Set the Stage
- Scope of suicidal ideation (SI) and self-directed violence (SDV) in clinical practice
- Common clinician uncertainty, emotional reactions, and decision-making challenges
- Core DBT biosocial model and the four DBT skill domains
- Limitations of current research and potential risks
Assessment & Safety Planning
- Indicators of suicide risk and escalation
- Structured approaches to suicide risk assessment
- Limitations of no-suicide contracts and safety contracts
- Collaborative and actionable safety planning
DBT Skill Domains in Crisis Response
- Mindfulness: present-moment awareness, observing internal experiences, nonjudgmental stance
- Distress Tolerance: STOP, TIP, ACCEPTS, IMPROVE, crisis survival strategies
- Emotion Regulation: ABC PLEASE, vulnerability factors, emotional intensity management
- Interpersonal Effectiveness: help-seeking behaviors, communication during crises, strengthening support systems
Clinical Integration & Application
- SUDS rating and real-time distress monitoring
- Chain analysis for understanding suicidal and self-harming behaviors
- Integration of DBT skill domains into intervention planning
- Adaptation across settings and populations
- Case example: assessment, safety planning, and skills-based intervention


