Prevention Works: Assessing and Intervening in Suicidal Behavior

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1 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 (CHCS). Persons accessing this information assume full responsibility for the use of the information and understand and agree that CHCS is not responsible or liable for any claim, loss or damage arising from the use of the information. The views and opinions of the document authors do not necessarily state or reflect those of CHCS. Neither the authors nor CHCS nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information.

2 Youth Suicide: Prevention Works! Presented by: Director, Youth Suicide Prevention Program of Washington State Youth Suicide: The Facts An average of 2 youth between the ages of 1 and 24 kill themselves each week in Washington State In a recent state survey, more than one in every 1 high school students reported having attempted suicide; nearly one in four (2% - 25%) had seriously considered it Youth suicide outnumber youth homicides Over 3% of GLBQ youth report at least one suicide attempt within the past year Number of suicides vs. number of attempts Suicides Attempts Males complete suicide more often than females Average rate per 1, Females Males Females are more likely to be hospitalized for suicidal behavior than males Males use more immediate & less reversible means than females Washington State youth ages 1-24 (22-26) Number of attempted suicides Female Male Males Transportation Other Drowning Fall/Jump Poisoning Suffocation Females Transportatio n Fall/Jump Poisoning Gun Suffocation Gun N= 44 N=96 1

3 Rate of suicides by race/ethnicity Washington State youth 1-24 (22-26) Rate of suicides per 1, White African American Native American Asian Hispanic Biological LIFE S SLOT MACHINE Sociological Psychological Existential The Facts WA State Facts One in every 33 children may have depression The rate of depression for adolescents may be as high as 1 in 8 The majority of children and adolescents with depression do not get help they need Depression can lead to school failure, alcohol/drug use, and suicide 39% of Washington State 6 th graders reported feeling depression or sad MOST days in the past year Among Washington State 8 th graders, 1 student out of five considered suicide in the previous year, while 1 out of 1 reported having attempted suicide Over 3% of Washington State 1 th graders indicated that they sometimes think, life is not worth it The Signs Irritability Persistent feelings of sadness Anxiety A drop in school performance Problems with authority Indecision, lack of concentration Poor self-esteem Overreaction to criticism Frequent physical complaints Increased Risk in GLBQ Youth if. Acknowledge their sexual orientation at early age Report sexual abuse or family abuse history Do not disclose their sexual orientation to anyone Present with high levels of gender nonconformity Report high level of conflict regarding sexual orientation isolation 2

4 LIFE S SLOT MACHINE Youth Suicide: Warning Signs A previous suicide attempt Individual Family Community School Current talk of suicide or making a plan Strong wish to die, preoccupation with death, giving away prized possessions Signs of serious depression & anxiety, such as moodiness, hopelessness, withdrawal Increased alcohol and/or drug use IS PATH WARM I ideation S substance abuse P purposelessness A anxiety T trapped H - hopelessness W- withdrawal A - anger R - recklessness M mood changes SHOW YOU CARE Let the youth know that you really care. Talk about your feelings and ask about his or hers. Listen carefully. I m concerned about you about how you feel. Tell me about what s making you so sad. I m on your side we ll get through this. ASK THE QUESTION Don t hesitate to raise the subject. Talking with the youth about suicide won t put the idea in his/her head. Be direct in a caring, non-confrontational way. Are you thinking about suicide? How long have you been thinking about suicide? REVIEWING RISK Current Plan: how prepared? Pain: how desperate? Resources: how alone? + Prior Behavior: how familiar? + Mental Health: how vulnerable? 3

5 GET HELP CONTRACTING A SAFEPLAN The first steps toward instilling a sense of hope are: showing your concern, raising the issue, and listening to and understanding the young person s feelings. Keep moving forward, together. Call for help. It s difficult to know what to do, but I know where we can get help. You re not alone. Let me help you. Disable the plan No self-harm Safety contacts No use of drugs/alcohol Link to resources Ease the pain Support past survival skills Youth Suicide: Resources School counselor Crisis telephone hotline ( TALK) Youth Suicide: Prevention Works! Physician/health care provider Mental health specialist Presented by: Director, Youth Suicide Prevention Program of Washington State Coaches & youth leaders Parents & clergy 4

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