Dr Carmelo Aquilina Senior Staff Specialist & Service Director Sydney West Area Health Service Clinical Senior Lecturer, University of Sydney
|
|
- Allyson Bond
- 5 years ago
- Views:
Transcription
1 Dr Carmelo Aquilina Senior Staff Specialist & Service Director Sydney West Area Health Service Clinical Senior Lecturer, University of Sydney A suicide
2
3 Outline Part 1: understanding suicide Part 2: What are risk factors? Part 3: How to assess suicidal behaviour? Part 4: How to manage suicidal behaviour Part 5: Prevention of suicide
4 1: Understanding suicide 1 million people die each year from suicide More people than killed in conflicts X10 x 20 attempt suicide Numbers vary widely from country to country e.g. Greece 3.4 vs. Slovenia 28.1 (per 100,000) Methods vary from country to country E.g. firearms in US, poisoning in India Rates highest in older men but younger men catching up quickly 1: Understanding suicide
5 1: Understanding suicide Risk increases with age peak in over 75s Attempted suicide 61.4 per 100,000 Completed suicide 29.3 per 100,000 Highest in men Ratio of attempted to completed suicide decreases significantly in older people (200:1 to 4:1) all attempts are to therefore be taken seriously 1: Understanding suicide Completed suicide: a selfinflicted act resulting in death Suicidal intent Variable, usually high Lethality Absolute Attempted suicide: self-injurious behaviour with variable intent that does not result in death Variable, usually high Variable Suicidal ideation: thought of selfinjurious behaviour Variable, usually low if fleeting but higher as gets more intense or delusional No Self-harm: deliberate self-injury without suicidal intent Nil Variable, usually low
6 1: Understanding suicide 1: Understanding suicide Suicidal behaviour can be Intentional Sub-intentional Unintentional Ambivalent Suicidal motivation can be : Interruption Manipulation Retribution Russian roulette Better off dead
7 Quick check What was George Eastman s motivation?
8 2; Suicide risk factors Demographic: Male Old Poor Unemployed Single/divorced Socially isolated Personal history Difficult upbringing Family history of suicide Medical illnesses Chronic Painful Functional impairment multiple 2; Suicide risk factors Psychiatric History Recent contact with services Past history of self harm Personality disorder Depression Schizophrenia Bipolar Alcohol dependence Situational Anniversaries Holidays Adverse life events e.g. financial, legal, family, relationship problems Access to lethal means
9 2:suicide risk factors
10 2: Suicide risk factors Quick check What were George Eastman s risk factors? Biological Predisposing Proximal Precipitating (trigger)
11
12 3: Suicide assessment Situation What are you trying to find out? Suicidal ideation Is intent serious? What is the risk of it happening? Suicidal attempt Was intent serious? What is the risk of it being tried again? 3: Suicide assessment SCREEN do you still get pleasure out of life? do you feel hopeful from day to day? / do you think things will turn out well? are you able to face each day? /do you ever wish you would not wake up tomorrow? do you feel life is a burden? / do you wish it would all end? have you ever thought of ending your life or harming yourself? / is there anything to live for?
13 3: Suicide assessment ASSESS IDEATION What are you thinking? How frequent are these thoughts? When are they most likely to occur? How strong are these thoughts or feelings? How are you able to resist the thoughts? Is there a plan? Are there specific methods, date or place in mind? Have specific preparations been made? 3: Suicide assessment ASSESS IDEATION Has there been a practice or real attempt? What is the outcome wanted? (motivation) Are the means for suicide available? Are the means lethal (objectively) and what is the patient s understanding of lethality (subjectively)? What is the strength of intent? How likely are you to kill yourself? How impulsive is the patient (including use of alcohol)? What would happen if you died? Who would miss you?
