Savannah high school presentation 6 2010

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  • 1.  
  • 2.
    • Suicide is one of the top 3 causes of death among 15 to 24 year olds; only accidents and homicide occur more
    • (2006, National Adolescent Health Information)
    • Approximately 14 young people between the ages of 15-24 die every day by suicide.
    • For every completed suicide by a young person, it is estimated that 100 to 200 attempts are made
    • (2003, Youth Risk Behavior Surveillance Survey)
  • 3.
    • Firearms remain the most commonly used suicide method amongst youth regardless of race or gender. Research has shown that access to firearms is a significant factor in the increase of youth suicide. (American Association of Suicidology, 2004)
    • Up to 60% of high school student’s report having suicidal ideation
    • Not all adolescent attempters may admit to their intent. Therefore any deliberate, self harming behaviors should be considered serious and in need of further evaluation.
    • Retrospective studies of suicide victims show that more than 90% of people who committed suicide had an addictive or mental disorder (for example, depression or manic-depressive illness). Very often these disorders were not recognized before the suicide. A large proportion have more than one of these disorders. (Epidemiology of Suicidal Behavior, in Suicide and Life-Threatening Behavior 1995; 25(1):22-35)
  • 4. Suicide Rates* Among Persons Ages 10-24 Years, by Race/Ethnicity and Sex, United States, 2002-2006 During 2002-2006, the highest suicide rates for those ages 10-24 years were among the American Indian/Alaskan Natives with 27.72 and 8.50 suicides per 100,000 in males and females, respectively. Source: Centers for Disease Control and Prevention
  • 5.
    • Talk of Suicide
    • is a cry for help!
  • 6.
    • Classic or Common Warning Signs
    • Talking, joking, or a note indicating a desire to die
    • Composition or artwork involving death
    • Previous suicide attempt(s)
    • Statement of hopelessness or helplessness
    • Expression of negative attitudes toward self
    • Expression of a lack of future orientation
    • Withdrawal from families or social network
    • Giving away of possessions to friends or families
    • When they know, respect, or idealize someone who has attempted suicide or committed suicide
    • Anniversary of a tragic event
  • 7.
    • Changes
    • Weight—gain/loss
    • Sleep—too much/too little
    • Physical Appearance (Neglected/Disheveled)
    • Irritability
    • Personality Changes
    • Lack of interest in previously pleasurable activities
    • Unexplained decline in academic performance
    • Increased absenteeism
    • Increased behavioral issues or issues with teacher
    • Impulsive/Risky/Reckless behavior
    • Wide mood swings, unexpected displays of emotion
    • Sudden sense of calm or happiness after a period of sadness or depression
  • 8.
    • Social & Family System Changes
    • Family problems/familial suicide
    • Change in family’s financial or social status
    • Parental divorce
    • Change in the child’s role in the family
    • Losing a close friend
    • Break up with boyfriend or girlfriend
    • Change to a new school
  • 9.
    • On Going Issues of Concern
    • Chronic health problems
    • Frequent complaints
    • Self inflicted injuries such as burns, scratches, cuts
    • History of emotional/sexual/physical abuse
    • Psychiatric depression
    • Substance Abuse
    • Poor coping strategies overall
    • A tendency toward isolation and social withdrawal
  • 10. Indirect Verbal Cues
    • “ I can’t go any longer”
    • “ I’m tired of life”
    • “ I can't take the pain”
    • “ You’re going to regret how you treated me”
    • “ You are better off without me”
    • “ Pretty soon none of this will matter”
  • 11. Direct Verbal Cues
    • “ I’m going to kill myself”
    • “ I wish I was dead”
    • “ If..doesn’t happen, I am going to end it”
    • “ I’m going to commit suicide”
  • 12. What can Parents & Educators do?
    • Do’s
    • Listen
    • Remain calm
    • Accept the person’s feelings as they are
    • Accept their feelings
    • Explore resources
    • Do not be afraid to talk about suicide directly
    • Ask them if they have developed a plan for suicide
    • Know the risk factors and warning signs of youth suicide
    • Take immediate action if the youth makes any indication of potential self-harm
    • Provide assessment and background information
    • Express your concern for the person.
