They Say...
cALL 800-273-8255 or text "SOS" to 741741
Zero Suicide (44k in 2015, up from
42K in 2014) ZERO Suicide is an approach targeting health care providers in health systems. SB-48 groups We also welcome people with suicidal experiences, those bereaved by suicide, military service members, veterans and their families, tribal communities, researchers, & community members. Overview of ZERO Suicide Model Small Group: What would ZERO Suicide look like in Curry County Panel - Where We Are and What We Wish We Would Have Known: Hearing from Health Systems implementing Zero Suicide VA Experts - Operation Save: Veteran and Military Suicide Prevention and ZERO Suicide Greg Simon - Asking the question consistently: What do the data mean? Kate Comtios - Treatment and Management for Suicidal People: What treatments work? Why are they so hard to get? OR State Suicide Legislation and State Plan Panel - Loss Survivor and Lived Experience Panel: Here is what it is important for healthcare providers to know Vendors and groups interested in setting up a table for free in the lobby can contact Michelle Borsz at Michelle.Borsz@va.gov Mailing Address Washington State Department of
Veterans Affairs A word about our theme and why it differs from the national Zero Suicide campaign. Having retired from 35 years in top-level advertising agencies, i.e., read "Mad Men", in picking a theme or objective, strategies should be developed from the objective. According to the CDC, Zero Suicide's primary target market should be men since 75% of deaths from suicide are men (1). The ratio is much higher with college age men. This also makes sense and would direct suicide prevention programs in a very different path to combat the cultural aspects that men are trained to ignore their bodies (no pain, no gain", their mental phacilities (Be though, handle it, deal with it, man up, don't be a pussy, you throw like a girl, want me to go on.) I four-day residential trainings I did for 25 years with women around the country that dealt with the Father Wound, on the last day we would process this question: "How would it feel to be trained all your life to kill other women?" That's whata we're still doing with men. Don't feel feelings. Forge on regardless. Die for questionable government causes. Handle it. So, when you can't handle it and are tarined NOT to ask for help, a quick out from the pain is Suicide. Now if Zero Suicide followed its name and concentrated on changing the culture, getting men to talk, at least, with professionals about their physical and mental health issue, and develop intact procedures, and physical and mental theropies to do this, I think we could substantiall reduce the number of actual deaths by suicide. (as it gets younger and younger) The sooner these cultures can be changed, the sooner we can start treating the mental health issues with our 10-24 years olds and as the numbers of suicides start ccreaping even younger. They say...Rising suicide rates among men are a serious concern, with the level among males at its highest since 2001. Suicide among men has also begun to affect different age groups, with 2013 being the first year that men aged 45-59 showed the highest rates. Experts believe that this may be due to a number of factors, such as financial issues exacerbated by austerity and traditional attitudes towards discussing emotional problems. (3) Zero Attempts (Estimated at over 1.1M in 2015) The real proble that Zero Suicide should be focusing on, the probably is with most of their programs, is the real cost to our health care system are the estimated 1 plus million suicide attempts each year, representing over 760k er visit and rising. "They say" that 60% of people who die by suicide had contact with a health care (mental health care?) (2) professional within 30 days of the suicide. Why? What was missed? The system had direct contact with them. I assume (making an ass out of you and me) that a Risk Assessment was done.A safety plan was created. Drugs, if needed were perscribed. Other avenues were followed under the current protocal of their licensure. Yet there was a suicide with (44k suicides divided by the perent, gives a number to use here.) So, what's the problem. I'm not trained in clinical psychology, thought I have done the aforementioned, intense emotional retreat with hundreds of women, working directly with represed anger and rage. That should be worth something. First Responders. The first thing I see is a lack of training for first responders: ambulance, law enforcement, ER departments, community members. Anecdotal reports I have received talking with members of this small, rural Oregon community, that have had direct contact with these professions report that some of the people in these positions don't have the training or understanding of mental health, how to work with manic or buii polar or schiz or ptsd flash-backs to manic people and to come that them in public when they are having an episode (NY Times hospital killings) coming at them aggresively with guns or taisers drawn, even a K-9 unit usually triggers an episode that many