14 3: Suicide assessment ASSESS ATTEMPT A useful question to start is the 24 hour question i.e. to ask the person to describe the events of the last 24 hours before the attempt itself. 3: Suicide assessment ASSESS ATTEMPT Assess how the person got to where he or she is Start from event and work backwards Life events, stressors, past history, family history
15 3: Suicide assessment ASSESS INTENT Attempt premeditated and actively planned Precautions taken to avoid intervention Impulsivity increased by taking alcohol or other drugs attempt carried out when alone attempt timed to minimise risk of discovery suicidal attempt communicated prior to attempt 'final acts' in anticipation of death (e.g. suicide note or will) violent, active methods or drugs patient knows to be lethal 3: Suicide assessment ASSESS INTENT person believed act would be final and irreversible (expectation of lethality) person states aim was to kill oneself person regrets surviving the attempt no actions to get help or to let people know after the attempt previous attempts Stressors triggering the attempt likely to happen again
16 3: Suicide assessment SCREEN FOR DEPRESSION Most important and treatable risk factor Use BASDEC or GDS- 15 Jenike s mnemonic is SIGE CAPS Beware hidden depression in elderly Sleep disturbed Interest decreased Guilt Energy decreased Concentration is poor Appetite disturbed Psychomotor changes Suicidal ideation 3: Suicide assessment HIGH RISK MENTAL STATE Despair Guilt Humiliation Hopelessness Helplessness Anhedonia Abandonment Agitation Poor concentration
17 3: Suicide assessment AAS WARNING SIGNS MENMONIC IS PATH WARM? Ideation Substance use Purposelessness Anxiety / agitation Trapped Hopeless/ helpless Withdrawal Anger Recklessness Mood changes 3: Suicide assessment PITFALLS IN ASSESSMENT OR RISK Deliberate denial Variability in distress and intent Ambivalence False improvement Malignant alienation Not asking an informant Not recording assessment Not communicating risk
18 3: Suicide assessment PITFALLS IN ASSESSMENT open admissions are not manipulative Asking increases risk Fleeting ideation does not pose any risk A suicide prevention contract absolves you of any responsibility A low score on a standardised assessment tool means a low risk Respecting confidentiality at all times 3: Suicide assessment ASSESSING OLDER PEOPLE Older people are less likely to agree that they have or have had suicidal ideation than younger people but confess this more often to family or friends All attempted suicide should be taken seriously by health professionals Severe depression increases risk by 23 times Diagnosis of dementia a risk factor Higher burden of physical illness
19 3: Suicide assessment ASSESSING OLDER PEOPLE Frailty (increased vulnerability) Living alone and having poor supportive networks Greater intent and planning than in younger people (less impulsive) Intent is often communicated to more than one person and by different means Adverse live events common Quick check What would you have been asking George Eastman to be able to assess immediate risk?
20 4: managing suicide risk Assess risk severity and imminence Treat underlying mental illness Minimize weaknesses /aggravating factors e.g. pain, stop alcohol use, remove alcohol, etc. Enhance strengths e.g. encourage family support, hope-based therapy Collaborative plan Include patient, carers, colleagues, GP Regular review Contemporaneous documentation 4:manging suicidal risk
21 4: managing suicide risk Risk Assessment answers the questions How likely How soon How severe? Absolute predictions impossible Reasonable foreseeability is standard Be open about uncertainties Document a thorough assessment of all factors considered
22 4:managing suicide risk Beneficial Likely to be beneficial Unknown effectiveness Antidepressants Non-directive counselling Befriending Cognitive Behavioural Therapy Problem solving therapy Bibliotherapy (use of books and poetry as therapeutic aid) ECT Combining antidepressants with interpersonal therapy Exercise Interpersonal therapy ST John s wort Psychological therapies 4:managing suicide risk
23 Quick check What would have been a management strategy for George Eastman?
24 5:Preventing suicide Primary prevention Managing economic poverty Retirement planning Media reporting responsibly Addressing social isolation ( anomie ) and stigmatization in society e.g. volunteer or trade visitors Reduce access to means Role retention voluntary work or consultancy from older people 5: preventing suicide Secondary prevention Suicide awareness training for professionals (Gotland study) Access to mental health services and prompt treatment especially of depression Prompt and effective pain relief Help lines
25 Quick check What are things that could be implemented in a suicide prevention strategy in Malta? Conclusion Suicide is common cause of death Suicide is commonly preventable Needs awareness of risk Open and honest discussion Collaborative management Prompt management of underlying difficulties
26
BUILDING BARRIERS TO SUICIDE:
BUILDING BARRIERS TO SUICIDE: Mr. F 78 yo male CAD, HTN, CABGx5 Depression? PCP of course you re depressed, your old Sig for anti depressant
More informationUPMC SAFE-T Training Adapted for Pediatric Primary Care. Sheri L. Goldstrohm, Ph.D.
UPMC SAFE-T Training Adapted for Pediatric Primary Care Sheri L. Goldstrohm, Ph.D. Prevalence of Suicide in the U.S. 10th most frequent cause of death for all ages 2nd leading cause of death for individuals
More informationA basic approach to a suicidal patient
A basic approach to a suicidal patient With Dr Joanne Ferguson, Staff Specialist Psychiatry and Addiction Medicine, Royal Prince Alfred Hospital Introduction Talking about suicide is regarded as one of
More informationP H I L L I P N. S M I T H, P H. D. C A N D I C E N. S E LW Y N, M. S.
