Clinical Approaches to Suicidality:
Collaborating with Patients to Make Life Liveable 

Presented by Noelle Lefforge, Ph.D, and Amelia Black, Ph.D.
5 Homestudy CE Credits

Approved for Nevada Psychologists, LCSWs and MFTs.
NPA is approved by the American Psychological Association to sponsor continuing education for psychologists. NPA maintains responsibility for this program and its content.

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About the Workshop

Why do we continue to see suicide rates rise despite increased knowledge and resources? Are there common practices and ways of viewing suicidality that may actually be contributing to the problem? This pre-recorded workshop is about shifting clinical approaches to suicidality away from keeping patients from killing themselves and toward co-creating lives worth living. Integration of the most up-to-date science of suicidology creates maps for clinicians to elevate their practice, while reducing the toll that working with highly suicidal individuals can take.

  • Through presentation, demonstration, and participation, we will be covering the following:
  • Drivers of suicidality that are amendable to psychotherapeutic treatment.
  • How to implement Collaborative Assessments and Managements of Suicidality (CAMS), regardless of overarching theoretical orientation.
  • Increased understanding of the ways that even the mental health community may contribute to stigma and thus drive increasing suicide rates.
  • Solid suggestions for working more effectively with suicide.

There will be ample opportunities to observe demonstrations of effective assessment and treatment of suicidaility.

 Learning Objectives

At the end of this pre-recorded program, participants will be able to:

  1. Identify drivers of suicide that increase patients’ capacity to die by suicide
  2. Assess for drivers of suicide in patients to accurately predict suicide risk
  3. Implement interventions for drivers of suicide that are amenable to treatment
  4. Collaborate with patients to create safety plans
  5. Identify alternatives to hospitalization for suicidal patients
  6. Appropriately document work with suicidal clients
  7. Explain necessity for collaborative approaches to treat suicide


This presentation is intended for psychologists, other licensed mental health providers, and graduate students of psychology.

 About the Speakers

Noelle Lefforge, Ph.D., joined the faculty of the UNLV Clinical Psychology Doctoral Program in 2011 and is an Associate Professor-in Residence. In 2014 she became the Assistant Director of The PRACTICE. She received her Ph.D. in clinical psychology from UNLV in 2010 and she has been employed by UNLV since 2000. She is primarily invested in training doctoral level graduate students to become highly competent health service psychologists. Dr. Lefforge’s duties include developing and teaching clinical courses, providing clinical supervision, and administration of the psychology training clinic. Currently, she teaches principles and practice of psychotherapy, diversity issues in professional practice, and group psychotherapy.

She co-directs the program’s training clinic, The Partnership for Research, Assessment, Counseling, Therapy and Innovative Clinical Education, or, The PRACTICE: A UNLV Community Mental Health Clinic. The PRACTICE is a sliding scale clinic where graduate students provide therapy and psychological assessment services to the community. This training clinic offers graduate students the opportunity to learn clinical functions under intense faculty supervision utilizing state of the art video and video-analysis technology. In 2019 the clinic was internationally recognized with the Association of Psychology Training Clinic Innovation Award.

Dr. Lefforge serves as the Senior Faculty Senator for the College of Liberal Arts. She is one of the Faculty Senate representatives on the 2019 Advisory Presidential Search Committee. She has served as the Chair of the Psychology Department’s Diversity & Inclusion Committee, as well as a member on the College of Liberal Art’s Diversity & Inclusion Committee, UNLV’s Mental and Behavioral Health Coalition, and UNLV’s Interprofessional Education workgroup.

Dr. Lefforge takes an integrative approach to psychotherapy. Her interventions are particularly informed by attachment-based therapy, emotion-focused therapy, dialectic behavior therapy, and cognitive behavior therapy. She has received specialized training working with professionals (e.g., doctors, lawyers, business professionals, entertainers) struggling with mental health issues. She conducts research on clinical outcomes, patient experience within healthcare organizations, cultural factors, and the inner experience of emotions and depression.

