Suicide training module

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Suicide training module

  1. 1. RISK FACTORS AND WARNING SIGNS
  2. 2. • Shasta County averages approximately 38 suicide deaths per year • Adults over the age of 65 have the highest rate of suicide death in Shasta County • Men have a much higher rate of suicide death than females, as they are more likely to use a firearm • Suicide rates tend to be higher is rural areas, such as Shasta County, where the rate of suicide is roughly twice the rate of California • Approximately half of Shasta County suicide deaths are a result of the use of firearms • From 200 to 2009, 96.6% of the Shasta County residents who died by suicide were Caucasian individuals
  3. 3.  An average of 315 nonfatal suicide attempts per year resulting in emergency rooms visits  An average of 132 suicide attempts per year resulting in hospitalization  Successful suicide methods: 49% by firearm; 26% by hanging/suffocation; 19% by poisoning; 3% cutting/piercing; 3% other  Nonfatal suicide methods: 67% poisoning; 24% cutting/piercing; 6% other; 2% hanging/suffocating; 1% firearm
  4. 4.  Mental Disorders -Depression or Bi-Polar -Alcohol or Substance Abuse or Dependence - Schizophrenia - Conduct Disorder -Anxiety Disorder - Borderline or Antisocial Personality Disorder - Impulsivity and Aggression  Previous suicide attempt  Family history of attempted or successful suicide  Serious medical condition and/or pain
  5. 5.  Highly stressful life event (losing a loved one, financial loss, or trouble with the law)  Prolonged stress due to adversities (unemployment, relationship conflict, harassment, or bullying)  Exposure to another person’s suicide, or to graphic or sensational accounts of suicide (contagion)  Access to lethal methods of suicide during a time of increased risk  Exposure to extreme or prolonged environmental stress can lead to depression, anxiety, and other disorders that in turn, can increase risk for suicide
  6. 6.  Receiving effective mental health care  Positive connections to family, peers, community, and social institutions such as marriage and religion (foster resilience)  The skills and ability to solve problems  Protective factors may reduce suicide risk by helping people cope with negative life events  The ability to cope reduces the chance that a person will become overwhelmed, depressed, or anxious.  Protective factors do not entirely remove risk
  7. 7.  In contrast to longer term risk and protective factors, warning signs are indicators of more acute suicide risk  People who die by suicide usually show some indication of immediate risk before their deaths  Recognizing the warning signs for suicide can help us to intervene to save a life  Individuals who show warning signs should be evaluated for possible suicide risk by a medical doctor or mental health professional
  8. 8.  Talking about wanting to kill themselves, they wish they were dead  Looking for a way to kill themselves, such as hoarding medicine or buying a gun  Talking about a specific suicide plan  Feeling hopeless or having no reason to live  Feeling trapped, desperate, or needing to escape form an intolerable situation  Having the feeling of being a burden to other  Feeling humiliated  Having intense anxiety and/or panic attacks  Losing interest in things, or losing the ability to experience pleasure  Insomnia  Socially isolative and withdrawn  Acting irritable or agitated  Showing rage, or talking about seeking revenge for being victimized or rejected, whether or not the situations the person describes seem real
  9. 9.  Take it seriously: 50-75% of all people who attempt suicide tell someone about their intention  Ask questions  Tell the person you are concerned about them and that you feel concerned about suicide.  Ask if they have considered suicide and whether they have a plan or method in mind.  Ask if they are seeing a clinician or taking medications  Do not try to argue someone out of suicide. Let them know you care, that they are not alone and that they can get help. Avoid pleading and preaching
  10. 10.  Encourage professional help  Actively encourage the person to see a physician or mental health professional immediately  People contemplating suicide often believe they cannot be helped. If you can, assist them to identify a professional and schedule an appointment, If they will let you, go to the appointment with them
  11. 11.  Take action  If the person is threatening, talking about, or making specific plans for suicide, this is a crisis situation requiring immediate attention. DO NOT LEAVE THE PERSON ALONE  Remove any firearms, drugs, or sharp objects from the area that could be used for suicide  Take the person to a walk-in clinic at a psychiatric hospital or a hospital emergency room  If these options are not available, call 911 or the National Suicide Prevention Hotline at 1-800-273- TALK for assistance
  12. 12.  Follow-up on treatment  The suicidal person may need your support to continue with treatment after the first session  If medication is prescribed, support the person to take it exactly as prescribed. Be aware of possible side effects, and notify the person who prescribed the medicine if the suicidal person seems to be getting worse, or resists taking the medicine. The doctor can often adjust the medications or dosage to work better for them  Help the person understand that it may take time and persistence to find the right medication and the right therapist. Offer your encouragement and support throughout the process, until the suicidal crisis has passed

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