law enforement officers take as being the right to shoot, even kilol (NYT) when in a trained ER uint, those members get trays thrown at them all the time, agreesive behavior ll the time, and the good ones have been trained on how to positively deal with the situation with everyone's safety in mind. Not drawing a gun and killing someone. (Many at risk mental health clients don't trust the responders to 911 calls and tend to no call when in trouble. Length of time to get a revisit when meds are changed. Should be 30 days max. Sometimes seveal months. No good for clients or their community. Mental Health Professionals and Organizations Social workers, therapists, psychiatricsts, school counselors, clergy, NHS, ASPF, others They say...Untreated mental illness such as depression is a key factor in suicide among young people, as is the creation of friends and communities on social networks who share the same thoughts. Mental health services for young people have been targeted by austerity measures, making it increasingly important for young people to be given the help they need. Experts believe that treatment of mental health problems at a younger age lowers the probability of a person committing suicide as an adult. (3) "They say...(2) that a high percentage
of these people, especially therapists and psychiatrics, do
not have specific training in suicidality. Oregon,
California (bill number), and a number of other states have
or are developing (title) laws that suggest or require
(cover categories) to have some level of suicidality
training in order to be able to renew their professional
license. California requires, Oregon recommended and will
look at the issue in five-years (during which time thousands
of lives will be lost because the people that were working
with the people at risk will not have had that training. (I
don't understand why the people who make the rules want to
continue watching the suicide rates climb and the suicide
ideation in surveys with 6th, 8th, and 11th graders in
Oregon schools as reecntly as April, 2016 show 10 to 18%
seriously considered suicide in the last year and 6 to 9%
actually attempted. (Sadly, the numbers are usually higher
in my county, Curry County which may reflect the lack of
trained mental health professionals and a cultural adversion
to change the bullying natural of the culture. See
www.thecitizenswhocare.org/wellness-cc-composite-2010-2023-html) As
of 110216 Questions Missed at least 1
day of school-not feel safe 30 Did you ever feel
so sad or hopeless almost ** Did you ever
seriously consider attempting Actually attempted
suicide? Legand:
%
- Curry County;
Red: above
state average Dark
red: Close
to 100% over state average..* Days or months before
the survey question was asked. ** every day
for 2+ weeks in a row that you stopped doing some
usual
activities? Why "They say..."? So, without fact checking to see if something is current belief supported by valid evidence, here is what people and organizations say about suicide. It's up to oyou to do a Snopes.com search, look at abstrats on the subject, etc. to determine whether to use the information, or go with your gut with the understanding that you gut may need a Tums.
Zero Attempts - support those experiencing suicidal thoughts, freeing them from the shame and stigma that surrounds suicide and giving them voice, while helping them find purpose in life. Rediscovering Hope Zero Suicide reflects a commitment by
healthcare leaders to strive to make suicide a
“never” event, so that not one person dies alone
and in despair. To achieve this goal, a culture must be
cultivated where caring, confident and competent staff are
supported to continuously improve and learn together.
Patients are encouraged to rediscover hope and find ways to
survive (and thrive) so that they can reengage with–and
contribute to–the communities in which they work, play
and live. Source:
zerosuicide.org/
Research, evaluate, share prevention successes. Source: 1. 2. 3. www.salford.ac.uk/onecpd/courses/the-suicide-prevention-conference (4) Dr. Harold Koplewicz, Today Show, www.today.com/parents/high-school-students-hope-combat-suicide-depression-13-reasons-why-t111439 5. https://www.jointcommission.org/assets/1/6/Webinar_slides_Detecting_Treating_Suicide_Settings_mckeon.pdf
What is Zero Suicide - 2 page
PDF Suicide Care in Systems Framewoork 71
page PDF Zero Suicide Toolkit http://zerosuicide.sprc.org/toolkit The Power of Zero: Steps toward high reliability healthcare. http://www.jointcommission.org/assets/1/18/MA13_Feature1_reprint.pdf Quick guide to getting started with Zero Suicide http://zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/Quick%20Guide%20to%20Getting%20Started%20with%20Zero%20Suicide.pdf Zero Suicide Organizational Self-Study 21 page PDF http://zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/Zero%20Suicide%20Organizational%20Self-Study.pdf ZERO SUICIDE WORK PLAN TEMPLATE 11
page PDF suicide-prevention-fact-sheet-2023 September is Suicide Prevention
Awareness Month with a focus on the resiliency and positive
life-coping skills of our Soldiers and Families.