P H I L L I P N. S M I T H, P H. D. C A N D I C E N. S E LW Y N, M. S. U N I V E R S I T Y O F S O U T H A L A B A M A 2 2 O C T O B E R 2 0 1 4 A L J A I L A S S O C I AT I O N S A N N U A L C O N F E
More informationA Primer on Suicide Risk Assessment
www.joeobegi.com A Primer on Suicide Risk Assessment Joseph H. Obegi, PsyD October 14 OBJECTIVES Introduction Why do an SRA? When to do an SRA SRA process Accounting Risk factors Warning signs Protective
More informationScreening for Depression and Suicide
Screening for Depression and Suicide Christa Smith, PsyD Western Interstate Commission for Higher Education Boulder, Colorado 10/2/2008 Background My background A word about language Today stopics Why
More informationReading: Andreasen & Black, Introductory Textbook of Psychiatry, 3rd edition, Chapter 21, pp
Psychiatry Sequence (PSY614) Topic: Faculty: Suicide Michael Jibson, M.D., Ph.D. Reading: Andreasen & Black, Introductory Textbook of Psychiatry, 3rd edition, Chapter 21, pp. 553-568 Lecture: Thursday,
More informationSuicide Prevention in the Older Adult
Suicide Prevention in the Older Adult Nina R. Ferrell, MA Geriatric Outreach Professional Relations Salt Lake Behavioral Health Hospital Presentation Content Credits 1. Addressing Suicidal Thoughts and
More informationSuicide Risk Factors
Suicide Prevention Suicide Risk Factors Mental Health disorders, in particular: o Depression or bipolar (manic-depressive) disorder o Alcohol or substance abuse or dependence o Schizophrenia o Post Traumatic
More informationThreat to Self: Suicide & Self-Injurious Behavior. David Towle, Ph.D. UNI Counseling Center Director
Threat to Self: Suicide & Self-Injurious Behavior David Towle, Ph.D. UNI Counseling Center Director What do you do? You check your e-mail and find a message from a student, apparently sent about 3 a.m.,
More informationDirections: Use your mouse or the arrows on your keyboard to click through this tutorial.
Directions: Use your mouse or the arrows on your keyboard to click through this tutorial. Diamond Healthcare Corporation Suicide Risk Assessment For Outpatient Programs 2009 Objectives 1. Identify the
More informationSuicide Awareness & Assessment
Suicide Awareness & Assessment Western Psychiatric Institute and Clinic of UPMC Presbyterian Shadyside 1 Dr. Jennifer Beckjord, PsyD; Senior Director, Clinical Services Jeffrey Magill, MS; Emergency Management
More informationCRPS and Suicide Prevention
1 CRPS and Suicide Prevention Jill Harkavy Friedman, PhD June 23, 2012 RSDSA Board Meeting 2 What we know about suicidal ideation and behavior Majority of people have thought about suicide at some point
More informationSuggested Protocol for Resident Verbalizing Suicidal Ideation or Plan
Suggested Protocol for Resident Verbalizing Suicidal Ideation or Plan Rationale: In the event a [resident] verbalizes suicidal thoughts or even a plan, the carer will know what steps to take for safety
More informationYouth Depression & Suicide
Youth Depression & Suicide Hatim Omar, M.D. Professor, Pediatrics & Ob\Gyn. Chief, Division of Adolescent Medicine & Young Parent Program Department of Pediatrics University of Kentucky Email: haomar2@uky.edu
More informationSuicide Prevention and Intervention
Suicide Prevention and Intervention Kim Myers, MSW May 2, 2017 Division of Substance Abuse and Mental Health Overview Suicide in Utah Suicide Risk & Protective Factors Suicide Warning Signs C-SSRS Safety
More informationChapter 10 Suicide Assessment
Chapter 10 Suicide Assessment Dr. Rick Grieve PSY 442 Western Kentucky University Not this: Suicide is man s way of telling God, You can t fire me, I quit. Bill Maher 1 Suicide Assessment Personal Reactions
More informationLINEHAN RISK ASSESSMENT AND MANAGEMENT PROTOCOL (LRAMP)
Client: Person Completing: LINEHAN RISK ASSESSMENT AND MANAGEMENT PROTOCOL (LRAMP) Date Contacted: Date Created: SECTION 1: REASON FOR COMPLETION LRAMP 1. Reason for completing: History of suicide ideation,
More informationDepression: what you should know
Depression: what you should know If you think you, or someone you know, might be suffering from depression, read on. What is depression? Depression is an illness characterized by persistent sadness and
More informationFIREARMS AND SUICIDE PREVENTION
FIREARMS AND SUICIDE PREVENTION WHAT LEADS TO SUICIDE? There s no single cause. Suicide most often occurs when several stressors and health issues converge to create an experience of hopelessness and despair.
