COVID19 and Suicide Early Detection Suicide Prevention Community

COVID-19 and Suicide: Early Detection Suicide Prevention

Community Partners in this Work • Law Enforcement • Calumet County • Mental Health Crisis Divisions • Outagamie County • Coroners Office • Winnebago County

Suicide Risk and Protective Factors According to the Suicide Prevention Resource Center and the CDC

Protective Factors Major protective factors for suicide include: • Effective behavioral health care for mental health and AODA needs (capacity for urgent appointments) • Easy access to a variety of clinical interventions and support for help seeking • Support from ongoing medical and mental health care relationships • Connectedness and support from individuals, family, community, and social institutions • Skills in ability to adapt to change problem solving, conflict resolution, and nonviolent ways of handling disputes; Powerlessness against current situation; wearing on resilience • Self-esteem and a sense of purpose or meaning in life- for many this is connected to employment • Cultural, religious, or personal beliefs that discourage suicide

Major Risk Factors for Suicide • Prior suicide attempt(s); family history of suicide • Misuse and abuse of alcohol or other drugs (8% O. C. calls; 12% W. C. calls) • 60% increase in alcohol sales and overdoes with prescription meds • Mental disorders, particularly depression and other mood disorders (20% O. C. calls; 41% W. C. calls • Access to lethal means (19% O. C. calls; 22% W. C. calls) • Gun sales has increased in the last 4 weeks • Legal issues

Major Risk Factors (continued) • Sleeping too little or too much • Social isolation-(being cut-off from others) (100%- roughly) • Chronic disease and disability • Lack of access to behavioral health care (real or perceived; capacity for urgent appointments? ) • Loss-(relational, social, work or financial) (36% O. C. calls; 39% W. C. calls)

Outagamie County Calls March 13 -April 15, 2020 Data search: Suicide Ideation; Attempts; Completions

Calls Per Day (n=59) Calls for SI and SA have doubled in this timeframe. March 13 th- schools go to online learning March 24 th- Safer at Home March 13 through April 15 150% increase over time of these types of calls, that are growing in complexity, decrease 7 Law Enforcement capacity to attend to other Police matters 6 April 16 th – Safer at Home extended; Schools closed Calls per day 5 4 3 2 1 15 -Apr 14 -Apr 13 -Apr 12 -Apr 11 -Apr 10 -Apr 9 -Apr 8 -Apr 7 -Apr 6 -Apr 5 -Apr 4 -Apr 3 -Apr 2 -Apr 1 -Apr 31 -Mar 30 -Mar 29 -Mar 28 -Mar 27 -Mar 26 -Mar 25 -Mar 24 -Mar 23 -Mar 22 -Mar 21 -Mar 20 -Mar 19 -Mar 18 -Mar 17 -Mar 16 -Mar 15 -Mar 14 -Mar 13 -Mar 0

75+ 65 to 74 55 to 64 45 to 54 35 to 44 25 to 34 Female 18 to 24 Male 15 to 17 Sex 10 to 14 Calls by Gender and Age Group 16 14 12 10 8 6 4 2 0

Calls by Day of Week and Time of Day Day of Week 25 18 16 20 14 12 15 10 8 10 6 4 2 5 y rd a Sa tu ay id Fr ay ur sd Th es d ay y W ed n sd a Tu e y da on M Su nd ay 0 0 Midnight to 6: 00 a. m. to Noon to 5: 59 6: 00 p. m. to 5: 59 a. m. 11: 59 a. m. p. m. 11: 59 p. m.

Completed Suicide Mental Health Concern Suicide Attempt Suicidal Ideation 15 -Apr 14 -Apr 13 -Apr 12 -Apr 11 -Apr 10 -Apr 5 9 -Apr 6 8 -Apr 7 -Apr 6 -Apr 5 -Apr 4 -Apr 3 -Apr 2 -Apr 1 -Apr 31 -Mar 30 -Mar 29 -Mar 28 -Mar 27 -Mar 26 -Mar 25 -Mar 24 -Mar 23 -Mar 22 -Mar 21 -Mar 20 -Mar 19 -Mar 18 -Mar 17 -Mar 16 -Mar 15 -Mar 14 -Mar 13 -Mar Call Types by Date 4 Completed Suicide 3 in March (+1 pending) 1 in April 4 3 2 1 0 Linear(Suicidal Ideation)

Call Types (n = 59) March 13 through April 15 Call Type Suicidal Ideation Suicide Attempt Mental Health Concern Completed Suicide 0 5 10 15 20 25 30 35 40 45

