PART 1: INTRODUCTION AND OVERVIEW

PART 1: INTRODUCTION AND OVERVIEW

GATEKEEPER TRAINING SUICIDE PREVENTION TRAINING/THE QPR APPROACH 2013

IMPORTANCE OF EVALUATION Provides valuable information: Usefulness of the trainings. Suggestions for improvement. How participants have used training or problems experienced by participants in using the skills gained from the trainings. Fulfills federal cross-site evaluation requirements. Four required surveys: 1. Question, Persuade, Refer (QPR) Pre-Training Survey (QPR pre-training survey) 2. Training Utilization and Preservation Survey (TUP-S) 3. Training Exit Survey (TES) Individual Form 4. Training Activity Summary Page (TASP)

TRAINING EVALUATION QPR Pre-test Used to compare to responses after training to see if training is effective. TUPS (Training Utilization and Preservation Survey) Consent Form Please complete this consent form if you are willing to participate in a 10 minute follow up telephone interview about your training today. They will inquire about your knowledge, attitudes, and behaviors following this training This is completely voluntary. Your name will not be linked with the information on your survey.

PREAMBLE AND DISCLAIMER No single set of standards can be applied universally to prevent suicide. This training is designed to prepare community members to provide general help and referral to a suicidal individuals. Even with this information, there is no guarantee that suicide can be prevented. As long as a person is living, there is an opportunity to prevent suicide.

WHY IS SUICIDE THE S WORD IN OUR CULTURE MY BELIEFS ABOUT SUICIDE

ALASKA STATEWIDE SUICIDE PREVENTION PLAN 2012-2017 CASTING THE NET UPSTREAM: PROMOTING WELLNESS TO PREVENT SUICIDE

EVERY LIFE MATTERS. YOUR LIFE MATTERS. AND YOU ARE NOT ALONE. TOGETHER, WE CAN PREVENT SUICIDE AND SAVE LIVES. STATEWIDE SUICIDE PREVENTION COUNCIL

Impact of Suicide Ecological Model Society Community Village Tribe Family Peers Clan Individual

ALASKA SUICIDE STATISTICS 2010

SUICIDE PREVALENCE RATES IN ALASKA Cause of Death (All Ages) Cause of Death (Ages 15-24) Rate per 100,000 (All Ages) Rate per 100,000 (Ages 15-19) Rate per 100,000 (Ages 20-24) United States Alaska 6 th 10 th 6 th 3 rd 1 st 12.43 23.09 7.53 36.44 13.62 55.13

50 45 Suicide Rate for Alaskan's by Age Group 2001-2012 46.6 43.2 47 48.4 46.6 40 39.5 35 36.3 34.8 37.6 36.4 30 30.1 29.8 31 15-19 20-24 25 23.7 26 25 23.3 15-24 20 20.1 19.6 18.5 20.1 15 13.8 10 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

2013 ALASKA YOUTH RISK BEHAVIOR SURVEY SUICIDE RISK FACTORS Feel alone in life 51.9 60.5 Depressed 27.2 39.8 Considered suicde Made a suicide plan 24.8 16.2 18.7 13.9 Alternative Traditional Attempted suicide 8.4 14.8 Attemp required medical treatment 5.5 2.5 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0

IN ALASKA Men are at greater risk than women. Alaska Native teenage boys at extreme risk. Risk varies by geographical region.

ALASKA STATE MAP SLIDE

Suicidal Crisis Episode 7 Risk is Imminent Risk Level 6 5 4 3 Initial Hazard is Encountered 2 1 Stable Crisis Begins Crisis Peaks Crisis Diminishes Stable Years Days Hours Days Years Approximately 3 weeks

The Many Paths to Suicide Gatekeeper Intervention Biological Factors Age, sex, gender Triggers Loss of relationship Death in family Legal problems Bad grades Warning Signs Hopelessness Isolation Depression Contemplation Suicide Risk Other crisis of suicide Gatekeeper Intervention Quinnett, QPR

Wall of Resistance to Suicide Counselor or therapist Duty to others Others? Good health Medication Compliance Fear Job Security or Job Skills Difficult Access to means Pet(s) Best Friend(s) Spirituality Responsibility for children A sense of HOPE Safety Agreement Sobriety Protective Factors Support of significant other(s) Positive Self-esteem AA or NA Sponsor Traditional ional Values AK Native ways

2013 ALASKA YOUTH RISK BEHAVIOR SURVEY PROTECTIVE FACTORS Feel they matter to people 47.4 54.6 Involved in activities 46.6 65.8 One or more adults for help Feel teachers care about them 84.4 85.1 74.2 64.1 Alternative Traditional Volunteer in community 0 hours 52.9 46.7 School has clear rules 77.1 66.3 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0

ALASKAN CULTURE AND SUICIDE Consider the effects of historical oppression, institutionalized discrimination, current injustices and ongoing social suffering. Suicide linked to family, community, and tribal context or culture loss. Suicide can be an occasion to express collective grief. Support local control, maximize relationships, collaborate with all supports and build on community strengths. Wexler & Gone, 2012

A FEW WORDS ABOUT ALCOHOL With alcohol use, suicide risk increases as decision making skills decrease. As a Gatekeeper, use a lot of caution if the person is drinking, suicidal and violent or has access to weapons. Do not give alcohol to someone who is at risk of suicide, or actively suicidal. If someone is at risk, or is suicidal, stay sober do not choose to drink with them. When they are sober, follow up. Use QPR - ask the question and encourage them to get help.