Source: www.jointcommission.org/assets/1/6/Webinar_slides_Detecting_Treating_Suicide_Settings_mckeon.pdf ------------------------ CDC Leading Causes of Death "Deaths, percent of total deaths, and death rates for the 15 leading causes of death: United States and each State, 2014" Report dated 12/1/15 Suicide 10th 42,773 http://www.cdc.gov/nchs/data/dvs/lcwk9_2014.pdf CDC: Suicide: Facts at a Glance http://www.cdc.gov/violenceprevention/pdf/suicide-datasheet-a.PDF American Foundation for Suicide Prevention 10th cause of death, 42,773 yearly, For every suicide, 25 attempts which equates to 1,069,325 suicides in 2014 costing $44 billion annually. Additional Facts About Suicide in the US
https://afsp.org/about-suicide/suicide-statistics/ California data: https://afsp.org/about-suicide/state-fact-sheets/#California Oregon Data: https://afsp.org/about-suicide/state-fact-sheets/#Oregon Youth Suicide Statistics: The Parent Resource Program http://jasonfoundation.com/prp/facts/youth-suicide-statistics/ Signs and Concerns: The Parent Resource Program http://jasonfoundation.com/prp/facts/signs-concerns/ Common Myths: The Parent Resource Program http://jasonfoundation.com/prp/facts/common-myths/ Cury County Demographis: Mental health providers 380:1 (Oregon
average 250:1 2017 29 What is stigma? The World Health Report defines stigma as “a mark of shame, disgrace or disapproval which results in an individual being rejected, discriminated against, and excluded from participating in a number of different areas of society.” What are the statistics? 1 in 4 Americans have a diagnosable mental health disorder in a given year.1 More than half of college students have had suicidal thoughts.2 Half of students who have suicidal thoughts never seek counseling or treatment.3 67% of college students tell a friend they are feeling suicidal before telling anyone else.4 80% of college students planned to seek guidance and/or advice from a peer during times of distress. 5 Only 2% of college students indicated they would seek help from a mental health professional or faculty in times of need. 6 When asked whether they would accept someone who had received mental health treatment as a close friend, 97% of college students agreed they would. 7 In the last two weeks, 48% of American college students felt overwhelmed by all they had to do. 8 In the last two weeks, 16% of American college students felt hopeless. 8 In the last two weeks, 10% of American college students were so depressed it was difficult to function. 8 51% of American college students experienced overwhelming anxiety in the last year. 8 13% of American college students were diagnosed with an anxiety disorder last year. 8
1 Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 2005 Jun; 62(6): 617-27 2 Drum, David J.; Brownson, Chris; Burton Denmark, Adryon; Smith, Shanna E. New data on the nature of suicidal crises in college students: Shifting the paradigm. Professional Psychology: Research and Practice. Vol 40(3), Jun 2009, 213-222. 3 Ibid. 4 Framework for Campus Mental Health Promotion and Suicide Prevention. Presented as part of an invited symposium at the SAMHSA Campus Suicide Prevention Grantee Technical Assistance Meeting, Gaithersburg, MD, January 2007. 5 Curtis, C. (2010). Youth perceptions of suicide and help-seeking: They’d think I was weak or ‘mental’. Journal of Youth Studies, 13(6), 699-715. 6 Hyun, J. K., Quinn, B. C., Madon, T., & Lustig, S. (2006). Graduate student mental health: Needs assessment and utilization of counseling services. Journal of College Student Development, 47, 247-266. 7 Healthy Minds Network. (2014). The healthy minds study 2014 national data report. Retrieved from: http://healthybodiesstudy.org/wpcontent/uploads/2014/07/HMS_national.pdf. 8 American College Health Association. (2013). American College Health Association--National College Health Assessment II: Reference Group Executive Summary Spring 2013.
Hanover, MD: American College Health Association. WHEREAS, approximately 50% of students age 14 and older with a mental illness drop out of high school. 90% of those who died by suicide had an underlying mental illness.1 Education
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44,193
suicides in 2015