More informationSuicide A National Problem, What Every Physician Needs to Know!
Suicide A National Problem, What Every Physician Needs to Know! Asim A. Shah M.D. Professor & Executive Vice Chair Menninger Department of Psychiatry, Professor, Department of Community and Family Medicine,
More informationBRTC IMMINENT SUICIDE RISK AND TREATMENT ACTIONS NOTE
BRTC IMMINENT SUICIDE RISK AND TREATMENT ACTIONS NOTE Client Name: Therapist Name: Contact Date: Today s Date: REASON FOR IMMINENT RISK AND TREATMENT ACTION NOTE 1) CURRENT, SINCE LAST SESSION or HISTORY
More informationSuicide, Para suicide and Risk Assessment
Suicide, Para suicide and Risk Assessment LPT Gondar Mental Health Group www.le.ac.uk Objectives: Definition of suicide, Para suicide/dsh Changing trends of methods used Epidemiology Clinical Variables
More informationWHAT IS IMMINENT RISK? UNDERSTANDING THE FUNDAMENTALS OF SUICIDE RISK ASSESSMENT AND MANAGEMENT
Stacy Rivers, MSW, LICSW WHAT IS IMMINENT RISK? UNDERSTANDING THE FUNDAMENTALS OF SUICIDE RISK ASSESSMENT AND MANAGEMENT Journal of Dawn Renee Befano, 10/29/1995 I want to die. Today I feel even more vulnerable
More informationSuicide.. Bad Boy Turned Good
Suicide.. Bad Boy Turned Good Ross B Over the last number of years we have had a few of the youth who joined our programme talk about suicide. So why with all the services we have in place is suicide still
More informationhttps://www.glyndewis.com/wp-content/uploads/2014/12/sos.jpg Recognizing and Responding to Signs in Ourselves or Others
https://www.glyndewis.com/wp-content/uploads/2014/12/sos.jpg Recognizing and Responding to Signs in Ourselves or Others Purpose of the SOS Suicide Prevention Program To help students and trusted adults
More informationROBBINSVILLE SCHOOL DISTRICT
ROBBINSVILLE SCHOOL DISTRICT Working Together to Help Our Children A Candid Discussion About Recovering from Loss A Community Conversation September 12, 2017 Tonight is intended to be a serious and important
More informationIMMINENT SUICIDE RISK & TREATMENT ACTION PLAN
IMMINENT SUICIDE RISK & TREATMENT ACTION PLAN Client Name: Therapist Name: Client s DOB: Contact Date: REASON FOR IMMINENT RISK & TREATMENT ACTION PLAN 1. Current or History of suicidal ideation, impulses,
More informationCaring for someone who has self-harmed or had suicidal thoughts. A family guide
Caring for someone who has self-harmed or had suicidal thoughts A family guide This booklet is aimed at the families/carers of people who have self-harmed or had suicidal thoughts. It will be provided
More informationSuicide Risk Management Clinical Strategies
Suicide Risk Management Clinical Strategies March 12, 2015 Steven Vannoy, PhD, MPH steven.vannoy@umb.edu Department of Counseling and School Psychology University of Massachusetts Boston Review: What Explains
More informationSuicide: Starting the Conversation. Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support
Suicide: Starting the Conversation Jennifer Savner Levinson Bonnie Swade SASS MO-KAN Suicide Awareness Survivors Support What We Do Know About Suicide Suicidal thoughts are common. Suicidal acts, threats
More informationHow do I do a proper suicide assessment and document it in my note? September 27, 2018
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences How do I do a proper suicide assessment and document it in my note? September 27, 2018 Christopher R. DeCou, PhD
More informationL;ve L;fe; Your story is not over yet.
