Behavioral Health Bulletin

Issue 20, July 2023

Screening for and addressing suicide risk

Last month, the United States Preventive Services Task Force (USPSTF) released their final recommendation statement on screening for depression and suicidality, supporting universal depression screening but finding insufficient evidence to support universal screening for suicide risk.


This month we use that recommendation statement as a jumping off point to discuss not only the recommendation and what it means for your day-to-day practice, but also how to respond to suicidal ideation through safety planning.


Keep reading to learn more, and don't forget to review our Provider's Guide to Suicide Risk Assessment.

Mind Matters ECHO

Inside 988: A conversation with SAMSHA leaders



Our next Mind Matters ECHO meeting will be held on September 21, 2023 from 5:30-7:00pm with James Wright, Chief of Crisis Center Operations for the 988 team and Robyn Filler, Manager of Clinical Standards for Vibrant Emotional Health.

Join Us

If you have a case you'd like to share for consultation and support, please email Anitha Iyer, PhD, Course Director.

Mount Sinai Health Partners is also hosting a CME course on management of CKD and diabetes in primary care on September 12. Jenna Palladino, PsyD, will be a panelist speaking to screening for and treating comordbid behavioral health needs in treating chronic illnesses. Watch your inbox for registration details in the upcoming weeks.

Behavioral Health Tip of the Month

Work with patients to create a safety plan for moments of crisis

Safety Planning is an evidence-based strategy for preventing individuals from acting on suicidal thoughts. Having a safety plan handy when suicidal thoughts intrude one’s headspace can provide the individual with access to previously identified actions and activities that have been effective in the past.

Safety planning for suicide prevention with Dr. Anitha Iyer

The Safety Planning instrument has six key components:

  1. Knowing the warning signs that lead to/ have led to suicidal thoughts
  2. Identifying internal coping strategies that have historically helped the patient take their mind off suicidal thoughts
  3. Identifying the people and social settings that provide distraction from the suicidal thoughts
  4. Listing people the patient feels comfortable asking for help
  5. Listing the health care professionals the patient is engaged with whom they can ask for help
  6. Identifying the actions one can take to make their environment safe

To learn more about safety planning, read this blog post or watch this short video by Anitha Iyer, PhD, Director of Behavioral Health Population Management.


Therapist Aid also offers free safety planning templates in English and Spanish.

Behavioral Health in the Literature

Reframing the key questions regarding screening for suicide risk

Last month, the United States Preventive Services Task Force (USPSTF) released their final recommendation statement on screening for depression and suicide risk in adults. While they endorse universal depression screening for adults, they found insufficient evidence to recommend universal suicidality screening.


In this editorial response, the authors draw on their collective work in suicide prevention research and quality improvement, clinical practice, lived experience of suicidal ideation, and experience of family suicide loss to explain what the USPSTF recommendations mean for you as a clinician.


Learn more


The American Academy of Pediatrics (AAP) likewise released a perspective piece on screening for suicidality in children and adolescents.

SAMHSA Advisory

Digital therapeutics (DTx) for managing and treating behavioral health conditions

SAMHSA recently issued an advisory regarding digital therapeutics (DTx) for treatment and management of behavioral health conditions.


DTx have can improve access to care, patient engagement, and health outcomes while reducing costs for care.


To learn more about leveraging DTx, limitations, and considerations read the SAMHSA advisory.

Mental Health Literacy

Non-stigmatizing communication about mental health

It's no secret that there is high stigma surrounding mental health which can be incredibly harmful to people living with mental health conditions and interfere with their treatment and recovery.


The CDC offers a variety of provider resources on mental health literacy, including a CME course from the University of Texas at Austin on stigma-free communication about mental health.

Mount Sinai Health Library

Information to share with your patients: depression

Peruse the Mount Sinai Health Library for information to share with your patients. With over 100 psychiatry topics presented in patient-friendly language, the Health Library can be a valuable source for your patients to understand their diagnoses.


This month, share information about depression with your patients. We also have a dedicated article on depression in teenagers.

Center for Stress, Resilience, and Personal Growth

Try Out the eConsult Program for Help Addressing Your Mount Sinai Employee Patients’ Mental Health Needs


Are you seeing a Mount Sinai employee in need of behavioral health support? The Center for Stress, Resilience, and Personal Growth (CSRPG) has developed an eConsult request order in Epic specifically to assist providers treating our employees. You can use eConsult to request a phone consult with The Center's psychiatrist, Dr. Mary Christopher. Receive guidance on delivering mental health care to your patient within the primary care setting OR request that the patient be seen by the CSRPG for therapy and/or psychiatric care. 


The eConsult order set can be accessed in Epic encounters through the "Orders" tab by entering "ECONSULT/REFERRAL TO FPA RESILIENCE CENTER". 


For any questions, please email Dr. Mary Christopher at mary.christopher@mssm.edu.

Contact Us

P: 877-234-6667

F: 646-537-1481

E: MSHP@mountsinai.org

Provider Engagement Team