Contents

• Consensus Panel
• What Is a TIP?
• Foreword
• How This TIP Is Organized
• Part 1 Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment
  • Chapter 1
    • Introduction
    • Getting Ready To Address Suicidality
    • Background Information
    • GATE: Procedures for Substance Abuse Counselors
    • Competencies
    • Next Steps
  • Chapter 2
    • Introduction
    • Vignette 1—Clayton
    • Vignette 2—Angela
    • Vignette 3—Leon
    • Vignette 4—Rob
    • Vignette 5—Vince
    • Vignette 6—Rena
• Part 2 Addressing Suicidal Thoughts and Behaviors: An Implementation Guide for Administrators
  • Chapter 1 The Administrative Response to Suicidality in Substance Abuse Treatment Settings
    • Introduction
    • Consensus Panel Recommendations for Administrators
    • The Benefits of Addressing Suicidality in Substance Abuse Treatment Programs
    • Why Should Administrators Be Involved in a Clinical Issue?
    • Levels of Program Involvement and Core Program Components
    • The Role of Administrators in Implementing and Supporting Programming for Clients With Suicidal Thoughts and Behaviors
    • The Role of Mid-Level Staff in Implementing and Supporting Programming for Clients With Suicidal Thoughts and Behaviors
    • Legal and Ethical Issues in Addressing Suicidality in Substance Abuse Programs
  • Chapter 2 Building a Suicide Prevention- and Intervention-Capable Agency
    • Introduction
    • Organizational Assessment
    • Gathering Data on the Effects of Suicidality on the Program
    • Organizational Planning for Becoming a Level 2 Program
    • Program Implementation
    • Helping Your Program Develop and Improve Capabilities in Working With Clients Who Are Suicidal
    • Helping Your Agency Develop and Improve Its Response to Suicidal Crises
    • Building Administrative Support for All Levels of GATE
• Appendix A: Bibliography
• Appendix B: Advisory Meeting Panel
• Appendix C—Stakeholders Meeting Participants
• Appendix D: Field Reviewers
• Appendix E—Acknowledgments
• SAMHSA TIPs and Publications Based on TIPs

This publication was produced under the Knowledge Application Program (KAP) contract number 270-04-7049 with the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Christina Currier served as the Government Project Officer.

Suggested citation:

Center for Substance Abuse Treatment. Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 50. HHS Publication No. (SMA) 15-4381. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2009.

The views, opinions, and content expressed herein are those of the consensus panel and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. No official support of or endorsement by SAMHSA or HHS for these opinions or for particular instruments, software, or resources is intended or should be inferred.