L;ve L;fe; Your story is not over yet. Suicide is not as rare as some think. Who is more at risk? In the U.S., suicide rates are highest during the spring. Suicide is the 3rd leading cause of death for
More informationDepression in the Eldery Handout Package
Depression in the Eldery Handout Package Depression in the Elderly 1 Learning Objectives Upon completion of this module, you should be able to: 1. State the prevalence and describe the consequences of
More informationAddressing the Elephant in the Room: Talking About Mental Illness and Suicide. Dana E. Boccio, Ph.D. Wellness Lecture December 8, 2015
Addressing the Elephant in the Room: Talking About Mental Illness and Suicide Dana E. Boccio, Ph.D. Wellness Lecture December 8, 2015 What is Mental Illness? A mental illness is a condition that impacts
More informationSuicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell:
Suicide Awareness & Prevention The Silent Epidemic Kristin A. Drake Cell: 915 525 8937 What is Suicidality? ~According to Dr. Osvaldo Gaytan, Child and Adolescent Psychiatrist for El Paso Behavioral, Suicidality
More informationSCREENING FOR COMMON MENTAL DISORDERS DEPRESSIVE AND ANXIETY DISORDERS SUBSTANCE USE DISORDERS
SCREENING FOR COMMON MENTAL DISORDERS DEPRESSIVE AND ANXIETY DISORDERS SUBSTANCE USE DISORDERS COMMON MENTAL DISORDERS Depressive Disorders Anxiety Disorders Substance use disorders CMD in HIV Twice as
More informationTaking Care of Yourself and Your Family After Self-Harm or Suicidal Thoughts A Family Guide
It is devastating to have a suicidal family member and to live with the feelings that go with this kind of traumatic anxiety. That is why this guide is developed for you. It will give you some important
More informationDepression Workshop 26 January 2007
Depression Workshop 26 January 2007 Leslie G Walker Professor of Cancer Rehabilitation Donald M Sharp Senior Lecturer in Behavioural Oncology Mary B Walker Senior Clinical and Research Nurse Specialist
More informationSuicidality: Assessment & Management
Suicidality: Assessment & Management Dr Larkin Feeney Consultant Psychiatrist Cluain Mhuire Community Mental Health Service ICGP Spring Study Sessions IMI 12/04/12 CSO latest suicide statistics 2009 record
More informationThe Difficult Patient. Psychiatric Dilemmas in the Primary Care Setting. No Disclosures. Objectives 10/12/17. Erick K. Hung, MD
Psychiatric Dilemmas in the Primary Care Setting No Disclosures Erick K. Hung, MD Associate Professor of Clinical Psychiatry University of California, San Francisco Objectives Describe approaches to the
More informationSuicide Awareness and Prevention
Suicide Awareness and Prevention Suicide Isn t about Death, it is About Ending the Pain! Kansas School Nurse Conference July 19, 2017 Learning Objectives Explain the importance of recognizing the warning
More informationSUICIDE PREVENTION POLICY
SUICIDE PREVENTION POLICY The purpose of this policy is to protect the health and well-being of all Bonneville Academy students by having procedures in place to prevent, assess the risk of, intervene in,
More informationSpring 2013 Geriatric Health Lecture Series on Alzheimer s Disease and Related Issues. Depression. Stephen Thielke, MD
Spring 2013 Geriatric Health Lecture Series on Alzheimer s Disease and Related Issues Depression Stephen Thielke, MD Assistant Professor Department of Psychiatry and Behavioral Sciences University of Washington
More informationSUBJECT: Suicide Risk Screening and Assessment of Individuals in State Hospitals and State-Operated Crisis Stabilization Programs
DBHDD SUBJECT: Suicide Risk Screening and Assessment of Individuals in State Hospitals and State-Operated Crisis Stabilization Programs Policy: 03-504 Page 2 of 3 Hospital and CSP Staff Awareness regarding
More informationSession outline. Introduction to depression Assessment of depression Management of depression Follow-up Review
Depression 1 Session outline Introduction to depression Assessment of depression Management of depression Follow-up Review 2 Activity 1: Person s story followed by group discussion Present the first person
More informationDepression among Older Adults. Prevalence & Intervention Strategies
Depression among Older Adults Prevalence & Intervention Strategies Definition Depression is a complex syndrome complex characterized by mood disturbance plus variety of cognitive, psychological, and vegetative
More informationDepression: Assessment and Treatment For Older Adults
Tool on Depression: Assessment and Treatment For Older Adults Based on: National Guidelines for Seniors Mental Health: the Assessment and Treatment of Depression Available on line: www.ccsmh.ca www.nicenet.ca
More informationPrevention Works: Assessing and Intervening in Suicidal Behavior
Outreach Education Prevention Works: Assessing and Intervening in Suicidal Behavior. Program Handouts This information is provided as a courtesy by Children's Health Care System and its related organizations
More informationChapter 7 - Mood Disorders
Chapter 7 - Mood Disorders I. DEPRESSION A. Description Symptoms: 5+ constant over 2 weeks - sadness/depressed mood - guilt/remorse/worthlessness - suicidal thoughts - anhedonia (lack of pleasure) - fatigue/lethargy
More informationMyths vs. Facts: True or False? Talking openly about suicide will cause it. Anyone can learn to help someone who is struggling with thoughts of suicid
Adolescent Suicide & Management By Dr Lam Chun Associate Consultant Quality & Safety Director Kowloon Hospital Date: 3 December 2018 Myths vs. Facts: True or False? Talking openly about suicide will cause
More informationLecture Outline. Preventive Mental Health Interventions: School Suicide Intervention. Stephen E. Brock. Ph.D. 1. School Suicide Intervention
Stephen E. Brock, Ph.D., NCSP, LEP California State University, Sacramento Lecture Outline Risk Factors Variables that signal the need to look for warning signs of suicidal thinking. Warning Signs Variables
More informationBAPTIST HEALTH SCHOOL OF NURSING NSG 3037: PSYCHIATRIC MENTAL HEALTH. Safety: Suicidal Crisis
F 1 BAPTIST HEALTH SCHOOL OF NURSING NSG 3037: PSYCHIATRIC MENTAL HEALTH Safety: Suicidal Crisis Lecture Objectives: 1. Discuss epidemiological statistics and risk factors related to suicide. 2. Describe
More informationDepression and Bipolar Disorder
The Canadian Mental Health Association (CMHA) is a nation-wide, charitable organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness.
