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Baseline Survey. Before the training begins, please fill out the baseline survey and put your completed survey in the box provided. Thank you!. Ending A Deadly Silence Suicide Prevention Gatekeeper Training. Insert your name and agency. What to Look For What to Do How to Help. - PowerPoint PPT PresentationTRANSCRIPT
Baseline SurveyBefore the training begins, please fill out the baseline survey and put your completed survey in the box provided.
Thank you!
Ending A Deadly Silence Suicide PreventionGatekeeper Training
Insert your name and agency
What to Look ForWhat to DoHow to HelpAdapted with permission from the Washington State Youth Suicide Prevention Program and the Maine Youth Suicide Prevention ProgramPrevention is often a matter of a caring person with the right knowledge being available in the right place at the right time.
Silent Epidemic Serious public health problem
Preventable
Neither random nor inevitable Research shows that during our lifetime:20% of us will have a suicide within our immediate family
60% of us will personally know someonewho dies by suicide
Attitudes and Beliefs: Taboo Nature of Suicide Taboo subjects: suicide, rape, child abuse, mental illness, drug and alcohol abuse, incest
Myths of Taboo Subjects
History of suicide sin, crime, mental illness
Truth Or Myth Survivors at lower risk
MH professionals only ones who can help
More common with the rich
No correlation between drugs, alcohol and suicide
As many as 2 youth attempts to every death
Most suffer from depression
More Floridians die by suicide than homicide
Most have made up their minds
More suicides during Christmas holidays
People who are suicidal tend to hide it
Need to take all talk seriously
Suicide rates for 15-24 year olds have more than doubled since the 1950s while other rates stayed about the same
Asking may encourage the idea
Elderly have the highest rate
Important not to break the trust of confidentiality
2005 National Statistics32,637 suicides (89.4 per day)
3rd leading cause of death for young Americans 15-24 years old
3.8 male deaths by suicide for each female death
3 female attempts for each male attempt
Suicide claims a life every 16.1 minutesSource: AAS, USA Suicide: 2005 Official Final Data
2007 Florida StatisticsOver 2,000 deaths (2,570 = 7 per day)
3rd leading cause of death for 25-34 y.o.
3rd leading cause for 15-24 y.o.
Suicide rate consistently is about double the homicide rate
69% of all suicides were among ages 25-64Source: DOH, Florida 2007 Vital Statistics Report
Not Just Statistics Statistics alone dont paint the whole picture
Suicide is devastating to family, friends, and communities
Opportunities to help
Understanding People in Crisis Why Everyone Is Vulnerable
PressuresAssets Stressors are infinite Assets are finite
A Person May Feel TheyCant stop the painCant think clearlyCant make decisionsCant sleep, eat or workCant make the sadness go awayCant see the future without painCant see themselves as worthwhileCant get someones attentionSource: AAS @ www.suicidology .org
Cup Full of ProblemsEach cup represents a problemthat a person may be having.Only rule is that the cupscannot be stacked inside one another.
