Beste Suicide Prevention Training podcaster (2023)

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G011| Recap of STEPS and B4Now for ESF, Hong Kong - With Tracey Chitty 32:45

6M ago32:45

32:45

In the third recap episode for ESF, we cover the STEPS model, the Validity techniques of Shawn Shea, the Narrative method and the B4Now approach from PROTECT.Av Manaan Kar Ray, Tracey Chitty

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G010 | Recap of AWARE Framework for Clinical Decision Making 42:30

6M ago42:30

42:30

In conversation with Tracey Chitty, the AWARE framework has been contextualised into the educational setting in this podcast episode. The recap begins with a discussion on rational vs rationalising and then goes into each of the factors: Anxiety Weighting Agenda Resources Experience In particular the agendas of parents and principals are discussed …

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G09 | Humor Heals - World Suicide Prevention Day Special with Mallori and Lodge 1:36:30

7M ago1:36:30

1:36:30

A special episode to mark the 10th of September - World Suicide Prevention Day. Humor Heals #LOL @the Sound of Hope provides 3 exercises of therapeutic humour. Pile ‘o Punchlines The Comedy of Complaints The Comedy of Contradictions Its a collaboration with Mallori DeSalle and Lodge McCammon. By brining humour to one of the most serious of topics, …

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G08 | Recap of CORE Module - in Conversation with Tracey Chitty 36:20

7M ago36:20

36:20

In the second of the Recaps we go through the four chapters in the CORE module and pin down the key messages: Care Compass - Risk vs Recovery - without risk there is no recovery, with the right care the person has more control Optimise Pain Relief - Dig deep to establish the need and interests that lie beneath the position of dying, help them see t…

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G07 | Whole of School Approach to Suicide Prevention - in Conversation with Tracey Chitty 36:07

7M ago36:07

36:07

In the first of this sequence of guest episodes with Tracey Chitty, we share ESF's (Hong Kong) whole of school approach to suicide prevention after an intensive four days of training for school counsellors and teachers. In the upcoming episode, we will be summarising the key messages from the training for the attendees to recap what was taught and …

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27 | Suicide Prevention for Health Regulators - Finding Common Ground 27:56

7M ago27:56

27:56

A unique perspective to establish common ground between the Health Regulators and the practitioner under investigation is the basis for this episode. It builds on the previous episode of why Health Regulators need to be trained in Suicide Prevention and how Doctors and Nurses and Allied Health are an ultra high risk group when a notification happen…

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26 | Suicide Prevention for Health Regulators - Joiner's Model 13:32

7M ago13:32

13:32

Joiner's model of desire and capability is used to explain the high risk period that health practitioners face when they have had a notification to AHPRA (any health regulator for that matter). Manaan explains the training that is on offer for health regulators in this episode. We also take the opportunity to welcome listeners from the English Scho…

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25 | Borderline Conversation AWARE - Short vs Long Term 29:30

8M ago29:30

29:30

In the third of the 5 Critical Crisis Conversations, Manaan explores how the person's agenda of ensuring short term safety through admission may be quite different to the long term focus of resilience for the professional. Both want safety but the route to it is different. Being able to show the similarity of the overarching goal amidst the dissimi…

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24 | Borderline Conversation AWARE - Empowerment vs Containment 26:44

8M ago26:44

26:44

The second of the Borderline AWARE conversations relates to Weighting (Diagnosis, Course, Social Causation - how these factors may influence the weighting that we put on a person's suicidality). The conversation is named Empowerment vs Containment. The episode builds on the Advice vs Action conversation and goes a step further providing the listene…

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23 | Borderline Conversation AWARE - Advice vs Action 33:35

8M ago33:35

33:35

In this sequence of nuanced conversations, listeners will be guided through some of the most sensitive issues that they will have to navigate while supporting a person in suicidal distress. This episode captures the essence of Advice vs Action. The advice we give - face your fears, applies to us as well when we make decisions regarding whether we a…

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22 | Decision Making in Borderline Crisis - AWARE Case Simmulation 32:07

8M ago32:07

32:07

Jill presents to the Emergency Department in a suicidal crisis, she has Borderline Personality Disorder and believes that the only way her safety can be maintained is through an inpatient admission. This is not an infrequent occurrence for those working in an ED setting. Dr Kar Ray talks you through the different AWARE factors that can influence th…

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21 | Borderline Personality Disorder ~ The Shadow of Splitting 29:12

9M ago29:12

29:12

Understanding splitting is essential to supporting people in Borderline Personality Disorder (BPD), particularly when they are in suicidal crisis. In this episode Dr Kar Ray shares some foundational constructs as well as some practical tips that can help a health care professional or even family members provide the most appropriate support.…

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G6 | 7 SAFE Steps - Post-Simulation Actor's Debrief - Tegan, Sami, Charlie, Kyra 29:11

