Suicide Prevention Carroll County Public Schools

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Suicide Prevention Carroll County Public Schools 2012-13

The Facts Statistics 3 rd leading cause of death for adolescents (15-24 yrs. old) 6 th leading cause of death for children (5-14 yrs. old) 11 th leading cause of death nationally One in 15 high school students attempts suicide each year ( CDC, 2010) In recent years, Carroll County School Counselors have provided the following interventions: 08-09 273 interventions 09-10 323 interventions 10-11 335 interventions 11-12 427 interventions Elementary Middle High

Why it Matters During the last few school years, we have lost several students to suicide. (2 in the 07-08 school year 2 ( {1 recent grad} in 09-10) and 8 documented attempts in 10-11. 1 summer 2012 Our obligation is to keep all children safe so they can be healthy and successful.

OBJECTIVES To increase our ability to recognize students who may be at risk. To empower our school community to intervene effectively.

How does suicide present itself? Suicide is a complex behavior, driven by multiple factors, individual, family, and social that are more prevalent in people who die by suicide. Although risk factors related to suicide have been identified, there are no identified causes of suicide. Suicidal ideation, threats, and attempts may be a student s desperate effort to find a solution to his/her overwhelming problems and stress.

Signs and Symptoms Youth often face multiple problems, which they find difficult to handle. Students who are suicidal may: Talk about feeling hopeless, helpless, worthless, that life is too painful, boring, or has no meaning. Talk about death, ways to die, or plans to hurt themselves. Talk about making wills or giving away cherished belongings.

Signs and Symptoms (cont.) Suicidal Students may: Look depressed, sad, or moody Look preoccupied Look unusually unkempt or neglect their personal hygiene Look unfocused or unable to concentrate

Signs and Symptoms (cont.) Suicidal students may exhibit behavioral changes: Eating or sleep habits may change. They may be irritable, aggressive, or angry. Attendance in class or school may decrease. They may engage in high risk, unsafe, impulsive behavior, like substance abuse or running away. The quality of their school work may suffer. They may suddenly become happy after a period of depression, visit loved ones, and seem at peace.

Risk Factors Additional Risk Factors to consider: Major depression or significant psychiatric illness. Personal or family history of substance abuse or addiction. History of family or friend suicide. Recent changes in family structure, significant relationships, academic status, or status in extracurricular activities. LGBT youth are 1 ½ to 3 times more likely to report suicide ideation. ( Suicide Resource Center, 2008). [Being LGBT is not itself a risk factor for suicidal behavior BUT social stigma and discrimination, unsafe schools and ineffective providers are associated with mood, anxiety, and substance use disorders and suicidal behavior.]

Same Day Crisis For young people, suicide often followed a crisis. The findings from the National Violent Death Reporting System noted that for over one in three suicides, the police or medical examiner had indicated that a crisis such as an argument with a parent or a relationship break-up occurred the same day or shortly before the suicide.

Indicators of Student Behavior Artwork Writing Student report Self report Extreme isolation

Staff Role & Responsibility All staff are required to report any student s suicidal threats or attempts to the counselor. If you hear or see a suicidal threat or gesture Question, Persuade, Refer: Question: Are you feeling unhappy? Are you feeling like hurting yourself? Persuade: Please come with me to see a counselor. Listen to the student and validate his/her feelings. Refer: Inform the student that you must notify the counselor. Notify the counselor immediately. Keep the student under constant adult supervision until the counselor makes contact with the student. Once the student has seen the counselor, your responsibility in reporting is complete.

The Role of the School Counselor School counselor takes the lead. School counselor s responsibility to Arrange appropriate supervision of the student. Meet with the student. Contact parent/guardian. Make necessary referrals to community agencies such as Youth Service Bureau. Inform school administration. Follow up and plan for student s return to school. Maintain confidentiality & respect for student s issues.

Self Injury An attempt to manage negative emotions through self-inflicted physical pain Involves: cuts, bruises, scratches and/or burns. May be confused with simple attention-seeking behaviors. Usually not suicidal. Dangers: Interference with learning coping skills Habit formation Accidental suicide Response- follow suicide prevention procedures.

For more information: www.sprc.org Suicide Prevention Resource Center