Not One More Stopping the Suicide Epidemic Suicide
- Slides: 57
Not One More! Stopping the Suicide Epidemic
Suicide is…. .
The Enemy Within Play video clip “The Enemy Within” Available from the California Highway Patrol
Definition of Suicide “Suicide is a conscious act of self-induced annihilation, best understood …as a needful individual who defines an issue for which the suicide is perceived as the best solution. ” Dr. Ed Shneidman, Suicide as Psychache, 1993
Suicide Survivors Family members and others who survive • Spouse • Grandparents following the death of their loved one by • Significant Others • Lovers suicide: 6: 1 • Parents • Children • Extended family • Friends • Co-Workers • Classmates
Nationwide Statistics 2004 data One suicide every 16 minutes 11 th ranking cause of death in the US 811, 000 suicide attempts every year 5 million living Americans have attempted suicide Firearms used in 52% of suicides
Suicide in Specific Populations
Law Enforcement Suicide Compared LE Suicide Rate LE LODD Rate LE Homicide Rate
Law Enforcement and Retirement Retired Comparison Group Retired LE - Medical Disability
Write a Name Exercise
“It takes only the smallest of changes to shatter an epidemic’s equilibrium. ” Malcolm Gladwell in the “Tipping Point”
The Tipping Point: Agents of Change The Law of the Few The Stickiness Factor The Power of Context
The Law of the Few Connectors Mavens Persuaders
The Stickiness Factor Courage is taking the first step Let us help each other live Just do something! Advice that is practical and personal also becomes memorable…
The Power of Context Epidemics strongly influenced by their situation Circumstances and conditions Particulars of environments Kitty Genovese Graffiti
Courage Communication Awareness One Voice
Attempt “Suicide is completed in Gesture inches not in leaps” Ideation Completion
Exercise Write down the 3 most important things in your life.
Myths? • Happens without warning • Low risk after mood improvement • Once suicidal, always suicidal e icid u s n io ent m ’t Don • Only experts can prevent it • Runs in the family • No note = no suicide
More Myths. . • Suicide is not preventable • Only certain “types” of people become suicidal • Don’t talk about suicide or they will “do it. ” • Antidepressants cause people to be suicidal
Phil’s Letter to Mom
Life’s Most Valuable ____ My mind ____ My family ____ My work
Loss or change in an important relationship To avoid or end perceived pain Escape intolerable situation Gain attention Manipulate Punish others/Punish self Become a martyr Loss change important perceived intolerable
Social Support System Warning signs Separation from family or friends - Geographic, legal, temporary Loss of significant others A loner or newcomer Rejected by peers Feels like people don’t care
Why Police Officers Commit Suicide Loss due to death or divorce Marital problems or a bad relationship Terminal illness Guilt over partner’s death Legal Problems Feeling alone L O S S Sexual Accusations Disability/Retirement Internal Affairs Investigation Financial Problems Arrest Loss of Employment PTSD
Loss of Rational Thinking Lack of sleep Stress or anxiety Substance Abuse Immaturity Psychosis: Command hallucinations Alien control Religious preoccupation
Symptoms of Depression Change in sleep Change in appetite Loss of energy, motivation Loss of interest in pleasurable activity Apathy Deterioration of personal appearance Deterioration of job performance Frequent physical complaints Preoccupation with death
Intense arousal after a traumatic event It is from PTSD that the unseen Overwhelms coping mechanisms wounds of an officer begin to manifest. Since wefeeling do nothelpless see and Leaves the responder these out ofbattle controlscars, we sometimes PTSD try to pretend they do not exist. Posttraumatic stress is not prejudiced Trying to pretend doesn’t make PTSD invades the mind with almost the pain go away. constant thoughts about the event
It’s Everybody’s Business The student will be able to list the Do& signals Something! signs of a person who is at risk of suicide.