    • Stay close & supervise student—
    • DO NOT LET CHILD LEAVE
  • 13.
    • Eliminate availability of means—
      • No access to guns and other weapons, medications, sharp objects or other methods of self-harm increases suicide risk, especially when mental health issues exist
    • Seek Professional Help
      • Consult a physician or mental health professional immediately.
      • Individuals contemplating suicide often don't believe they can be helped, so you may have to do more.
      • Help the person find a knowledgeable mental health professional or a reputable treatment facility, and take them to the treatment.
      • Take the person to an emergency room or walk-in clinic at a psychiatric hospital.
      • If a psychiatric facility is unavailable, go to your nearest hospital or clinic.
      • If the above options are unavailable, call 911 or the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).
    • Follow-up on Treatment
      • Child may need your continuing support to pursue treatment after an initial contact.
      • If medication is prescribed, make sure your friend or loved one is taking it exactly as prescribed. Be aware of possible side effects and be sure to notify the physician if the person seems to be getting worse.
      • Frequently the first medication doesn't work. It takes time and persistence to find the right medication(s) and therapist for the individual person.
    What can Parents & Educators do?
  • 14.
    • Don’ts
    • Don’t sound shocked
    • Don’t offer empty promises
    • Don’t to cheer him/her up
    • Don’t debate morality
    • Don’t assure things will improve
    • Don’t keep it a secret
    • DO NOT LET STUDENT LEAVE
  • 15. How can you know if it is serious?
    • S-L-A-P
    • S: Specificity of Plan
    • L: Lethality of Means
    • A: Availability of Means
    • P: Proximity to Other Means
  • 16. 5150 (Involuntary Psychiatric Hold)
    • Section 5150 is a section of the California Welfare and Institutions Code that allows a qualified officer or clinician to involuntarily confine a person deemed (or feared) to have a mental disorder that makes them a danger to him or her self, and/or others and/or gravely disabled.
    • WHAT THIS MEANS:
    • Your child may be kept safe & supervised for 72 hours to ensure that he/she does not hurt themselves
  • 17. 3 P’s
      • P : (P.E.T.) Psychiatric Evaluation Team 714-834-6900 (for youth under 18 years of age) or (CAT) Centralized Assessment Team 1-866-830-6011 (for 18 and over):
      • P : Police (School Resource Officer and/or Local Police)
      • P : Parents
  • 18. Resources
    • Suicide National Prevention Lifeline
    • 1-800-273-TALK or 1-800-SUICIDE
  • 19. http://www.suicidepreventionlifeline.org/App_Files/Media/PDF/NSPL_WalletCard_AssessingRisk_GREEN.pdf
  • 20. Resources
    • Orange County 211 Infolink
    • www.infolinkoc.org
    • Yellow Ribbon Suicide Prevention Program www.yellowribbon.org
    • American Association of Suicidology
      • www.suicidology.org
    • American Foundation for Suicide Prevention
      • www.afsp.org
    • National Association of School Psychologists
    • www.nasponline.org
    • Signs of Suicide SOS
      • www.mentalhealthscreening.org
    • Centers for Disease Control
      • www.cdc.gov
  • 21. Thinking Long Term – Support your teen
    • Resiliency Factors
    • The presence of resiliency factors can lessen the potential of risk factors to lead to suicidal ideation and behaviors.  Once a child or adolescent is considered at risk, schools, families, and friends should work to build these factors in and around the youth. These include:
      • Family support and cohesion, including good communication.
      • Peer support and close social networks.
      • School and community connectedness.
      • Cultural or religious beliefs that discourage suicide and promote healthy living.
      • Adaptive coping and problem-solving skills, including conflict-resolution.
      • General life satisfaction, good self-esteem, sense of purpose.
      • Easy access to effective medical and mental health resources.
  • 22.
    • Thank you for your support
    • and
    • participation!