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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 Presentation


  • 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


    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




    Adapted with permission from the Washington Youth Suicide Prevention Program

  • 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


  • 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


  • 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


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