Depression and Suicide
Depression often goes undiagnosed until a crisis occurs
Be concerned if significant changes are noted, symptoms last 2 weeks or longer
Change in eating/sleeping, isolating, difficulty making decisions, feelings of hopelessness, irritability, anger, vague physical complaints
Risk Factors Include Previous suicide attempt family history of suicide
Mental disorders, particularly mood disorders (depression)
Alcohol and other substance abuse
Easy access to lethal means
Impulsive and/or aggressive tendencies
History of trauma or abuse
Loss job, financial, relationship
Lack of social support and sense of isolation
Stressful life events
Certain cultural and religious beliefs
Exposure to and influence of others who died by suicide
Psychological pain:HopelessnessHelplessnessPerceived burden on others
Warning Signs and CluesWhat To Look ForThe red flags that something is wrong
Changes in a persons behavior, feelings, and beliefs about oneself that are maladaptive or out-of-character
P PurposelessnessA AnxietyT TrappedH Hopelessness
W WithdrawalA AngerR RecklessnessM Mood Change
Source: American Association of Suicidology, November 2003
I IdeationS Substance Abuse
Some Signs Demand Immediate ActionTalking or writing about suicide or death
Verbal clues open talk about suicide
Isolating from friends and family
Putting affairs in order giving away cherished possessions
Exhibiting a sudden and unexplained improvement after being depressed
Source: The Suicide Prevention Resource Center
In SummaryThere is no typical suicide victim
There are no absolute reasons for suicide
There are no all-inclusive predictive lists of warning signs or a definitive method for determining if someone is or is not suicidal
Suicide is always multi-dimensional
Most people dont want to die they want to end their pain
Protective FactorsPositive conditions personal and social resources feeling connected
Promote resiliency and reduce the potential for suicide
Ability to manage or cope with adversity or stress
Youth ElderlyPositive connections to schoolCoping and problem solving skillsAcademic achievementFamily cohesion/stabilityHelp-seeking behaviorsGood relationships with other youthPositive self worth and impulse control
Supportive family relationshipsSense of purpose and identity Involvement in community activitiesAbility to live independentlyBetter preparation for retirement, interests and support networks outside of workplace
What To DoIntervention- 3 Basic Steps
SHOW YOU CARE
ASK THE QUESTION
GET HELP
Adapted with permission from the Washington Youth Suicide Prevention Programhttp://www.yspp.org
SHOW YOU CARETrust your judgment
Be Genuine - show them you truly care
Share observations and concerns
Concern can counter their sense of hopelessness
Reflect what you hear
LISTEN!
Ask The Question Dont assume they arent the suicidal type
Be direct. It sounds like youre thinking of killing yourself - Are you thinking about suicide?
Do they have a plan, the means to carry out the plan more detailed the plan the greater the risk Dont have to solve all their problems but you must get help
Suicide Paraphrase Activity
Get Help - How To Help Your support in building hope and finding help truly can make the difference between life and death.
If you have any reason to suspect a person may attempt suicide or engage in self-harm, DO NOT LEAVE THE PERSON ALONE
ResourcesSupportive friends Family membersClergyMental Health AgencyCounselor or therapistFamily physicianLocal hospital emergency roomCrisis Center 9-1-1
1-800-SUICIDE1-800-273-TALK
Additional ResourcesFlorida Suicide Prevention CoalitionYouth Suicide Prevention School-Based Guide, FMHICommunity Health DepartmentAddiction Help Line 1-800-758-5877FL Abuse Hotline 1-800-96ABUSEElder Abuse 1-800-962-2873Domestic Violence Hotline 1-800-500-1199Suicide Prevention Resource Center1-877-YOUTHLINE2-1-1Elder Helpline 1-800-955-8770Parent HelpLine at 800-352-5683
Group Role Play
ConclusionIt doesnt take aprofessional to save a life
We are all gatekeepers
Preventing suicide is everyones business yoursand mine
Together we can end this deadly silence
Post-training SurveyPlease fill out the post-training survey and the training evaluation form. Put completed forms in the box provided.
Note to trainer: Make sure to have participants sign in on the sign in sheet want to make sure to have an email address if possible
Gatekeeper training is about learning basic suicide prevention and intervention skills, in much the same way that CPR is used to intervene in medical emergencies.
Just as people who are trained in CPR do not replace the need for doctors or emergency rooms, gatekeepers do not replace the need for mental health services or crisis centers.
Gatekeepers are simply caring individuals recognizing the potential for suicide and taking action to ensure that people at-risk receive the help they need.
Training reviews the impact of suicide on our families and communities helps increase our ability to know what to look for, what to do, how to help. After an attempt or suicide death it is common to find that different people held different pieces to the puzzle.Likely that no one person had enough knowledge about the number of risk factor, was aware of enough of the warning signs, or observed enough behaviors to be absolutely sure that suicide was a real possibility. That is why we all need to be educated and willing to talk more openly when something in our gut raises a red flag or when we recognize the clues.The more people that know what to look for, what to do, what to say, and how to access, obtain, or arrange for appropriate professional help the more likely we will be of preventing suicide of saving lives.
Through research we know that suicide communications are often not made to professionals. In fact, in one psychological autopsy study only 18% had told professionals of their