9M ago29:11

29:11

Following two days of 7 SAFE Steps training, we caught up with our four professional actors who brought to life Sandeep in the simulations. They are the fabulous 4: Tegan Braithwaite, Charlie Baz, Sami Afuni and Kyra Thompson. This is an opportunistic recording of the debrief and the feedback they provided. 7 SAFE STEPS is a 7 session safety protoc…

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20 | Personality Disorder ~ Clusters A, B and C 29:12

9M ago29:12

29:12

In the lead up to a case study, Manaan delves deep into Personality Disorders and talks about all 10 conditions covering clusters A, B and C in this episode. Cluster A These personality disorders are characterized by odd or eccentric behaviour. People with cluster A personality disorders tend to experience major disruptions in relationships because…

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G5 | Yvette Bonilla - Transitions in Care 55:52

9M ago55:52

55:52

Yvette Bonilla, LMSW, is the Owner and CEO of Suicide Care Consulting Services. She has seen firsthand the fateful effects of the revolving door effect and how it can rattle the lives of clients, the work and motivation of providers, the cost labor for leaders, and the reputation of the hospital system. Mrs. Bonilla is a thought leader in the suici…

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19 | Creep Crash Crawl 22:04

10M ago22:04

22:04

Building on the qualitative theme of Experience in the AWARE framework is the phenomenon of Creep Crash Crawl. The episode describes how risk taking gradually creeps up due to suicide being a rare event, rare events cause confirmation bias, what I decided clinically was the right decision... This results in a Creep up of risk taking which is inevit…

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18 | AWARE 5 - Experience 24:56

10M ago24:56

24:56

Experience is the final AWARE factor. In this episode Manaan explores in detail the different ways in which experience generalises: Experience of the same patient over time Experience of a diagnostic group Experience of a demographic group Experience of supporting people in suicidal distress In the final half Manaan shares how the professional or p…

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G4 | Dr Miguel de Seixas ~ From Vietnam with Love 56:08

10M ago56:08

56:08

Dr Miguel de Seixas, Head of Psychiatry at Family Medical Practice in Vietnam shares valuable insights from his journey (Cambridge to Saigon). Miguel talks about how Psychiatric practice in Cambridge and Saigon are similar but also different. The foundation of our practice i.e. connecting with kindness and compassion with the pain that the person i…

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17 | AWARE 4 - Agenda & Resources 25:23

10M ago25:23

25:23

Are you eliciting an agenda in the referrer, patient or carer? And whatever you elicit is that impacting the way in which you listen to the person's story i.e. does it affect your clinical decision. Agenda is the third of the five AWARE factors and it was quite obvious that assessors were responding to agendas they perceived, sometimes positively b…

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16 | AWARE 3 - Weighting 27:45

11M ago27:45

27:45

Episode 16 explores how assessors rate suicidality in different kinds of presentation i.e. weighting. The AWARE study established that the weighting of suicidality could be impacted by: Diagnosis (Personality Disorder and Substance misuse counted for less) Course (Acute trumped acute on chronic, which trumped chronic) Social Causation (Carried less…

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G3 | Shazzy Tharby - Navigating Suicidal Crisis in Autistic People 1:17:34

11M ago1:17:34

1:17:34

Neurodivergent people in a neurotypical world face unique challenges when navigating a suicidal crisis. The busy, bright, noisy Emergency Department does not serve as a safety scaffolding, if anything could perpetuate the crisis or actually cause a melt down while waiting. Shazzy shares many such insights both from her lived and carer experience as…

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15 | AWARE 2 - Rational vs Rationalizing 25:30

11M ago25:30

25:30

This episode introduces the listeners to a key concept, the 2 mental spaces in which an assessor operates in an assessment. Rational - facts followed by decision Rationalizing - decision followed by fact selection Manaan uses a range of practical examples to elaborate decision making processes including Festinger's original research from 1954 and t…

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14 | AWARE 1 - Appraise Clinical Decision - ANXIETY 26:00

11M ago26:00

26:00

Professionals need a good understanding of self before they can understand others. AWARE protects against undue influences in the act of clinical decision making. Intended to make practice safer, its use in clinical supervision or multidisciplinary case reviews should bolster practice by making individuals and/or teams who assess people in suicidal…

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13 | Introducing ASSESS and Attitudes to Suicide 21:47

11M ago21:47

21:47

Episode 13 introduces the ASSESS module and provides a broad overview of the 6 chapters in ASSESS. It then dives into attitudes towards suicide. The key messages to remember are: Stop – Pause Attitudes towards suicide influence decisions, Attitudes towards suicide influence rapport and empathy, Attitudes towards suicide influence care and support w…

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G2 | Dr Stan Steindl on Navigating Suicidal Ambivalence Using Motivational Interviewing 1:08:15

12M ago1:08:15

1:08:15

Dr Stan Steindl is an Australian clinical psychologist with over 20 years experience as a therapist, trainer and researcher. He is has an active clinical practice and is passionate about motivational interviewing (MI) and compassion focused therapy (CFT). And he teaches and presents on these topics around the world! Stan shares some deep insights a…

