How Do I Speak With Someone Who is Feeling Suicidal. Crisis Support Services of Alameda County

Transcription

1 How Do I Speak With Someone Who is Feeling Suicidal Crisis Support Services of Alameda County

2 Crisis Support Services of Alameda County Suicide PrevenAon & Crisis IntervenAon 24- Hour Crisis Line NaAonal SP Lifeline Network (TALK) TextLine (4pm 11pm Daily) Text keyword SAFE to

3 Crisis Support Services of Alameda County Counseling Services & Community Support Grief Counseling Program Individual & Groups Older Adult Counseling Program In- Home, On- site, & Groups Debriefings Psychological Autopsy

4 Community EducaAon

5 Goals of Suicide IntervenAon Stabilize the person emoaonally Relieve the pressure the person is feeling Guide the person to take meaningful control of their lives Obtain further assistance if necessary

6 The Suicidal Mind

7

8 YouTube Video: The Suicidal Mind

9 What makes us uncomfortable asking or talking about suicide?

10 Talking or wriang about suicide, Saying; I wish I was dead Or I wish I could go to sleep and never wake up IsolaAng from family and friends and Social support Immediate Suicide Warning Signs Looking for the means to kill self. Gefng a gun, hording medicaaon etc. Risk taking behavior such as Substance abuse, problems at work/school/home, problems with the law, provoking someone to kill them

11 Beginning the ConversaAon

12 BREATH TAKE CARE OF YOURSELF Before You Talk About Suicide STAY CLAM CHECK IN WITH SELF

13 Helpful Guidelines The emphasis is the person s experience and feelings AcPve listening Convey sense of confidence and safety No assumppons, no judgments No arguing, distracpng, trying to cheer up Know your role, and also your limitapons

14 Turn off all electronics Find a quiet place to talk Helpful Guidelines Cont Be mindful of your safety and theirs Have papence Speak slowly, use short sentences, be willing to repeat yourself Ask open ended quespons Be prepared to take care of yourself ayer the conversapon

15 Asking the Tough QuesAons Asking people about suicide or other self- destrucpve acts can be frightening. A suicidal person is typically relieved to be asked. Asking if someone is suicidal will not make them more suicidal (won t plant a seed ).

16 Ask directly Ask about risk Ask about intent Ask about protecpve factors

17 Ask Directly About Suicide Do you feel so hopeless that you think about killing yourself? You said that you feel like there is no way out, have you been thinking about suicide? Are you feeling suicidal? Is there a way to end your emoponal pain without ending your life?

18 Have you ever tried to kill yourself? What happened when you a_empt before? Do you have the means to kill yourself? When & where do you plan to take your life? Do you have plan? Asking About Risk How oyen do you think about suicide

19 Do you intend to act on your plan? What have you done to prepare? Have they done anything to hurt themselves? Have you rehearsed your death? Why do you want to die? Asking About Intent Is there anything that is stopping your from taking your life? (Rudd, D.M. (2006) The Assessment and Management of Suicidality)

20 Exploring Things That Protect Someone From Suicide Even though you ve had a very difficult Pme, something has kept you going. What are your reasons for living? Are you hopeful about the future? What would need to happen to help you be more hopeful about the future? What keeps you going in difficult Pmes like this? Whom do you rely on during difficult Pmes? (Rudd, D.M. (2006) The assessment and Management of Suicidality)

21 Guidelines for Safety Use Community Resources Call Emergency Personal Remove access to lethal means Person at Risk Determine Supports

22 Introducing: MY3 Suicide PrevenAon Mobile App

23 MY3 Features: Homepage! Main page! Add 3 primary contacts! Pre-loaded with buttons to call National Suicide Prevention Lifeline and 911

24 MY3 Features: Safety Plan! Follows Safety Plan by Barbara Stanley & Gregory Brown (2008)! A tiered plan that provides activities for distraction, and people to call on depending on degree of suicidality! A tool in your therapeutic relationship; a plan to stay safe for the individual! Can be ed

25 Provide a caring presence Know your limits Provide hope Ask for help when necessary Lend perspecpve Reminders Provide alternapves

26 Take Care of YOU In the event that oxygen masks may be needed, place the mask over your own face before assis=ng others Express graatude for what you have Stretch, breath, meditate Exercise, walk, run, dance Do one thing at a Ame Ask for help or support when you need it Find the one thing that gives you JOY and do it! (Adapted from HCH Clinicians Network,

27 Contact InformaAon Mercedes Coleman, Director of Community EducaPon CrisPna Rita, MA Community EducaPon Coordinator Ma_ Podkomorski, MA Community EducaPon Speaker Workshop created by CrisPna Rita, MA