Primary Triggering Event for Call Almost 41% of calls had more than one triggering event mentioned. Event 16 14 12 10 8 6 4 2 kn Ph Un ea H ta l en M ow ys n ica l H ea Su lth bs ta nc e Fin Us De an e at cia h l Is of su a e Lo ve d On e Le ga l is su e Jo b Lo ss Ot he r Re la tio ns hi p Iss ue lth 0 Relationship issue: 25% Mental health: 20% Unknown: 14% Physical health issue: 12% Substance use: 8% Financial issue: 7% Death of a loved one: 7% Legal issue: 3% Job loss: 2% Other: 2%

COVID-19 Mentions in Call Reports Topic Mention Social Isolation 1 Stress 1 “Cooped up” 2 Suicide by COVID 1

Winnebago County Calls March 13 -April 15, 2020 Data Search: weapons/ER Committal, Welfare Checks, Death and Suicide

Calls per Day (n= 129) There is a doubling of calls during this 4 wk period. March 13 th - Schools move to online learning March 13 to April 16 Over time the amount of Law Enforcement resources dedicated to these calls decreases capacity to handle 9 other law enforcement issues. 8 March 24 th - Safer at Home Calls by Day April 16 th- Safer at Home extended; Schools Close 7 6 5 4 3 2 1 16 -Apr 15 -Apr 14 -Apr 13 -Apr 12 -Apr 11 -Apr 10 -Apr 9 -Apr 8 -Apr 7 -Apr 6 -Apr 5 -Apr 4 -Apr 3 -Apr 2 -Apr 1 -Apr 31 -Mar 30 -Mar 29 -Mar 28 -Mar 27 -Mar 26 -Mar 25 -Mar 24 -Mar 23 -Mar 22 -Mar 21 -Mar 20 -Mar 19 -Mar 18 -Mar 17 -Mar 16 -Mar 15 -Mar 14 -Mar 13 -Mar 0

n ow kn Un 7 4 6 4 5 4 75 + to 65 to 55 3 4 4 4 to 45 to 35 1 7 2 4 to 25 to 18 to 4 Females 15 Males 1 Sex 10 to Calls by Sex and Age Group 35 30 25 20 15 10 5 0

Calls by Day of Week and Time of Day Day of Week 60 30 25 50 20 40 15 30 10 20 5 10 W Sa tu rd ay ay id Fr ay sd ur Th sd ay ne ed es da y Tu y da on M Su nd ay 0 0 Midnight to 6: 00 a. m. to Noon to 5: 59 6: 00 p. m. to 5: 59 a. m. 11: 59 a. m. p. m. 11: 59 p. m.

Primary Triggering Event Almost 39% of calls had more than one triggering event mentioned. 60 Event 50 40 30 20 10 a L of h at n ow kn Un ov ed ea l H ica ys De O ne lth ss Lo Jo b Ph Sc ho ol Is s ue r he Ot l Is su e e cia an Fin bs ta nc e Us ue Iss p Su ns hi tio Re la M en ta l H ea lth 0 Mental health: 41% Relationship issue: 20% Substance use: 12% Financial issue: 10% Other: 6% School issue: 3% Job loss: 2% Physical health: 2% Death of a loved one: 2% Unknown: 2%

Call Types (n = 129) Call Type Suicidal Ideation Suicide Attempt Mental Health Concern Completed Suicide 0 10 20 30 40 50 60 70 80 90

Completed Suicide Mental Health Concern Suicide Attempt Suicidal Ideation Linear(Suicide Attempt) Linear(Suicidal Ideation) 16 -Apr 15 -Apr 14 -Apr 13 -Apr 12 -Apr 11 -Apr 10 -Apr 9 -Apr 8 8 -Apr 7 -Apr 6 -Apr 5 -Apr 4 -Apr 3 -Apr 2 -Apr 1 -Apr 31 -Mar 30 -Mar 29 -Mar 28 -Mar 27 -Mar 26 -Mar 25 -Mar 24 -Mar 23 -Mar 22 -Mar 21 -Mar 20 -Mar 19 -Mar 18 -Mar 17 -Mar 16 -Mar 15 -Mar 14 -Mar 13 -Mar Call Types by Date 5 Completed Suicides 2 in March 3 in April 7 6 5 4 3 2 1 0

COVID-19 Mentions in Call Reports Topic Mentions Job-related 6 Fear 3 Non-specified 2 Loss of access to mental health services 2 Social Isolation 2 Tested positive for COVID 1