Wyoming Chemical Abuse Research Education

 WyoCARE CEU E-Course
Ethics and the Self

Ethics Update 2

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Ethics updates have been created as a brief refresher of current issues in the realm of counseling and ethics. Each update consists of one current, peer-reviewed, journal article that should be read and a short quiz that should be completed if you would like to receive the 1 contact hour that will be awarded to you FREE through WyoCARE services. You are individually responsible to check with your licensure board to assure acceptance of this course. If you would like to receive the contact hour, please cut and paste your quiz answers to an email and send to wyocare@uwyo.edu. If you would rather, you can print the quiz out and send via mail to:

Johnna Nunez  Ph.D. LPC CHT NCC
WyoCARE Program Coordinator and
Assistant Lecturer
University of Wyoming –
Division of Social Work
Dept. 3632
1000 E. University Avenue
Laramie, Wyoming 82071
(307) 745-5131


Short directions:

A.Read the article (link below)

B:Take quiz

C:Send it to WyoCARE (e-mail or postal service)


Ethics Update #2

  • Quiz for Ethics Update #2. Please click the Quiz link to take you to the quiz.


  • Send your answers to WyoCARE and be sure to include how you want your certificate to read along with your mailing address.


Ethics Update #2 Quiz


Brown, Gregory, K., Cukrowicz, Kelly, Jobes, David, A., Joiner, Thomas, Rudd, M., David, & Silverman, Morton (2009). Psychotherapy Theory, Research, Practice, training 46(4), 459-468.

1. True or False:

The article provides the following questions as guide to facilitate in-depth discussions about therapy upon intake:

A: What is the name of your kind of therapy

B: How did you learn how to do this therapy?

C: How does hour kind of therapy compare with other kinds of therapy?

D: How does your kind of therapy work?

E: What are the possible risks involved? (such as divorce, depression)

F: What percentages of clients improve? In what ways? How do you know?

H: What percentages of clients get worse? How do you know?

I: What percentages of clients improve or get worse without this therapy? How do you know?

J: About how long will it take?

K: What should I do if I feel therapy isn’t working?


2. According to the article each year, __________ individuals die by suicide each year in the USA?

A. 10,000

B. 25,000

C. 32,000

D. 40,000


3. Suicidal risk and attempt information should be shared on the informed consent for the following reasons: (Select all that apply according to the article).

A: Help the family and client understand true risks of treatment and that shared responsibility in treatment is essential to reduce the likelihood of suicide attempts and death.

B: It would help make it clear, distinct, and understandable that treatment compliance and crisis management are vital to maximize treatment efficacy.

C: It would provide the opportunity for the clinician to emphasize the need for effective self-management is a primary goal of treatment.

D: It would help the clinician discuss crisis management and identify skill deficits that may limit the clients’ willingness or ability to access emergency services when needed.

E: A clear statement of risks of suicide attempt and death would hopefully provoke a sober and frank exchange as well as facilitate a more direct and open exchange about the responsibilities of the provider and the client.

F: All of the above.


4.True or False:

The article suggests that the process and elements of informed consent with suicidal clients also relates to medication prescribing, monitoring, and maintenance as large numbers of high risk suicidal patients will also be taking medications.
REMINDER: This article also provides you with the following 8 examples that can be added to your informed consent, to begin a discussion about risks of treatment for suicidal clients. Protect yourself and your clients. Add a clause to your informed consent that is guided by an example or use one of your own.

1. For patients who have attempted suicide or
who have reported suicidal ideation, risk
can endure throughout the treatment process
and, for possibly as many as half, can
result in a subsequent suicide attempt (and
for a very small percentage the possibility
of death).

2. Patients who have made multiple-suicide attempts
are at the greatest risk to continue to
experience symptoms, associated dysphoria,
and make a subsequent suicide attempt.

3. Therapy will involve emotional experiences
and related upset. The patient and therapist
will work together to help the patient work
through difficult emotions, but at times
painful issues will be discussed and purposefully
targeted in treatment.

4. Therapy will involve experimenting with
and learning new skills that will lead to
more effective problem solving without using
suicidal behaviors.

5. Procedures to follow in a crisis situation
will be explicitly described and the patient
and therapist will work together to determine
thoughts and behaviors the patient is
willing (and capable) to do. Crisis management
strategies will be matched to the
client/patient’s level of competence.

6. One of the primary targets in treatment is
the reduction of suicidal behaviors.

7. It is important to consider and explore other
available modes of treatment (including
medication) for certain disorders. There are
a broad range of treatments available.

8. A collaborative approach to treatment,
compliance with the treatment plan, and
effective crisis management are all essential
to reducing risks and maximizing positive
treatment outcomes.