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ForwardMGB AMC Morbidity & Mortality Series: June 9, 2026 - Suicide
Suicide remains a leading cause of death among adolescents and transitional-age youth in the United States, with the period following psychiatric hospitalization representing a particularly high-risk time for suicide attempts and rehospitalization. Although inpatient psychiatric teams routinely assess suicidal ideation, intent, prior attempts, and protective factors, emerging literature suggests that suicide risk among Latino/a/x youth is also significantly shaped by broader social, cultural, and structural influences that may not be consistently incorporated into standard clinical assessments. Suárez-Brito et al. found that acculturation-related stressors—including family conflict, discrimination, and identity-related stress—are associated with suicidal ideation and suicide attempts among Latina adolescents, underscoring the importance of culturally informed psychosocial evaluation in suicide risk assessment.
Current practice gaps also include inconsistent assessment of social determinants of health and barriers to treatment engagement during discharge planning for transitional-age youth. Factors such as insurance instability, transportation barriers, language discordance, financial stress, limited outpatient availability, and lack of culturally responsive mental health services can significantly affect continuity of care following hospitalization. Stafford et al. identified persistent disparities in access and retention in mental health care among Latino adolescents and young adults, suggesting that suicide risk assessment should extend beyond acute symptom evaluation to include a patient's ability to realistically access and engage with outpatient care after discharge.
Additional practice gaps exist in addressing how cultural identity, family systems, stigma surrounding mental illness, and structural inequities influence psychiatric outcomes among Latino/a/x youth. Martínez et al. highlighted the importance of culturally responsive suicide prevention strategies, including family-centered interventions, enhanced care coordination, and community-based supports. The case discussed this month highlights the need for psychiatric clinicians to incorporate culturally informed assessment, social determinants of health, and individualized barriers to care into suicide risk formulation and discharge planning for transitional-age patients with recurrent suicidal behavior.
Target Audience
This program is intended primarily for Psychiatrists, other allied staff such as Psychologists, Physicians from other specialties, Nurses, Physician Assistants, Nurse Practitioners, and Social Workers, are welcome to attend. Participants can receive up to 9.0 CE.
Learning Objectives
Upon completion of the activity, participants will be able to:
- Analyze the role of structural inequities and social determinants of health in shaping suicide risk, healthcare utilization, and treatment outcomes
- Evaluate how cultural identity, acculturation experiences, family systems, and mental health stigma may influence suicide risk assessment and clinical decision making
- Better able to formulate culturally informed and equity-focused discharge planning approaches that address barriers to care continuity
Presenters:
Claire Triller, MD
Olivia Rivera, MD, MPH, ML
Molly Doernberg, MD, MPH
Matthew Kelly, MD, PhD, MPH
Presenters:
Ashika Bains, MD, MSc
Daniel Chait, MD, MSEd, MGH McLean Psychiatry Residency Program
Nicholas Daneshvari, MD, MGH McLean Psychiatry Residency Program
The presenters have no financial disclsoures to report.
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Target Audience
This program is intended for: Psychiatrists, Physicians
This program is intended primarily for Psychiatrists, other allied staff such as Psychologists, Physicians from other specialties, Nurses, Physician Assistants, Nurse Practitioners, and Social Workers, are welcome to attend. Participants can receive up to 1.0 CE.
Accreditation
In support of improving patient care, MGH Institute of Health Professions is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
1.0 Physicians
MGH Institute of Health Professions designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.
1.0 Nursing
MGH Institute of Health Professions designates this activity for 1.0 contact hours for nurses. The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts credit from organizations accredited by the ACCME and ANCC.
1.0 Psychologists
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.0 CE credit.
1.0 Social Workers
As a Jointly Accredited Organization, MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.0 clock hours for continuing education credits.
1.0 IPCE Credit
This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credits for learning and change.
* This activity designed to meet the criteria for risk management study in Massachusetts.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of IHP and Massachusetts General Hospital. IHP is accredited by the ACCME to provide continuing medical education for physicians.
IHP designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 1.00 Social Workers
As a Jointly Accredited Organization, the MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.00 clock hours for continuing education credits.
- 1.00 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 1.00 Psychologists CE Credit
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.00 CE credit.
Accreditation
In support of improving patient care, MGH Institute of Health Professions is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
1.0 Physicians
MGH Institute of Health Professions designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.
1.0 Physician Associates/Assistants
AAPA Credit Designation Statement – Live
MGH Institute of Health Professions has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
AAPA Credit Designation Statement – Enduring Materials
MGH Institute of Health Professions has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until {Expiration Date). PAs should only claim credit commensurate with the extent of their participation.
1.0 Nursing
MGH Institute of Health Professions designates this activity for 1.0 contact hours for nurses. The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts credit from organizations accredited by the ACCME and ANCC.
1.0 Pharmacists
This activity provides 1.0 contact hours of continuing education credit.
NOTE FOR PHARMACISTS: Upon closing of the electronic evaluation, IHP will upload the pharmacy-related continuing education information to the CPE Monitor within 60 days. Per ACPE rules, IHP does not have access nor the ability to upload credits requested after the evaluation closes. It is the responsibility of the pharmacist or pharmacy technician to provide the correct information [NABP ePID and DOB (in MMDD format)] in order to receive credit for participating in a CE activity.
1.0 Psychologists:
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.0 CE credit.
1.0 Social Workers
As a Jointly Accredited Organization, MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.0 clock hours for continuing education credits.
1.0 IPCE Credit
This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.