Suicidal Ideation and Self-Harm  cuts across many psychiatric disorders and can be both dangerous and frightening for families and loved ones. While there are several effective psychotherapy modalities, Monarch’s mentalization-based approach restores physical and emotional safety by creating a sense of interpersonal safety in the community, staff help with co-regulating intense emotion, modeling curiosity about suicidal states of mind, and encouraging residents to identify meanings and patterns that precipitate suicidal states. Dr. Fowler’s “Core Principles in Treating Suicidal Patients” are taught in medical schools, residency programs, clinical/counseling programs, and in advanced seminars for seasoned clinicians.