Commitment to Living Workshop

Commitment to Living (CTL) addresses common dilemmas, demands, and frustrations that sometimes accompany the rewarding experience of supporting individuals at risk for suicide in their journey toward recovery. Centered around a unifying framework for formulating and responding to suicide risk, CTL helps clinicians and administrators gain insight into where individual practice innovations fit in the overall flow of competent care for suicidal individuals. 

Learning objectives. By the end of the workshop, professionals who participate and complete the active learning exercises will be able to:

  • Describe a state-of-the-art framework for efficiently organizing data to inform their assessment of suicide risk and their response to that risk.
  • Use the framework to communicate with colleagues and/or clients.
  • Develop and communicate a formulation of risk for suicide (rehearsed through case studies and examples).
  • Discuss the key domains needed to develop and document a comprehensive response to identified suicide risk in ways that facilitate clinical care and minimize liability.

CTL is an evidence-based curriculum that has demonstrated improvements in assessment and documentation, based on objectively-rated samples collected from novice and experienced clinicians alike. The workshop teaches core competencies in suicide risk assessment, documentation, and patient- and family-centered decision-making. Because CTL does not depend on any specific treatment protocol, busy clinicians in most settings can incorporate the model into patient care immediately after participating in the workshop. CTL is a core component of the New York State's efforts to support clinicians prevent suicide in high risk settings, and the workshop has been disseminated in health systems, service agencies, military installations, and schools around the country.

Commitment to Living Website

This website originated in 2007 in response to interest from Commitment to Living participants in ongoing education and interaction. At the present time, Dr. Pisani posts to the blog intermittently, and uses it as a repository for commentaries and links that might be helpful to workshop participants, as well as to clinicians around the world who visit and comment.


The information provided on this website is for educational purposes only and is not to be construed as medical or professional advice. The content and opinions expressed on this blog are mine, at least at the time I wrote them, and do not necessarily reflect the views of, nor are they endorsed by, my employers.