More informationGISD Suicide Prevention Plan
GISD Suicide Prevention Plan 2017 2018 Purpose The purpose of this plan is to protect the health and well being of all district students by having procedures in place to prevent, assess the risk of, intervene
More informationGUIDELINES FOR TEEN SUICIDE PREVENTION
GUIDELINES FOR TEEN SUICIDE PREVENTION Dr. C. J. John, Chief Psychiatrist, Medical Trust Hospital, Kochi Email: drcjjohn@hotmail.com What WHO Says??? World wide suicide is among top five causes of mortality
More information4.Do a Mini Mental State Examination on your study buddy.
MCQ PYCHIATRIC DIORDER UAN TUCKER 1.High yield indicators of an organic illness include all of these except? a) disorientation b) rapid onset c) no pre morbid decline d) a score of 23 on Folsteins Mini
More informationManaging Common Mental Health Problems
Managing Common Mental Health Problems Dr John S Parker MBBCh; FCPsych(SA) Dept of Psychiatry and Mental Health, Faculty of Health Sciences, UCT. Lentegeur Psychiatric Hospital SAMA Conference 2016 Universal
More informationSuicide Prevention. Kuna High School
Suicide Prevention Kuna High School Why Suicide Prevention is Important? From the 2015 Youth Risk Behavior Survey (CDC). Suicide 32% (up 4% from 29% - 2013) felt so sad or hopeless almost every day for
More informationLet s Talk. About the Role of Schools In Preventing Suicide Among Students
Let s Talk About the Role of Schools In Preventing Suicide Among Students Introductions ANN EPPERSON SCHOOL PSYCHOLOGIST BARREN COUNTY SCHOOLS RACHEL WETTON SCHOOL PSYCHOLOGIST BARREN COUNTY SCHOOLS BRIDGET
More informationSuicide Spectrum Assessment and Interventions. Welcome to RoseEd Academy. Disclaimer
RoseEd Module 7 Suicide Spectrum Assessment and Interventions Suicide Spectrum Assessment and Interventions J. Scott Nelson MA NCC LPC CRADC Staff Education Coordinator Welcome to RoseEd Academy Disclaimer
More informationDURING A SUICIDAL CRISIS
DURING A SUICIDAL CRISIS 1 UTAH RANKS 5 TH IN THE NATION 1 6 7 5 3 9 10 4 8 2 Data Source: WONDER 2016 Suicide Fatality Rates ages 10+ 2 Crude Rate of Suicides per 100,000 UTAH AND U.S. SUICIDE TREND Rate
More informationPOST-STROKE DEPRESSION
POST-STROKE DEPRESSION Stroke Annual Review March 7 th & 8 th, 2018 Justine Spencer, PhD, CPsych OVERVIEW What is Post-Stroke Depression (PSD)? Risk factors/predictors Impact of PSD Treatment and Management
More informationSuicide Prevention: How to Keep Someone Safe & Alive. January 2017
Suicide Prevention: How to Keep Someone Safe & Alive January 2017 Goals & Objectives Define Mental Illness, Age of Onset Discuss Statistics of Suicide, Nonfatal Suicidal Thoughts & Behaviors, Racial &
More informationSuicide Risk Assessment, Management and Documentation
Suicide Risk Assessment, Management and Documentation JIMMIE D. MCADAMS, DO DFAPA Laureate Psychiatric Clinic and Hospital Director Senior Behavioral Health Jeff Mitchell, M.D. Matthew Meyer, M.D. Phillip
More informationPhone Screen. Beginning the Psychoeducational Process: The Intake. The Psychoeducational Process and Elements throughout Care
Brian McKain, RN, MSN Christina Hanna, MS 1. Identify and explain the components used to assess and diagnose depression 2. How to share the wealth with both patients and their parents 3. Understand that
More informationMINNESOTA National Alliance on Mental Illness. National Alliance on Mental Illness QPR. For Youth. Ask A Question, Save A Life
QPR For Youth Ask A Question, Save A Life QPR For Youth Question, Persuade, Refer QPR QPR is intended to offer hope through positive action. QPR is not intended to be a form of counseling or treatment.