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12 | Progress to Practice - 3 Key Shifts in Crisis Care 21:57

12M ago21:57

21:57

In this episode Manaan reveals the 3 practice shifts that lie at the foundation of a new program called 7 SAFE Steps. The are: Prediction to Prevention Past to Future Deficits to Assets These 3 shifts will bring progress to the practice of care provision for those in suicidal distress, they are an automatic consequence of the mindset shift from top…

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G1 | Candid Conversation with Ashley P Evans 54:58

12M ago54:58

54:58

Meet Ashley P Evans, Psychiatric Mental Health Nurse Practitioner from Waco, Texas. Here is a bit about Ashley in her own words: I am from Auburn, Alabama...WAR EAGLE! I received my Bachelors degree from Florida State University...GO 'NOLES! When I initially went to college, I was Pre-Med Psychology, but it didn't take me long to convince myself th…

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11 | CORE Summary 26:53

1y ago26:53

26:53

The episode brings together the key messages from all 10 episodes. It can be used as a refresher or for someone new to PROTECT it will provide a quick overview of the CORE moduleAv Manaan Kar Ray

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10 | Empathy in Action III - Values of Relational Safety 23:19

1y ago23:19

23:19

Episode 10 will be diving deep into the 5 values of Relational Safety: Courage Curiosity Compassion Collaboration and Commitment and translating these values into action. Episode 10 is full of catch phrases, some of the highlights are, patient is not in the way, patient is the way, listen with fascination, mind open – mouth shut, cant walk through …

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09 | Empathy in Action II = Cognitive Empathy + Emotional Empathy + Empathic Concern 22:27

1y ago22:27

22:27

Part 2 of Empathy in Action introduces the Values of Relational Safety: Courage: to be present and suspend the desire to help Curiosity: in taking the time to listen and recognizing reasons and emotions Compassion: in sharing the person’s darkness without judgement Commitment: to reframe suicidal thoughts and acts as a desire to be pain-free Collab…

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08 | Empathy in Action I - Top to TAP 20:21

1y ago20:21

20:21

In part 1 of Empathy in Action, the listener is introduced to the key mindset shift that underlies Relational Safety, from TOP to TAP. This supports a transition from attempting to establish "what's the matter with you" to "what matters to you". Providing healthcare professionals contemporary knowledge about how the forms they fill can actually ser…

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07| Rethink Risk II - Clear and Imminent Risk 16:32

1y ago16:32

16:32

The episode provides a novel way to describe risk and steers professionals away from high, medium and low risk stratification. The listener will be introduced to: Longitudinal Risk Unaddressed Risk Cross-sectional Risk On the way to formulating an opinion of clear and imminent risk. This is a far more nuanced approach and a meaningful attempt at co…

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06 | Risk Rethink I - Warning Signs 15:45

1y ago15:45

15:45

Proactive Detection of Clear and Imminent Risk of Suicide In the first past of Risk Rethink, the listener is introduced to Shneidman's cubic model and the three psychological forces of: Psychache - Press - Perturbation This lays the foundation for a discussion about the continuum of risk. Listeners are also urged to allow their knowledge of warning…

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05 | Optimise Pain Relief 15:08

1y ago15:08

15:08

Optimise Pain Relief introduces a pain based narrative as a conversational strategy to discover common ground. The person in suicidal distress wants to be pain free and the professional wants to help them be pain free. Despite this common ground why do so many professionals end up in a power struggle with the person they are supporting? The episode…

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04 | Care Compass II - Pragmatics 18:00

1y ago18:00

18:00

The episode describes the different ways in which the Care Compass can be used: To capture hope To gain a better understanding of risk and safety To find common ground when there is a difference of opinion To address culture The episode finishes with a discussion on the challenges of recovery oriented care in community mental health care and how th…

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03 | Care Compass I - Concept 23:11

1y ago23:11

23:11

Episode 03 introduces the Care Compass, a conceptual visual conversation aid to talk about recovery and current care delivery. The difficult balancing act between risk and recovery intensifies many folds in a suicidal crisis. This can only be struck in partnership with the person and their family and to get them on board and to understand the finer…

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02 | Navigating Rocky Waters 14:20

1y ago14:20

14:20

Episode 02 introduces the four chapters in the CORE Module and the nautical metaphor: Navigating Rocky Waters Navigating Rocky Water is about recovery. We all need hope, it is central to our mental health and well being. Recovery for those with mental illness (depression, anxiety, schizophrenia, bipolar disorder, anorexia, bulimia, borderline perso…

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01 | Introduction to PROTECT: Novel Solutions to Suicide Risk Management 15:00

1y ago15:00

15:00

Episode 01 introduces Relational Safety, the golden thread through PROTECT: A person with suicidal ideation is often trapped in an overwhelming sense of despair (Beck, 1986). Stemming from entrapment, suicide may become the salient solution to life circumstances (O’connor, 2011) and intense psychological pain (Shneidman, 1993). Suicide is a major p…

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