Dr. Lefforge is the President of the Nevada Psychological Association (NPA) and the Nevada Representative to American Psychological Association’s (APA) Council of Representatives. She has served as Treasurer, Legislative Subcommittee Chair, ECP Committee member, and CE Committee member for NPA. Legislative Committee Chair. She has also been an item developer for the Nevada State Board of Psychological Examiners. She graduated from APA’s Leadership Institute for Women in Psychology and Emerge Nevada. She received the James Mikawa Award in recognition of outstanding contributions to psychology in 2018.

Dr. Lefforge received her Ph.D. in clinical psychology from the University of Nevada, Las Vegas in 2010 and her Master’s in Healthcare Administration in 2016. She was UNLV Honors College’s 2019 Alumna of the Year and received the UNLV Office of Community Engagement 2019 Service-Learning Award on behalf of The PRACTICE. She has worked in the Las Vegas community as a practicing psychologist since 2012. Dr. Lefforge's CV

Dr. Amelia Black received her Ph.D. in counseling psychology from Brigham Young University. She completed her predoctoral internship at the Los Angeles County Psychology Internship in corrections, where she provided services for incarcerated men and women with severe mental illness. Dr. Black also has experience working in university counseling and private practice settings. She is currently a Kagi Postdoctoral Fellow at The PRACTICE: A UNLV Community Mental Health Clinic, where she is pursuing a focus in group psychotherapy.

Dr. Black has developed a deep passion for group psychotherapy across her training and clinical experiences, and has extensive experience and training in a variety of approaches and styles of group, including interpersonal process, DBT, CBT, ACT, expressive arts, Seeking Safety, and psychoeducation. She views interpersonal themes and here-and-now processing as inherent and vital across all styles of group.

Dr. Black’s theoretical approach is interpersonally and existentially based and she incorporates interventions from a variety of styles of therapy in order to best meet client needs and treatment goals. She is interested in the impact of culture and diversity on mental health services and training. Dr. Black provides supervision to graduate level trainees who are training in individual and group psychotherapy. Dr Black's CV

 General Information

Access to Webinar/Handout Materials

This is a 5-hour pre-recorded homestudy presentation. Electronic copy of handout materials will be sent out by email to attendee after registration is completed along with link(s) to view pre-recorded webinar.

Refunds & Grievance Policies

Participants may direct questions or complaints to NPA to 888-654-0050.


Nevada Psychological Association (NPA) is approved by the American Psychological Association to offer continuing education for psychologists. NPA maintains responsibility for the program and its content. NPA will issue certificates of completion. Post test must be completed, specified passing criterion must be met before credit may be awarded. Variable credit for partial attendance will not be awarded.


Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., … Joiner, T. E., Jr. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143(12), 1313–1345.

Chu, C., Walker, K. L., Stanley, I. H., Hirsch, J. K., Greenberg, J. H., Rudd, M. D., & Joiner, T. E. (2018). Perceived problem-solving deficits and suicidal ideation: Evidence for the explanatory roles of thwarted belongingness and perceived burdensomeness in five samples. Journal of Personality and Social Psychology, 115(1), 137–160.

Jobes, D. A. (2017). Clinical assessment and treatment of suicidal risk: A critique of contemporary care and CAMS as a possible remedy. Practice Innovations, 2(4), 207–220.

Jobes, D. A., Gregorian, M. J., & Colborn, V. A. (2018). A stepped care approach to clinical suicide prevention. Psychological Services, 15(3), 243–250.

Joiner, T. E., Simpson, S., Rogers, M. L., Stanley, I. H., & Galynker, I. I. (2018). Whether called acute suicidal affective disturbance or suicide crisis syndrome, a suicide-specific diagnosis would enhance clinical care, increase patient safety, and mitigate clinician liability. Journal of Psychiatric Practice, 24(4), 274–278.

Rogers, M. L., & Joiner, T. E. (2018). Suicide-Specific Rumination Relates to lifetime suicide attempts above and beyond a variety of other suicide risk factors. Journal of Psychiatric Research, 98, 78–86.

Additional Information

There is no potential conflict of interest and/or commercial support for this program or its presenter.