More informationWhy do i need to watch for suicide?
Toolkit for Parents Why do i need to watch for suicide? Suicide is the second leading cause of death for those ages 10 to 24 in the U.S. For each suicide death, family and close friends are at a higher
More informationHELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE
HELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE HOW TEENS COPE WITH LOSS & GRIEVE Grief is personal There is no right or wrong way to grieve Influenced by developmental level, cultural traditions,
More informationSUICIDE IN CHILDREN AND ADOLESCENTS
SUICIDE IN CHILDREN AND ADOLESCENTS WERNER VAN DER WESTHUIZEN April 2018 Introduction The death of a child is heart breaking for everyone affected, but when a child dies by suicide, it brings a while different
More informationDEPRESSION IN CHILDHOOD AND ADOLECENCE
DEPRESSION IN CHILDHOOD AND ADOLECENCE Bob Salo Mood Disorders Childhood Depression Major Depressive Disorder Disruptive Mood Dysregulation Disorder Bipolar Affective Disorder Mainly Depressive Mainly
More informationMental Health Series for Perinatal Prescribers. Severe postpartum syndromes
Mental Health Series for Perinatal Prescribers Severe postpartum syndromes 2 Maternal Filicides Acutely psychotic - 24% Depression Altruistic - 56% to relieve suffering associated with suicide 80% due
More informationTeen Suicide 2013 Kmcfarlane 10/3/13
1 2 3 4 5 6 7 Teen Suicide Kevin McFarlane BSN,RN,CEN,EMT University of New Mexico Hospital Suicide The spectrum of suicide Suicide Defined Suicide: Intentionally causing one s own death. Sometimes difficult
More informationACUTE INPATIENT TREATMENT
I. Definition of Service: ACUTE INPATIENT TREATMENT Acute inpatient hospitalization represents the most intensive level of psychiatric care. Multidisciplinary assessments and multimodal interventions are
More informationPowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 2 Psychosocial Health: Being Mentally, Emotionally, Socially, and Spiritually Well Defining Psychosocial Health What is it? Complex interaction
More informationSTAR-CENTER PUBLICATIONS. Services for Teens at Risk
STAR-CENTER PUBLICATIONS Services for Teens at Risk Teen Handbook on Depression Services for Teens at Risk (STAR-Center) Western Psychiatric Institute and Clinic (412)864-3346 All Rights Reserved - 2018
More informationMental Health - a Public Health Challenge
Mental Health - a Public Health Challenge What is a mental health? Absence of mental illness Positive mental health Mental well-being Public mental health Promotion of mental health Prevention of mental
More informationVery few seniors contemplated suicide. The mortality rate for suicide among seniors decreased in both Peel and Ontario between 1986 and 2001.
Mental Health HIGHLIGHTS In the 23 Canadian Community Health Survey, two-thirds of seniors in Peel and Ontario rated their mental health as excellent or very good (65%). In 21, the prevalence of depression
More informationHumberto Nagera M.D. Director, The Carter-Jenkins Center
The Carter-Jenkins Center presents 1 1 Humberto Nagera M.D. Director, The Carter-Jenkins Center 2 Suicide in Children and Adolescents by Humberto Nagera M.D. Professor of Psychiatry, University of South
More informationYour patients with mental health problems: Key issues and good practice in the assessment and management of risk.
Your patients with mental health problems: Key issues and good practice in the assessment and management of risk. Why Do People Complete Suicide? Suicide is not a disease, it is complex and multi-factorial.
More informationSUICIDE IN OLDER ADULTS: WHAT HAVE WE LEARNED?
SUICIDE IN OLDER ADULTS: WHAT HAVE WE LEARNED? Kelly C. Cukrowicz, Ph.D. Professor Department of Psychological Sciences Texas Tech University kelly.cukrowicz@ttu.edu MEN WOMEN Women Prevalence of Suicide
More informationUnderstanding Depression
Understanding Depression What causes Depression? Family History Having family members who have depression may increase a person s risk Deficiencies of certain chemicals in the brain may lead to depression
More informationQPR Suicide Prevention Training for Refugee Gatekeepers
QPR Suicide Prevention Training for Refugee Gatekeepers 1 By the end of the training participants will be able to: Define suicide and describe how it is viewed within refugee communities. Identify risk
More informationAdolescence. Adolescence: The Power of the Developmental History. Human Development and Learning. Stephen E. Brock, Ph.D.
