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Gatekeepers of Arkansas Providing Youth Suicide Prevention Awareness

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Title: PowerPoint Presentation Author: Mary B Last modified by: Kristen Moore Created Date: 10/8/1999 1:06:09 PM Document presentation format: On-screen Show (16:9) – PowerPoint PPT presentation

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Title: Gatekeepers of Arkansas Providing Youth Suicide Prevention Awareness


1
Gatekeepers of Arkansas Providing Youth Suicide
Prevention Awareness
Talk Ask Listen Keep Safe/Get Help
2
IT IS UP TO US TO PROVIDE YOUTH SUICIDE
PREVENTION
H O P E
Portions of the slides prepared by Maine Youth
Suicide Prevention Program. www.mainesuicidepreven
tion.org

3
Today We Will Cover
  • Language, Statistics, and Myths about suicide
  • Warning signs and risk factors
  • Basic intervention skills to use with suicidal
    behavior
  • The aftermath of suicidal behavior

4
Language Considerations
  • MUST Avoid
  • successful suicide
  • failed attempt
  • Please USE
  • suicide or died by/of suicide
  • non-fatal attempt
  • Should Avoid
  • committed suicide
  • completed suicide
  • JUST a cry for help
  • Please USE
  • died by/of suicide
  • a suicide attempt

5
Common Words Phrases
  • Suicidal related communications include ideation
    - the direct communication of thoughts, talk,
    sharing of plans that may indicate a person is
    thinking about taking his/her own life.
  • Suicide Attempt A self-inflicted, potentially
    injurious behavior with a nonfatal outcome for
    which there is evidence of intent to die.
  • Suicide A self-inflicted death with evidence
    (implicit or explicit) of the intent to die.

6
Suicide in Arkansas
  • Suicide is the 3rd leading cause of death for
    Arkansas youth ages 15-24
  • Of every 5 suicides, 4 are males
  • Of every 15 suicides, 7 are by firearm, 4 by
    hanging, 3 by drowning or poison.

7
Attempted Suicides
It is estimated that there are 25 attempted
suicides for each death by suicide
Suicide
Attempted Suicides
11,175 Arkansans
Ratio implies 900,875 suicide attempts annually
in USA
8
Attempted Suicide by sex/gender
Estimated that there are 3 female attempts
for each (1) male attempt
9
Attempted Suicide Age
Attempted Suicides
Suicides
Young 1001
65 over 41
10
10
In the typical high school classroom
1 male and 2 females have probably attempted
suicide in the past year
11
After an Attempt
  • Support family/friends
  • Acknowledge the impact, the fear
  • Avoid judging, blaming
  • Emphasize safety and removal of all lethal means
    from household
  • Encourage appropriate help

12
Facts or Myths ?
  • T or F People who talk about suicide do not
    actually die by suicide.
  • T or F Suicide usually happens without warning
    signs.
  • 3) T or F Talking or asking someone about suicide
    may plant the idea and cause a suicide.

13
In Fact
  • Youth suicide is a problem.
  • We all need to learn about it.
  • Talking about suicide can save lives.

14
A Word About Young Children
  • SOME young children (ages 5-14) do understand the
    concept of death, are capable of planning a
    suicide and able to implement the plan.
  • It is a rare event, but we must not assume that
    children can not or do not die by suicide. They
    do!
  • Some states have documented suicides in children
    as young as 8 years old.

15
Definitions
  • Warning Signs - the earliest observable signs
    that indicate the risk of suicide for an
    individual in the near-term (within minutes,
    hours or days.)
  • Risk Factors - long standing conditions,
    stressful events or situations that may increase
    the likelihood of a suicide attempt or death.
  • Protective Factors - personal and social
    resources that promote resiliency and reduce the
    potential of suicide.

16
Warning Signs
Useful Mnemonic Is Path Warm?
  • Ideation Substance Abuse
  • Purposelessness Anxiety Trapped Hopelessness
  • Withdrawal Anger Recklessness Mood Change

17
Early Warning Signs of Suicide
Includes Behavioral, Emotional Physical Signs
  • Depressed / Anxious
  • Increased alcohol/drug use
  • Roller coaster moodiness
  • Changes in every day behaviors
  • Overly pessimistic, hopeless
  • Neglects self, friends, usual activities

18
Late Signs/Behaviors May Include
  • Talks of suicide, plans for how/when/where
  • Refuses help
  • Agitated, restless, picks fights
  • Gives away favorite things, writes a will
  • Shows SUDDEN improvement in mood (suicide
    euphoria)
  • Increased isolation
  • Uses instant messaging or phone to drop hints

19
Listen for Verbal Clues
  • Direct
  • I wish I were dead
  • Im going to end it all
  • Indirect
  • Im tired of it all
  • Youll be better off without me
  • Whats the point of living?

20
Risk Factors
21
Risk Factors forAdolescent Suicide
  • Depression, anxiety, or mood disorder
  • Current or previous suicidal behavior
  • Being a victim of sexual or emotional abuse
  • Conduct problems
  • Access to lethal means

22
Protective Factors
  • Supports - Supportive parents, friends, teachers
    other caring adults
  • Skills to think, communicate, solve problems,
    manage anger
  • Purpose value in life-hope for future
  • Personal characteristics - good health, positive
    outlook, healthy choices
  • Safe Environment restricted access to lethal
    means

23
Very Important to Remember
  • There is a lot of cross-over between Risk Factors
    and Warning Signs!
  • There is no particular set of risk factors that
    accurately predicts imminent danger.
  • There is no typical suicidal person - there are
    ALWAYS varying degrees of risk factors.

