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El Paso County SMVF Suicide Prevention Coalition

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Presentation on the El Paso County, Colorado Service Member, Veteran, and Military Family Suicide Prevention Coalition. Describes the public health approach to stopping suicide in the military affiliated population.

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El Paso County SMVF Suicide Prevention Coalition

  1. 1. COMBATING SERVICE MEMBER, VETERAN AND MILITARY FAMILY SUICIDES: USING A COMMUNITY-BASED PUBLIC HEALTH APPROACH DUANE K. L. FRANCE, MA, MBA, LPC
  2. 2. Federal – State – Local Suicide Prevention Efforts In October of 2018, Colorado was selected as one of seven states to participate in the Governor’s Challenge to Prevent Veteran Suicide National Strategy for Preventing Veteran Suicide In July of 2018, Colorado was chosen to establish the Colorado National Collaborative Preventing Suicide : A Technical Package Of Policies, Programs, And Practice
  3. 3. Access to Care Lethal Means Safety Postvention At Risk PopulationsYouth Young Adults Older Adults LGBTQ SMVF Disabled El Paso County Suicide Prevention Task Force 1. Define The Problem 2. Identify Risk and Protective Factors 3. Develop and Implement Strategies 4. Ensure Widest Dissemination Connectedness Education and Awareness Economic Stability Colorado National Collaborative El Paso County Suicide Prevention Task Force El Paso County SMVF Suicide Prevention Coalition 5. Evaluate and Refine
  4. 4. 156 123 156 167 172 139 136 159 149 168 165 175 120 140 160 180 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Veteran Suicides Veteran Suicides Linear (Veteran Suicides) 36.8 29.2 37.5 40.2 41.5 33.4 32.6 38.4 36.1 41.0 40.1 42.9 22.9 19.9 21.5 21.0 24.0 22.1 22.9 26.0 24.2 25.5 24.9 26.1 0.0 10.0 20.0 30.0 40.0 50.0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Veteran Suicide Rate vs General Population Suicide Rate (# per 100,000) Veteran Suicide Rate General Population Suicide Rate 2012 Suffocation Firearms Other and low- count methods 2013 Poisoning Firearms Other and low- count methods 2014 Poisoning Firearms Other and low- count methods 2015 Suffocation Poisoning Firearms Other Suicide Veteran Suicides by Method Department of Veterans Affairs National Veteran Suicide Data: 2016 State Data Appendix: Colorado DEFINING THE PROBLEM
  5. 5. Colorado Office of Suicide Prevention Data: 2005-2017 DEFINING THE PROBLEM 35 17 27 31 37 28 24 46 44 28 48 50 39 0 100 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 El Paso County Veteran Suicides Veteran Suicides Linear (Veteran Suicides) 116 75 102 74 90 35 0 20 40 60 80 100 120 140 65+ 55-64 45-54 35-44 25-34 20-24 El Paso County Veteran Suicide by age 2004-2017 # Suicide by age 191 Additional Demographics: Veterans who die by suicide in El Paso County are likely to be: • Male (94%) • Caucasian (85%) • Married (53%) • Over 55 Years Old (38%) • Use Firearms as a method (68%) • Have a current depressed mood (60%) and physical health problems (50%) • Have Alcohol (31%) and Opiates (15%) in their system Historical trends tell us that a veteran is going to die by suicide in El Paso County in the next two weeks
  6. 6. Peer Norm Programs Community Engagement Activities Identifying Protective Factors Improving Connectedness Martin, J., Ghahramanlou-Holloway, M., Lou, K., & Tucciarone, P. (2009). A comparative review of US military and civilian suicide behavior: Implications for OEF/OIF suicide prevention efforts. Journal of Mental Health Counseling, 31(2), 101-118
  7. 7. Financial Security Employment Security Housing Stability Identifying Protective Factors Improving Economic Stability Elbogen, E. B., Sullivan, C. P., Wolfe, J., Wagner, H. R., & Beckham, J. C. (2013). Homelessness and Money Mismanagement in Iraq and Afghanistan Veterans. American journal of public health, 103, 248-254
  8. 8. Community Education MedicalProfessional Education Gatekeeper Education Identifying Protective Factors Improving Education and Awareness Knox, K. L., Litts, D. A., Talcott, G. W., Feig, J. C., & Caine, E. D. (2003). Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study. Bmj, 327(7428), 1376.
  9. 9. Reduce Provider Shortage Minimizing Risk Factors Improve Access to Effective Care Provide Culturally Competent Care Reduce Barriers To Care Ahmedani, B. K., Simon, G. E., Stewart, C., Beck, A., Waitzfelder, B. E., Rossom, R., ... & Operskalski, B. H. (2014). Health Care Contacts in the Year Before Suicide Death. Journal of General Internal Medicine, 29(6), 870.
  10. 10. Safe Storage Practices Safe Firearm Storage Minimizing Risk Factors Increase Lethal Means Safety Safe Medication Storage Identify and Minimize Suicide Hotspots US Department of Veterans Affairs. (2018, September). VA National Suicide Data Report, 2005-2016.
  11. 11. Provide Bereavement Support Provide Care for Attempt survivors Minimizing Risk Factors Increase Postvention Care and Support Suicide Statistics
  12. 12. The Way Forward: What Can You Do Access to Care Lethal Means Safety Postvention Connectedness Education and Awareness Economic Stability 1. Identify Your Role 2. Learn More 3. Spread the Word 4. Join the Conversation
  13. 13. @ThCounselingVet www.linkedin.com/in/dklfrance @veteranmentalhealth www.veteranmentalhealth.com dfrance@fccsprings.com 719-540-2136 El Paso County SMVF Suicide Prevention Coalition Contact Information

Presentation on the El Paso County, Colorado Service Member, Veteran, and Military Family Suicide Prevention Coalition. Describes the public health approach to stopping suicide in the military affiliated population.

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