WELCOME! CONSTRUCTION INDUSTRY SUICIDE PREVENTION FEATURING SALLY SPENCER- THOMAS
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1 WELCOME! CONSTRUCTION INDUSTRY SUICIDE PREVENTION FEATURING SALLY SPENCER- THOMAS Sponsored
2 Construction Industry Blueprint for Suicide Prevention February 9, 2016 AGC of Washington Safety Forum Sally Spencer-Thomas, Psy.D., USA CEO, Co-Founder Carson J Spencer Foundation
3 @sspencerthomas
4 @sspencerthomas
5 @sspencerthomas
6 @sspencerthomas
7 Who is this?
8
9 Share on social media #AGC4Hope
10 Statistics are merely aggregate numbers with the tears wiped away. ~ Dr. Irving Selikoff
11 Carson Spencer
12 Top States ( ) 1. Alaska (22.3) 2. Wyoming 3. Montana 4. New Mexico 5. Nevada 6. Idaho 7. Utah 8. Colorado 9. South Dakota 10. Arizona 11. Oregon 12. Oklahoma (15.8) US: 11.8/100,000 CDC WISQARS on 11/6/2013
13 Suicide Rates by Age, Race, and Gender United States Source: National Center for Health Statistics Note: Non-Hispanic Ethnicity
14 Suicide Trends in Washington State Stats: Higher rates of suicide than national average; increasing since 2006 Veterans = 23% suicide deaths (only 8.5% of the general population) 51% firearm suicides White men ages had the highest number of suicides.
15 Washington State: Proactive Leadership 2012/2014: Matt Adler Act 1st in the nation to require its licensed mental health (2366) and health care professionals (2315) to have training in how to assess, manage and treat individuals who are at risk for suicide. 2013: K-12 public schools are becoming more fully prepared to prevent suicide (1336). 2015: Creation of Task Force on Mental Health and Suicide Prevention in Higher Education (1138)
16 Model of Suicide Risk Desire for suicide Perceived Burdensomeness Thwarted Belongingness Acquired Capacity for Suicide High risk for suicide death or serious attempt Thomas Joiner s model of suicide risk,
17 Connection between Mental Health, Substance Abuse and Suicide Mood Disorders (esp. Major Depression and Bipolar Disorder) 1,2 Substance Abuse Disorders 3 PTSD (especially w/ Anger and Impulsivity) 4 Schizophrenia 5 Borderline Personality Disorder 6 90% Eating Disorders 7 (1) American Association of Suicidology (2010. June 29) Some Facts About Suicide and Depression (2) Jamison, K (2000). Suicide and bipolar disorder, Journal of Clinical Psychiatry. Suppl 9: (3) Center for Substance Abuse Treatment. Substance Abuse and Suicide Prevention: Evidence and Implications A White Paper. DHHS Pub. No. SMA Rockville, MD: Substance Abuse andmen tal Health Services Administration, (4) U.S. Department of Veteran s Affairs, National Center for PTSD (5) NIMH: (6) Black, D., Blum, N., Pfohl, B. & Hale, N. (2004) Suicidal behavior in borderline personality disorder: Prevalence, risk factors, prediction, and prevention. Journal of Personality Disorders, 18(3), (7) Franko, D. & Keel, P. (2006). Suicidality in eating disorders: Occurrence correlates and clinical implications. Clinical Psychology Review, 26,
18 SOLUTIONS #ManTherapy
19 STEP ONE #ManTherapy
20 #ManTherapy
21 Upstream Prevention: Promote Protection Promoting social networks and belonging Mental health literacy Effective performance management Life skills and purpose
22 Midstream: Early and Effective Intervention Gatekeeper training and peer training Screening Promote and normalize help-seeking Assure quality mental health services including peer support
23 Downstream: Crisis & Postvention Restrict means Dignity and empowerment Safe and effective grief and trauma support
