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Navy Suicide Prevention Program

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... and theory in the field of suicidology point to 4 key elements that combine ... From The American Association of Suicidology. Warning Signs 'IS PATH WARM' 7 ... – PowerPoint PPT presentation

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Title: Navy Suicide Prevention Program


1
Navy Suicide Prevention Program
  • LCDR Bonnie Chavez
  • (901) 874-6613 / DSN 882-6613
  • bonnie.chavez_at_navy.mil

2
Overview of Navy Suicide Prevention
  • Introduction
  • Some Information
  • Prevention Approach
  • Command Programs
  • Initiatives

3
Navy Suicide Rates/100K(CY-91 to CY-07)
4
Navy Associated Stressors
All Services report similar stressors with
Relationship Problems as 1
Suicide is complex! 30 of Sailors have 10 or
more risk factors and stressors
  • Common Risk Factors
  • Recent Feelings of Depression 40
  • History of Psychiatric Condition 32
  • Recent Feelings of Anxiety 27
  • Recent Feelings of Guilt 26
  • Alcohol Abuse in the last year 25

5
Why Do People Commit Suicide
Suicide is complex. Demographics and associated
stressors fail to fully answer questions about
why we lose Sailors.
  • Current research and theory in the field of
    suicidology point to 4 key elements that combine
    for a suicide to occur (Joiner 2005)
  • Psychological pain
  • Persons belief that s/he is ineffective and has
    become a burden to others
  • Persons belief that s/he does not belong and
    that any important relationships are disrupted
  • Acquired ability to enact lethal self-injury

6
Warning SignsIS PATH WARM
  • I IDEATION. Thoughts of suicide expressed,
    threatened, written or otherwise hinted at by
    efforts to find means to suicide.
  • S SUBSTANCE USE. Increased or excessive
    alcohol or drug use.
  • P PURPOSELESSNESS. Seeing no reason for
    living or having no sense of meaning or purpose
    in life.
  • A ANXIETY. Feeling anxious, agitated, or
    unable to sleep. (Or sleeping all the time).
  • T TRAPPED. Feeling trapped, like there is no
    way out.
  • H HOPELESSNESS. Feeling hopeless about self,
    others, the future.
  • W WITHDRAWAL. Withdrawing from family,
    friends, usual activities, society.
  • A ANGER. Feeling rage or uncontrolled anger,
    seeking revenge for perceived wrongs.
  • R RECKLESSNESS. Acting without regard for
    consequences, excessively risky behavior,
    seemingly without thinking.
  • M MOOD CHANGES. Experiencing dramatic changes
    in mood.

From The American Association of Suicidology
7
Resilience Factors
  • Unit cohesion/ camaraderie
  • Humor
  • Healthy lifestyle promotion
  • Effective problem-solving skills
  • Positive attitude about getting help
  • Optimistic outlook
  • Spiritual support
  • Beliefs counter to suicide
  • that support self-preservation

8
  • ACT
  • ASK Dont be afraid to ask
  • CARE Listen, offer hope, dont judge
  • TREAT Take action, get assistance, follow up!!

9
Helping a Suicidal Person
  • Be direct
  • Be willing to listen
  • Be non-judgmental
  • Get involved
  • Dont dare him or her to do it
  • Dont act shocked
  • Dont be sworn to secrecy
  • Offer hope
  • ACT
  • Get help

10
Prevention Approach
SECONDARY
POST
PRIMARY
Life Stress Risk Factors
Suicidal
Suicidal Behavior
  • Resilience Building
  • Awareness Training
  • Life Skills
  • Strengthen Families
  • Cohesion
  • Vigilance
  • Referral
  • Counseling
  • Get to Safety
  • Treatment
  • Follow Up
  • Report
  • Help Survivors

Prevention Efforts

11
Command Suicide Prevention ProgramsOPNAVINST
1720.4
  • Appoint a Suicide Prevention Coordinator

12
Training
  • Leader messages on suicide prevention topics
  • Annual Training (GMT)
  • Helping shipmates -every members duty
  • Factors that increase and decrease Risk
  • Appropriate actions responses
  • How to obtain assistance
  • Health Promotion / Life Skills
  • (OPNAVINST 6100.2A)

13
Intervention
  • Written Suicide Prevention and Crisis Response
    Plan
  • Identify Sailors in need of assistance
  • Command-Directed Mental Health Evaluation
  • SECNAVINST 6320.24A
  • Provide support for those seeking help
  • Ensure access to supportive resources
  • Follow up

14
Reporting
  • DoDSER (Department of Defense Suicide Event
    Report)
  • All suicides or undetermined deaths where suicide
    has not been ruled out
  • Keep copies of medical/personnel records to
    complete report
  • Used to understand factors related to Navy
    suicides to inform prevention efforts and policy
  • Personnel Casualty Report / OPREP /SITREP
  • Suicide Attempts
  • Other Suicide Related Behaviors

15
Suicide Response
  • Chaplain / Fleet and Family Support Centers
  • SPRINT Special Psychiatric Rapid Intervention
    Teams
  • CACO Casualty Assistance Calls Officer

16
Initiatives
  • Big Picture Operational Stress Control
  • OPNAV N135 Personal Readiness Summits
  • www.suicide.navy.mil
  • FY09 poster series and new brochure
  • Front line supervisor training
  • Policy changes

17
  • If we ACT to look out for those in need get
    them needed help, we can dramatically reduce this
    preventable cause of death
  • Resources
  • Chain of Command
  • Fleet and Family Support Center
  • Chaplains / Religious Services
  • Medical Treatment Facility / Mental Health
  • Military One Source 1-800-342-9647

For more information go to www.suicide.navy.mil
18
Navy Suicides During and Post OIF/OEF Deployment
Jan 2002 Sept 2007
Number of Suicides
Months Since Deployment
Source DMDC and AFIP
19
Support Service Use Prior to Suicide

From DONSIR Data 1999-2004
20
Give Help a Chance
  • If you have thoughts of suicide, realize people
    are willing to help with more solutions than you
    can think of on your own give help a chance
    dont wait until your thinking closes in on you
  • Time and again when we lose a shipmate to
    suicide, those left behind would have been more
    than willing to help if given a chance

21
Take Care of Each Other
  • Reaching out when problems are small keeps them
    from growing to be overwhelming
  • If you or someone you know is
  • Feeling unhappy often
  • Not enjoying things as much
  • Having trouble sleeping or eating
  • Getting irritable
  • Making poor choices about alcohol
  • Having relationship problems
  • ACT reach out to the support team and get back
    up to full speed as early as possible

22
Navy Suicide Characteristics
  • CONUS 89
  • Occurred while on liberty 67
  • Location was residence 67
  • Method was firearm 54
  • Alcohol factor 33
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