EDS 248 Stephen E. Brock, Ph.D.,NCSP : The Power of the Developmental History Susan, CA: 15-6, Grade: 10, L 1 : English Referring concerns Poor school attendance Poor grades (failing all but one class)
More informationThoughts on Living with Cancer. Healing and Dying. by Caren S. Fried, Ph.D.
Thoughts on Living with Cancer Healing and Dying by Caren S. Fried, Ph.D. My Personal Experience In 1994, I was told those fateful words: You have cancer. At that time, I was 35 years old, a biologist,
More informationChapter 2 Lecture. Health: The Basics Tenth Edition. Promoting and Preserving Your Psychological Health
Chapter 2 Lecture Health: The Basics Tenth Edition Promoting and Preserving Your Psychological Health OBJECTIVES Define each of the four components of psychological health, and identify the basic traits
More informationExplain to patients and families the meaning and ramifications of FDA warnings regarding antidepressants. Appropriately monitor patients on
Antidepressants in Children and Adolescents: The Good, The Bad & The Ugly Raymond C. Love, Pharm.D., BCPP, FASHP Associate Dean and Professor, Pharmacy Practice & Science University of Maryland, School
More informationDepressive and Bipolar Disorders
Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues
More informationCondensed Clinical Practice Guideline Treatment Of Patients With Schizophrenia
Condensed Clinical Practice Guideline Treatment Of Patients With Schizophrenia I. Key Points a. Schizophrenia is a chronic illness affecting all aspects of person s life i. Treatment Planning Goals 1.
More informationWhen Someone is Thinking of Suicide
When Someone is Thinking of Suicide Facts, Tips and Resources Made possible through individual donations 1 TABLE OF CONTENTS Definitions and Statistics 3 Fact or Fiction 4 Risk Factors 5 Common Factors
More informationAn Introduction to Crisis Intervention. Presented by Edgar K. Wiggins, MHS Executive Director, Baltimore Crisis Response, Inc.
An Introduction to Crisis Intervention Presented by Edgar K. Wiggins, MHS Executive Director, Baltimore Crisis Response, Inc. Why is this training important? Brief History of Crisis Intervention Cocoanut
More informationPatient Management Tools
Patient Management Tools Many concrete and easy-to-use tools are available to assist you and your staff in preventing suicide. This section includes pocket-sized tools to facilitate assessment and intervention
More informationChallenging Phone Calls in the Workplace: Listening, understanding and responding to people at risk of suicide
Challenging Phone Calls in the Workplace: Listening, understanding and responding to people at risk of suicide Prof Ella Arensman Jacklyn McCarthy National Suicide Research Foundation Department of Epidemiology
More informationINFORMATION FOR PATIENTS, CARERS AND FAMILIES. Coping with feelings of depression
INFORMATION FOR PATIENTS, CARERS AND FAMILIES Coping with feelings of depression 1 Coping with feelings of depression There is no right or wrong way to feel when you or someone close to you has a terminal
More informationQPR. Ask A Question, Save A Life
QPR Ask A Question, Save A Life Bridge Story Completed in 1937 220 foot drop Architectural marvel Over 1500 documented suicides 2-3 people per week stopped from jumping Which bridge is it? Golden Gate
More informationSUICIDE PREVENTION. The following is taken from American Foundation for Suicide Prevention: About Suicide
Suicide Prevention The following is taken from American Foundation for Suicide Prevention: About Suicide There s no single cause for suicide. Suicide most often occurs when stressors exceed current coping
More informationManaging Pain. in Marfan Syndrome. Traci J. Speed, MD PhD Assistant Professor, Department of Psychiatry and Behavioral Sciences
Managing Pain in Marfan Syndrome Traci J. Speed, MD PhD Assistant Professor, Department of Psychiatry and Behavioral Sciences No financial disclosures Objectives Define pain Discuss the role of comorbid
More informationCounselling Young People
Counselling Young People A Practitioner Manual REBECCA KIRKBRIDE 00_KIRKBRIDE_FM.indd 3 9/12/2017 3:35:59 PM Assessment with Young People M: That s fine, Liam, I am pleased to hear it. Shall we agree to
More informationDEPRESSION AND THE RISK OF SUICIDE Cruse Colin Murray Parkes
DEPRESSION AND THE RISK OF SUICIDE Cruse 2015 Colin Murray Parkes Depression Is Depression or Grief? How frequent is Major Depression after Bereavement? What Causes Depression? What Helps? Assessing the
More information