24 Strategic Suicide Prevention Making Suicide Prevention a Health and Safety Priority Follow Crisis Management Procedures and Long-Term Postvention Restrict Access to Potentially Lethal Means Promote Social Networks and Belonging Leadership Makes Suicide Prevention and Mental Health Promotion Health & Safety Priorities Develop Life Skills and Purpose Identify People at Risk Provide Qualified Mental Health Services Increase Help- Seeking Behavior Adapted #ManTherapy
25 80 U.S. Air Force Program Number of suicides Suicide rate Year 0.0 Number of Suicides per Year Rate per 100,000 3 per. Mov. Avg. (Number of Suicides per Year) Source: Knox, K, et al., Risk of Suicide and related adverse outcomes after exposure to a suicide programme in the US Air Force: cohort study. British Medical Journal, December #ManTherapy
26 Results Table 3: Comparison of the effects of risk for suicide and related adverse outcomes in the USAF population prior to implementation of the program ( ) and after implementation of the program ( ). Outcome Relative Risk (RR) and 95% CI Risk Reduction (1- RR) Excess Risk (RR-1) Suicide.67 [.5702,.8017] 33% -- Homicide.48 [.3260,.7357] 51% Accidental Death.82 [.7328,.9311] 18% -- Severe Family Violence.46 [.4335,.5090] 54% -- Moderate Family Violence.70 [.6900,.7272] 30% -- Mild Family Violence 1.18 [1.1636, ] #ManTherapy
27 Be vocal, be visible, be visionary. There is no shame in stepping forward, but there is great risk in holding back and just hoping for the best. Leadership Call to Action Higher Education Center
28 Leadership: Common Thread of Success Be bold! Suicide Prevention, Substance Abuse Prevention, Mental Health Promotion = Health and Safety Priorities Reassurance Policy Audit Leaders with Lived Expertise role modeling Hierarchy #ManTherapy
29 Systems/Cultures Most at Risk Male dominated (esp. white males) first responders, construction, transportation, oil & gas, finance, farming Access to lethal means Acquired capacity fearless, reckless and/or stoic Exposed to trauma Culture of substance abuse Fragmented community/isolation #ManTherapy
30 Why the Construction Industry? The construction industry is in the top nine occupations at risk for suicide (BLS) 97.4% of US Construction work force is male 56.9% of US construction work force is Caucasian Other risk factors: pain, sleep disruption, seasonal employment, alcohol abuse
31 World Suicide Prevention Day 9/10/15
32 RK #ManTherapy
33 STEP TWO = #ManTherapy
34 Raising awareness is necessary but not sufficient in creating real change.
35 #ManTherapy
36 WHAT WE LEARNED / Soften the mental health language in initial communication Use humor, particularly dark humor Show role models of hope and recovery Connect the dots: physical symptoms Meet men where #ManTherapy
37 WHAT WE LEARNED / Target double jeopardy men Offer opportunities to give back & make meaning out of the struggle Coach the people around the high-risk men Give men at least a chance to assess and #ManTherapy
38 #ManTherapy
39 Man #ManTherapy
40 #ManTherapy
41 #ManTherapy
42 POSTER HEADLINES /
43 POSTER HEADLINES /
44 #ManTherapy
45 #ManTherapy
46 Zero Suicide Initiative A philosophy and a set of practices
47 If zero is not the right goal, then what number is? ~Ed Coffey, CEO & Chief of Staff, Menninger Clinic
48
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50 No one should die in isolation and despair. Zero Suicide Philosophy
51 51
DR. SALLY SPENCER-THOMAS. Professional Speaker & Impact Entrepreneur
#PINP18 DR. SALLY SPENCER-THOMAS Professional Speaker & Impact Entrepreneur RESILIENCE & SUICIDE PREVENTION @SSpencerThomas Carson Spencer 1969-2004 @sspencerthomas #ManTherapy WHY SUICIDE PREVENTION
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