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Suicide

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Males complete more that females. Females attempt more than ... Assessment - PIMP. ASK THE QUESTION then PIMP. P priors. I intent. M means. P - plan ... – PowerPoint PPT presentation

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Title: Suicide


1
Suicide
  • Dr. Steve Rainey
  • Kent State University

2
Who Completes/Attempts
  • Males complete more that females
  • Females attempt more than males
  • Whites more than other ethnicity
  • African Native Americans are on the increase
  • GLBT very high incidence
  • Substance abusers
  • Psychiatric Disorders
  • Previous attempters
  • Family member completer

3
Methods Used
  • Fire Arms
  • Most often males
  • Hanging
  • Gassing
  • Most often females
  • Ingestion
  • Most often females
  • Most often used in attempt

4
Precipitants
  • Shameful or humiliating event
  • Sexual Orientation
  • Relationship difficulties
  • Boy friend/Girl friend
  • Parental
  • Sexual/Physical Assualt

5
Clues
  • Lack of concern about self
  • Decline in school achievement
  • Putting personal affairs in order
  • Use of substances
  • Unusual interest in how others are feeling
  • Preoccupation with death and dying
  • Sudden improvement in mood after a depression
  • Sudden increase in promiscuity

6
Clues - statements
  • I am going to commit suicide
  • What does it matter anymore
  • Some day I will show them
  • Some day I will get them back
  • They will pay for this

7
Managing the Crisis
  • Be calm and supportive
  • Be nonjudgmental
  • Encourage self-disclosure
  • Acknowledge the reality of suicide as a choice,
    but do NOT normalize
  • Actively listen and positively reinforce

8
Managing the Crisis
  • Do NOT attempt in Depth
  • Do NOT do an assessment alone
  • Assess lethality
  • Make a decision do not leave alone
  • Notify parents
  • Pick up or 911

9
Managing the Crisis
  • Consider Hospitalization
  • Refuse return to school without an assessment by
    a mental health practitioner

10
Assessment - PIMP
  • ASK THE QUESTION then PIMP
  • P priors
  • I intent
  • M means
  • P - plan

11
Postvention
  • Phone network
  • Answer spontaneous questions
  • Teachers excuse students to counselors if upset
  • Parent inquiries should go to a designated person
  • News media directed to designated person

12
Postvention
  • Prepare for delayed grief responses
  • NO memorial service at school
  • Have designated school personnel contact family
    to offer support
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