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Zero Suicide: Everything I Knew About Suicide Was Wrong

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February 8, 2016: Bradford UK - West Yorkshire Vanguard,
Building Resilience and Wellbeing Zero Suicide at Bradford City Football Stadium

Published in: Health & Medicine
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Zero Suicide: Everything I Knew About Suicide Was Wrong

  1. 1. Zero Suicide: Everything I Knew About Suicide Was Wrong DAVID W. COVINGTON, LPC, MBA CEO & PRESIDENT, RI INTERNATIONAL WEST YORKSHIRE VANGUARD BUILDING RESILIENCE AND WELLBEING 1
  2. 2. Looking at Suicide Differently
  3. 3. A. Never in Those Truly Intent on Suicide B. Sometimes, but Only in Advance of Acute Risk C. Always, but Only in Advance of Acute Risk D. Always, Even Up to the Last Moment Suicide Can Be Prevented 4
  4. 4. The Forgotten Patient
  5. 5. Major Reductions ZS Initiative Impact Status US Air Force One-third reduction over six years 1996 - 2002 Henry Ford Health System 75% reduction in first four years 2001 - Present Magellan Health in Arizona 38% reduction in first two years 2009 - 2013 Centerstone 65% reduction in first two years 2013 - 2016 7
  6. 6. Four Bold New Ideas  1. Your goal must emanate from the leader (CEO, etc.)  2. Start your goal from the other end  3. Include individuals with lived experience in your leadership and design  4. Reject myths. Aspire for Zero. 8
  7. 7. Four Bold New Ideas  1. Your goal must emanate from the leader (CEO, etc.)  2. Start your goal from the other end  3. Include individuals with lived experience in your leadership and design  4. Reject myths. Aspire for Zero. 9
  8. 8. 6380 Computer/web services
  9. 9. Target Zero and Performance Improvement 11
  10. 10. Four Bold New Ideas  1. Your goal must emanate from the leader (CEO, etc.)  2. Start your goal from the other end  3. Include individuals with lived experience in your leadership and design  4. Reject myths. Aspire for Zero. 12
  11. 11. Four Bold New Ideas  1. Your goal must emanate from the leader (CEO, etc.)  2. Start your goal from the other end  3. Include individuals with lived experience in your leadership and design  4. Reject myths. Aspire for Zero. 13
  12. 12. Prominent suicidologists, argued successfully, albeit erroneously, that this is not a healthcare issue. They kept suicide out of the mental health Bible, the DSM, stating, “suicide is, by definition, not a disease, but a death that is caused by a self-inflicted intentional action or behavior.”
  13. 13. Group A Group B
  14. 14. Forensic Files Someone who died by hanging with their hands bound behind their back and feet tied together was probably a murder, not a suicide. A. True B. False 19
  15. 15. I finally succumbed when all my strength was fully… completely… gone…
  16. 16. Is Suicide Really A Choice?A Vivid Memory
  17. 17. Pupils Dilate & Eyelids Widen
  18. 18. Is Suicide Really A Choice?
  19. 19. Depression is a disorder of mood, so mysteriously painful and elusive in the way it becomes known to the self — to the mediating intellect– as to verge close to being beyond description. It thus remains nearly incomprehensible to those who have not experienced it in its extreme mode. - William Styron
  20. 20. What I Didn’t Do…
  21. 21. How Long Could You Endure the Ice Water…
  22. 22. Disease Transmission R Nought Measles Airborne 12 – 18 HIV/AIDS Sexual Contact 2 - 5 SARS Airborne Droplet 2 – 5 Influenza Airborne Droplet 2 – 3 Ebola Bodily Fluids 1.5 – 2.5
  23. 23. me too
  24. 24. 38
  25. 25. In September, a group of 40 service users from 13 countries, healthcare providers and government policy makers will gather in Georgia. The International Initiative for Mental Health Leadership match will create an international consensus document and plan for expanding the social movement. 39 3rd International Summit (Sydney 2017)
  26. 26. 40 Zerosuicide.org

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