Tag Archives: suicide risk

What is needed to deliver positive risk-taking? [2]

Positive risk-taking is a challenging area of practice, so it should ideally be seen as a collective activity, not just the duty of individuals. In this video I explore what teams need in order to develop their risk decision-making practice.

 

Use the following link to also access a free training webinar which introduces my simple 5-step process to risk decision-making, which also form the core modules of the Positive Risk-Taking Membership Site:

https://app.webinarjam.net/register/21360/99e6026a97

What is needed to deliver positive risk-taking? [1]

Positive risk-taking does not happen just by chance. It is a carefully thought through process of information gathering, analysis and decision-making. In this first of three videos I outline what we need as individual practitioners to give us confidence to engage in the process.

 

Use the following link to also access a free training webinar which introduces my simple 5-step process to risk decision-making, which also form the core modules of the Positive Risk-Taking Membership Site:

https://app.webinarjam.net/register/21360/99e6026a97

Suicide risk assessment doesn’t work!

In this video I reflect on a Scientific American journal article reviewing two meta-analyses of suicide risk assessment research. Our focus on the process of risk assessment can detract from the application of the more useful skills of clinical engagement… discuss!

 

Use the following link to also access a free training webinar which introduces my simple 5-step process to risk decision-making, which also form the core modules of the Positive Risk-Taking Membership Site:

https://app.webinarjam.net/register/21360/99e6026a97

Spotlight on risk research

Millenium Park Bean [5]

Where is the proof that what you are doing really works? The research messages may look slightly different, depending on the particular perspective you are taking. In this video I reflect on notes of caution when we are using risk research to underpin our interventions.

 

Use the following link to also access a free training webinar which introduces my simple 5-step process to risk decision-making, which also form the core modules of the Positive Risk-Taking Membership Site:

https://app.webinarjam.net/register/21360/99e6026a97

Suicidal thinking

WWR 2007
Working with Risk (2007)

“If it wasn’t for the possibility of suicide, I would have killed myself a long time ago.” An exploration of choice, autonomy and hope.

 

Use the following link to also access a free training webinar which introduces my simple 5-step process to risk decision-making, which also form the core modules of the Positive Risk-Taking Membership Site:

https://app.webinarjam.net/register/21360/99e6026a97

Podcast Episode 044: Suicide Risk Factors

TheStrengthsRevolution_albumart_2-2In this episode I maintain a focus on suicide risk by reviewing risk factors and the importance of counter-balancing these with a focus on protective factors and strengths.

A specific program in Detroit has generated debate and pilot sites in the UK to develop a zero tolerance to suicide risk, and while aiming for zero suicides is an excellent ideal, it raises several important questions. Firstly, some people have made a clear and final decision to take their own lives for their own complex and personal reasons, so how will choice be respected within a zero tolerance approach? Will services be recognised for reductions in suicide rates or will the blame culture still focus on the diminishing few completed cases? Should any practitioners or advocates seriously question the ethos and intentions behind a zero tolerance approach?

Suicide risk factors from the known research are outlined, and the more personalised reflection of protective factors are highlighted. The emphasis on assessing and working with suicide risk is placed on the quality information through narrative approaches, not the more frequent bureaucratic requirement for ticking boxes.

For the full content of this episode click on the links for iTunes and Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/044-suicide-risk-factors/id867043694?i=334338377&mt=2

“Suicide is a permanent solution to a temporary problem.” [Phil Donahue].

Podcast Episode 043: Suicide Risk [2]

IMAG1511What role does positive risk-taking have to play when someone is experiencing and expressing serious suicidal thoughts? Firstly, we have a duty to take such expressions very seriously, but the language of suicide risk can often appear overwhelming to others, and generate great fears of what might be.

Do we respond in a way that manages the other person, manages the situation, and ultimately takes over through assuming control over and for the person? Do we really take that step backwards, and give ourselves whatever time is available to listen to the person and help them explore their options in a supported relationship? We cannot eliminate risk, but do we become overwhelmed by a fear of engaging in the real conversation?

There is no such thing as a risk-free option, and in this episode I outline a case example from my own practice that illustrates how positive risk-taking was put in place through listening and acting on what the individual has to say, identifying alternatives, and exploring strengths and potential protective factors alongside the serious expression of risk.

For the full content of this episode click on the links for iTunes and Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/043-suicide-risk-2/id867043694?i=333467695&mt=2

“If it wasn’t for the possibility of suicide I would have killed myself a long time ago.” [Unknown source].

Podcast Episode 042: Suicide Risk (Interview case example)

TheStrengthsRevolution_albumart_2-2This episode is an interview with Satsanga (Lawrence Borish) reflecting on a case example of Alice, who he worked with whilst on a family counselling placement in his Masters Degree Social Work training in the US back in 1968. The placement was focused on cultural awareness, and the specific referral emerged through neighbourly concern for a woman whose behaviour and appearance was deteriorating. However, on engaging Alice, Satsanga discusses how, as a young inexperienced social worker, he is suddenly presented with an expression of suicidal ideas.

How we respond to these immediate circumstances can have a heavy bearing on the future life of another person. The interview explores issues of engagement of trusting working relationships, working with instinct, exploration of genuine alternatives to suicide, genuine collaboration between a person and a worker… all of which are important components of the process of ‘positive risk-taking’. The discussion raises thoughts about how we are supported, or not, to make difficult decisions; and could a decision-making process from a bygone era remain relevant today?

For the full content of this episode click on iTunes or Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/042-suicide-risk/id867043694?i=331833222&mt=2