Depression & Suicidality. Project Success+ & CAPE

Transcription

1 Depression & uicidality Project uccess+ & CAPE

2 Introduction Project uccess-tudent upport Program Assess and Refer to ervices Group and Individual Counseling Education Windsor O Clinic CAPE-(Crisis Assessment Prevention Education)

3 tatistics uicide is the second leading cause of death for years olds, higher than cancer, heart disease, AID, birth defects, stroke, pneumonia, influenza and chronic lung disease A teen dies by suicide every 2 hours. For every 1 teen death by suicide, there are 25 teen attempts. 4 in 5 teens who attempt suicide have given clear warning signs 75% of those who die of suicide are depressed. Untreated depression is the number one cause of suicide 20% of teens will experience depression before reaching adulthood Less than 33% of teens with depression get help

4 Risk Factors Mental Illness/Depression/ubstance Use Family tress (Interpersonal/Financial/Marital) Family history of suicide, local epidemics of suicide, past suicide attempts LGBTQ ituational Crisis (Major loss: recent breakup, expulsion, divorce, etc) Adverse Childhood Experience (Abuse, family violence, hostile environment) Barriers to mental health treatment

5 Depression Depression is more than bad moods and acting out adness lasts more than two weeks Chemical imbalance (enzyme breaks down dopamine and serotonin, smaller hippocampus), Different hormone levels (increase in cortisol) Genetic (1 to 3.5 times, 76% identical twins) Result of death or loss, stressful events, serious illness, substance abuse (30%), personal problems, conflicts, abuse, medication (Accutane)

6 What are some symptoms of depression?

7 igns of Depression adness and hopelessness Irritable, angry, hostile Frequent crying Withdrawal from friends and family Loss of interest in activities, lack of motivation, lack of energy Changes in eating and sleeping habits Restlessness and agitation, difficulty concentrating Worthlessness, thoughts of suicide

8 igns of Potential uicide uicide Warning igns uicide warning signs may be direct or indirect. The more warning signs observed, the greater the risk! Take all warning signs seriously!

9 igns of Potential uicide Verbal Clues Direct Verbal Cues Indirect Verbal Cues I wish I were dead I want this to be over I m going to end it all You re better off without me If (*) doesn t happen, I ll kill myself You won t have to worry about me much longer I m going to commit suicide Nobody cares about me

10 igns of Potential uicide Behavioral Clues Acting recklessly: Engaging in risk taking behaviors Unexplained anger, aggression, hostility Acquiring a gun or stockpiling pills Giving away prized possessions elf-destructive acts (such as cutting) Dramatic changes in personality/behavior Depression symptoms/ ubstance Abuse Has attempted suicide in the past

11 igns of Potential uicide ituational Clues Expelled from school Loss of any major relationship Death of friend or family member (especially by suicide) Diagnosis of serious illness Embarrassment/humiliation in front of peers Victim of assault or bullying udden loss of freedom/fear of punishment

12 Myths about uicide Common Misconceptions About uicide

13 Myths about uicide Myth. People who talk about suicide are just trying to get attention OR People who talk about suicide don t actually try to kill themselves Fact: Perhaps this person I trying to get attention, but they are trying to tell you something is wrong. People who talk about suicide may try, or even complete an act of self destruction

14 Myths about uicide Myth. uicide always occurs without warning signs OR People who are suicidal do not seek help Fact: Most suicidal people communicate their intent sometime during the week preceding their attempt % of all suicides have indications of warning. Although teens may not seek help directly, they ask for help in many indirect ways.

15 Myths about uicide Myth. Talking about uicide will give them the idea to do it Fact: Asking someone directly about suicidal intent lowers anxiety, opens up communication, and lowers the risk of an impulsive act.

16 Myths about uicide Myth. Once people decide to die by suicide, there is nothing you can do to stop it OR People who are suicidal definitely want to die Fact: uicide is the most preventable kind of death, and almost any positive action may save a life.

17 Myths about uicide Myth. People who attempt suicide and survive will not attempt suicide again OR People who become suicidal will always be suicidal Fact: Neither is true! Appropriate clinical treatment is key in helping suicidal individuals reach a place of safety.

18 How can we bring up these topics to our students?

19 How to talk to your child Remain Calm. Try not to become defensive. Listen. Avoid asking too many questions, don t try to talk them out of their feelings Offer support-let them know you are there for him Reassure them that there is help out there and that they won t feel this way forever Be persistent-even if your child shuts you out, let them know you are concerned and are willing to listen Ask the youth directly if he or she is thinking about suicide

20 What to do Be aware of depression and suicide warning signs Take all suicide statements seriously! If a teen threatens suicide, regardless of intent, there is something wrong and professional help is needed Talk to your child about suicide. Remove or lock up objects that could be used to hurt themselves ex: Guns, medication, Tylenol, razors.

21 What to do Become knowledgeable about good mental health services for teens. Don t be afraid to seek Professional help! Its not a parents job to know how to handle all the problems that arise Be aware of what your child is doing online. Bullying can contribute to suicidal thoughts Be prepared to make a change. Family therapy can help navigate new ways of being. eek your own mental health treatment. Being a parent is stressful

22 If High Risk: If they can t contract for safety or have intent, plan, means Take your child to the hospital immediately (based on your insurance carrier): either Kaiser or PE (Psychiatric Emergency ervices) At Kaiser or PE they will assess your child and may hold them for 72 hours based on risk of suicide May get a call from CAPE-they will have assessed your child for suicide risk and have decided to take them to the hospital You will meet them at Hospital-Either Kaiser or PE

23 Protective Factors Beliefs that Discourage uicide Contact with Caring Adults Cultural/Religious Easy Access to Psychiatric upport Effective ocial upport ystem Responsibility to Family/Friends Good Coping kills Positive-elf Esteem Restricted Access to Lethal Means ense of Connection to chool upport of Family in Youth Identity upport of Family in eeking Help

24 What could help teens through these difficulties?

25 Resource List Project uccess chool Counselors uicide Hotlines, Apps Get resource handout!

26 Questions? Thank You!