STEPS 4 HOPE: Conversational Threadwork of Values at Suicidal Stitchpoints
STEPS 4 HOPE: Conversational Threadwork of Values at Suicidal Stitchpoints
In this course, Dr. Manaan Kar Ray explains how to meet suicidal “stitch points” with values-based conversational threadwork – weaving STEPS (mapping distress) together with HOPE (values as anchors) via the VALUE micro-intervention, grounded in MI and ACT, to deepen relational safety and restore direction, identity, and meaning in moments of crisis.
About this course
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In this course, psychiatrist Dr. Manaan Kar Ray, MBBS, FRANZCP, introduces a practical synthesis of STEPS (a teaching paradigm to understand the act-physiology and progression of suicidality) and HOPE (a values-guided compass), culminating in VALUE—a five-move conversational rhythm. Clinicians learn to identify stitch points, sit beside pain rather than “fix” it, and guide values-anchored actions that strengthen relational safety and identity repair across ideation, post-attempt, and recovery contexts.
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