24
From a Suicidal Persons Point of View
  • Crisis point has been reached
  • Distress/torment/anxiety seems unbearable
  • Solutions to problems seem unavailable
  • Rational Thinking is affected
  • Ambivalence exists between wanting to live and
    wanting to end the psychological pain
  • Need to communicate pain is intense!

25
Invitations to Help

FEELINGS
THOUGHTS
All of my problems will end soon No one can do
anything to help me now I wish I were
dead Everyone will be better off without me I
wont be needing these things anymore I cant
do anything right I cant think straight
Desperate Angry Guilty
Worthless Lonely Sad
Hopeless Helpless
ACTIONS
Giving away possessions Withdrawal
(family, friends, school,
work) Loss of interest in hobbies
Abuse/use of alcohol, substances
Reckless behavior Extreme mood swings

26
Intervention--Why People Hesitate
  • Inability/lack of knowledge
  • Worry about doing/saying the right thing
  • Feelings of inadequacy
  • Belief in myths of suicide

27
What is NOT Helpful
  • Ignoring or dismissing the issue
  • Acting shocked or embarrassed
  • Challenging, debating or bargaining
  • Giving harmful advice

28
What IS Helpful
  • Show You CareListen carefullyBe genuine Im
    concerned about you . . . about how you feel.
  • Ask the QuestionBe direct, caring and
    non-confrontational Are you thinking about
    suicide?
  • Get HelpDo not leave him/her alone
  • Youre not alone. Let me help you.

29
Practice Helpful Steps!
  • Use handout
  • What Is Helpful 3-Step Intervention
  • Think up write 1 or 2 phrases or ways that YOU
    would use to show you care.
  • Write two other ways you might ask the question
    about suicide.
  • List two ways you would try to convince someone
    to get help and name two resources.

30
Resources for Help Phone numbers
  • Arkansas Crisis Hotline 1-888-CRISIS2
  • (1-888-274-7472)
  • National Suicide Crisis Hotline 1-800-273-TALK
    (8255)
  • Or 1-800-SUICIDE (1-800-784-2433)
  • En Español 1-888-628-9454
  • TTY capability 1-800-799-4TTY (4889)

31
Resources for Help - Websites
  • National Suicide Prevention Lifeline
  • http//www.suicidepreventionlifeline.org/
  •  MYSPP Web Site www.mainesuicideprevention.org
  • Online Crisis Chat
  • www.crisischat.org or www.arcrisis.org

32
School Resources for Help
  • School Administrators
  • School Counselors
  • Teachers School Staff
  • School Nurses Health Services
  • Social Workers
  • School Crisis Team
  • School Resource Officer
  • Any Trusted Adult

33
Our school protocol is
  • When Any Concern Is Raised Contact
  • Principal School Counselor
  • School Crisis Team
  • Parent or Guardian
  • Have a Suicide (Risk) Assessment Administered

34
Number of Suicide Survivors
It is estimated that there are 6 survivors
for each death by suicide
A suicide survivor is someone who has lost a
loved one to death by suicide
2,412 Arkansans in 2008
  • Ratio implies 199,800 new survivors of suicide
    annually

35
Survivors of Suicide
  • Struggle to make meaning of the loss
  • Suffer from overwhelmingly complicated feelings
  • May take a long time to grieve
  • Need understanding and support
  • Youth survivors have special issues

36
How you can help after a suicide
  • Acknowledge the loss
  • Share a special memory/story
  • Use the name of the deceased
  • Share your presence
  • Acknowledge the good things
  • Stay in touch
  • Call local hospice center for grief support
    groups

37
Factors Used in Estimating the Risk of Suicide
  • Age Certain ages more than others.
  • Gender One gender more than the other.
  • Stress Troubling experiences that challenge the
    persons ability to cope.
  • Warning Signs Behaviors that can be observed
    (Aggression, Sadness, Drug or Alcohol Abuse)

38
Additional Factors Used in Estimating the Risk of
Suicide
  • Current Suicide Plan Whether or not there is a
    plan and any details of that plan
  • Prior Suicidal Behavior Personal history of
    suicide or suicide attempt(s) including
    modeling by family, friends or others
  • Resources/Protective Factors Physical and
    emotional resources which the person feels are
    helping, caring or supportive

39
Estimate the Risk of Suicide
Your Rank Rank
___ Age ___ Gender
___ Stress ___ Warning Signs ___
Current Suicidal Plan ___ Prior Suicidal
Behavior ___ Resources/Protective Factors
5
4
6
3
1
2
7
40
Responders Take Care of Yourself!
  • Acknowledge the intensity of your feelings
  • Seek support, de-brief
  • Share your feelings
  • Avoid over involvement
  • Know that you are not responsible for another
    persons choice to end their life

41
A LIFE SAVED
  • The story on video we are about to see is true.
    It concerns a suicide intervention that occurred
    only days after the end of a suicide prevention
    learning unit done at a Maine middle school
    health class.
  • It is told by the real student and guidance
    counselor involved. No scripts were used, no
    rehearsals held and no special lighting or sound
    systems. A high school student did the actual
    digital filming.

42
Business Office (479) 756-1995 Fax (479)
756-2338Email www.arcrisis.orgAR Crisis
Hotline 1-888-274-7472
43
Before You Leave
  • Any Questions?

Thank You . . For learning about suicide
prevention
ADE Support betty.welch_at_arkansas.gov
roger.palmer_at_arkansas.gov
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