
Practical Suicide/Risk Screening
Dr. Julie Keen, Psy.D.
About this training
A checklist can tell you what to ask. It cannot tell you how worried to be. Risk assessment is often taught as though the right questions will produce a clean answer: low, moderate, or high risk; outpatient care or hospitalization; safe or unsafe. Actual people are considerably less cooperative with flowcharts. The hardest cases often live in the middle: passive suicidal ideation without clear intent, chronic risk factors without an acute change, access to weapons without a stated plan, substance use that alters the picture, or a person whose behavior does not quite match their report. This interactive two-hour workshop reviews the research and guidelines that should inform suicide risk assessment—but it is not about memorizing another checklist or acronym. The focus is what happens after you ask the questions: interpreting answers in context, distinguishing chronic vulnerability from acute escalation, using behavioral observations as clinical data, and choosing a response proportionate to the risk in front of you. No two-hour workshop can eliminate uncertainty or turn clinicians into fortune-tellers. Through case examples and applied discussion, participants will develop a stronger framework for identifying thresholds for action, deciding when consultation or escalation is warranted, and documenting the reasoning behind those decisions. The goal is not perfect certainty. It is a clinical decision that is thoughtful, proportionate, and explainable. Learning Objectives At the conclusion of this program, participants will be able to: 1. Differentiate chronic suicide risk from indicators of acute escalation using risk factors, protective factors, warning signs, and current clinical context. 2. Apply practical strategies for determining immediate next steps, level of intervention, and when consultation or escalation of care is warranted. 3. Integrate conversational screening, relevant history, access to lethal means, substance use, and behavioral observations into routine clinical interviews and psychological evaluations. 4. Formulate and document the clinical reasoning supporting level of concern, intervention planning, and referral decisions.
CE credits: 2 · APA
