from advisor]]> 2019-03-21 18:24:02 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949378 19 year old male https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949485 His combination of alcohol and pain killers feel very risky. I would involve his parents of caregivers to step in and help make decisions and provide supportive holding. This feels beyond a college counseling center. Unsure if he could be hospitalized if he denies suicidality and we can’t provide monitoring. ]]> 2019-03-21 18:24:13 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343949485 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950217 I still don’t quite get how the “sequencing behaviors” strategy works. ]]> 2019-03-21 18:25:16 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950217 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950431 19 year old male

Gathering information regarding previous history of tx and hospitalization]]> 2019-03-21 18:25:40 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950431 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950523 Can you please clarify “using precise terminology”?]]> 2019-03-21 18:25:50 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950523 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950593 In general - how do you gather information from outside sources (ie. Friends/roommates, Res. Life) via student signing the release, without breaching trust/impacting the theraputic relationship.]]> 2019-03-21 18:25:57 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950593 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950737 19 year old male

Is he feeling burdensome due to financial stressors?]]> 2019-03-21 18:26:11 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950737 https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950791 26 
We discussed the balance of use of time that includes safety planning vs assessment ]]> 2019-03-21 18:26:16 UTC https://padlet.com/drrichardshadick/2mklnhsabekx/wish/343950791