ND Suicide Prevention With Help There is Hope

ND Suicide Prevention With Help, There is Hope By Alison Traynor

CDC Report CDC • North Dakota experienced the largest rate percent increase at 58% since 1999 • Rural states along the Rockies have the highest rates while rural states in general experience the greatest increases • Native American Youth have the highest rates and experience sharp rate increases.

Effects Costs 93 billion annually For every suicide death, 25 attempt For every suicide, between 6 and 20 direct loss survivors Cross-cutting all ages, ethnicities, socioeconomic groups Native Americans, rural-dwelling residents, Veterans, and our white workingage males at highest risk Suicide loss is complicated grief, no community left unharmed

ND Crude Suicide Death Rate Compared to the U. S. A Crude Rate Source: ND Do. H Vital Records, (2016)

Male and Female North Dakotan Suicide Deaths

ND American Indian and Non-native ND Crude Suicide Mortality from 1980 to 2015 70 60 American Indian Occurrent Suicide Rate 50 ND Occurrent Suicide Rate 40 30 20 Note: ND’s Suicide Rate is much higher than the national average. 10 Source: ND Do. H Vital Records (2016) 2015 2013 2011 2009 2007 2005 2003 2001 1999 1997 1995 1993 1991 1989 1987 1985 1983 0 1981 # of Suicides per 100, 000 Population 80

Thomas Joiner’s Why People Die By Suicide Meta-Study of All Available Suicide Studies (15 )

Theory to come out of ACE Studies (35)

What are we doing? – Suicide Prevention Across Systems – 45% of people who die by suicide visit a healthcare facility a month before their death. – Nearly all ND children that die by suicide are connected to a school system. – Healthcare Systems and Schools must close gaps in care – Use best practice protocols – Safety Plans – Best Practice Trainings for System Staff and Community-Level Residents: – ASIST, Question Persuade Refer, Safe. TALK, CALM, ACE, Mental Health First Aid. – Use First. Link - National Suicide Prevention Lifeline and 211 HELPLINE – Primary Prevention: – Trying to prevent youth and adults from ever becoming at-risk of suicide – Prevent exposure to alcohol, abuse, bullying and prevent onset of conditions like anxiety and depression: – Sources of Strength – Good Behavior Game – Parents Lead – Early Home Visitation – Anything that supports strong and healthy communities may be upstream suicide prevention

Sources of Strength • • EBP for Suicide, SUD, Bullying and researching Violence Youth-Adult Relationships Coping skill development Protective factors Shift social culture/ social norms Decrease isolation by increasing relationships Decrease sense of burdensomeness by increasing purpose

YOU ARE THE ANECDOTES TO ISOLATION & BURDENSOMNESS Connection/ relationships We are valued and cared for Isolation I am all alone, no one cares Source : Joiner, T. , American Association of Suicidology. 2007 (15) Purpose/ give life meaning We are making a difference! Burdensomeness The world would be better off without me

• Risk exists • Regardless of where you are in the system, • (waiting for a full assessment, transport etc. Safety planning is a best practice • Involve collaterals, family, formal or informal supports if they will be an asset to safety planning.

Connection • Community Connection inversely linked to suicide and other negative health outcomes.

Free Resources • Sources of Strength (comprehensive youthfocused) • Gatekeeper trainings like Question, Persuade, Refer (QPR) and Counseling on Access to Lethal Means (CALM) • Zero Suicide Toolkit Resources • Statewide Coalition and statewide network of resources

What you can do today • Put the National Suicide Prevention Lifeline in your phone • 1. 800. 273. 8255 • Not be afraid to ask about suicide and take action • Join the ND Suicide Prevention Coalition • Contact Darcie, Patrick, or Alison about training opportunities.

Cheat Sheet for Handling Suicide Risk – Ask about suicide: https: //www. integration. samhsa. gov/clinicalpractice/Columbia_Suicide_Severity_Rating_Scale. pdf – Listen without judgment, tell them you care & want to help – Address problems: SUD, sleep, mood, & trauma. Connect patient to resources. Call 211 or use the Heartview Locator tool if you don’t know. – Complete a full assessment or connect them to someone who can. If you don’t have an assessment tool, use – Offer hope: Overwhelmingly, those at-risk get help and get better – Family, friends, and informal supports to the table – Planning for safety & coping skills http: //www. sprc. org/sites/default/files/Brown_Stanley. Safety. Plan. Te mplate. pdf – Counseling on Access to Lethal Means – work with friends and family – Use First. Link Follow-up: 1. 800. 273. 8255

Additional Resources and Ideas for Healthcare and Clinical Systems • Visit the Zero Suicide Toolkit. Look at the free materials and videos http: //zerosuicide. sprc. org/ • Form a Zero Suicide team • Coordinate with your community • Free organizational assessment within agencies for them to see where they are at in terms of evidencebased practices http: //zerosuicide. sprc. org/sites/zerosuicide. actionallian ceforsuicideprevention. org/files/Zero%20 Suicide%20 Or ganizational%20 Self-Study. pdf • Zero Suicide ND or Connect ND Academy

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