Suicide and Alcohol Risk is 2 -3 x higher among alcoholics 15 -25% of suicides are completed by alcoholics 50% of those who completed suicide were intoxicated Among suicides of alcoholics, 89% were actively drinking at time of death
Indirect Verbal Clues • I can’t go on any longer • Nobody needs me anymore • I’m tired of life • You won’t be seeing me any more • I can’t take it any more • You’d be better off without me • I can’t take the pain
Buying a weapon Indirect Suicide Indicators Giving away possessions Clues. . . . Clues. . Changes in social behavior • The “practice run” Reckless officer safety/behavior • Sudden religious Changes in personality interest/ disinterest • Substance abuse relapse • More confrontational with subject
Direct Verbal Clues • I wish I were dead • You’d be better off without me • I might as well be dead • If ___doesn’t happen, I’m going to end it • I’m going to commit suicide • I’m going to kill myself
How Bad Is It? How: üIs the plan specific? üDo they have the means? üAre the means lethal? Lethality lets you know how History: much help you need and üPrior attempts? how fast you need it üAny family history? Help: üAre they alone? üAre they drinking?
Intervention is Action Do Something! Respond! A Silent Code 3 Request for Help
Barricades to Seeking Help Denial Avoidance Anger Fear: Will impact job Command will be contacted Hospitalization Being labeled
Do’s of Intervention Remain calm Accept their feelings Focus on central issue Stay close Emphasize temporary nature of problem Explore resources ** Listen what ** Listen Hear is being said **
Don’ts of Intervention Don’t sound shocked Don’t offer empty promises Don’t try to joke them out of it Don’t debate morality Don’t assume things will improve Don’t leave person alone Don’t keep it a secret
A Good Listener: Copes with strong emotion Is prepared to listen – time Provides for comfort Tolerates repetition Listens carefully Respect others perspective Avoids interrupting WAIT THINK RESPOND
The Question Have you been thinking of killing yourself?
Important Questions How would you kill yourself? When did you last think about suicide? What is the closest you’ve come? Have you ever attempted suicide? Has anyone in your family attempted/completed suicide? What are the odds that you will kill yourself? What has been keeping you alive so far? What do you think the future holds in store for you?
Referrals • Employee Assistance Program (EAP) • Health Care Plan
Suicidal Thoughts Relationship Difficulties In! Do. Boxed Something! Depression/Trauma Adverse Job Action Alcohol Abuse
Do Something! Continue C. P. R. : Caring Life Do. Preserving Something! Referrals and Resources
Suicide Postvention
Survivor Reactions High risk groups Children/Siblings “Stigma spillover” Friends/Coworkers Parents Those who find the body Spouses/Significant Others Those who witness the suicide
Survivor Reactions “Survivor Syndrome” Shock Numbness Denial of death as a Suicide Religious concerns Prolonged search for “Why? ? ” Fear of personal susceptibility
Survivor Reactions Emotional u G ! li t Shame Anger Responsibility Blaming Scapegoating Abandonment
Survivor Reactions Loneliness Social Isolation* Social stigma Diminished social supports Difficulty trusting others Negative family relations Over protectiveness
Play video clip “Suicide Interviews Take 2” stored on Disk #2
Suicide Is…
The Cost of Suicide Cut off from support Achievements minimized Private shame and guilt No honors or recognition Support network collapses Decreased benefits
“Hindering” Survivors Denying the death as a suicide Ignoring or not taking the problem seriously Pressuring them to “get over it” Self-medicating/Taking them drinking Offering negative religious judgments Being judgmental
Helping Survivors Let them talk I’m sorry for your loss… How can I help? Is there anyone I can call for you? Since the suicide, what are the biggest challenges for you? Use the loved one’s name.
Additional Help: Help the group care about the person, and accept the choice he or she made Refer individuals who are struggling excessively with anger, loss, or guilt Don’t remain the only one helping
“Attitudes outweigh facts. Attitudes must change so that statistics can change. ” KARL MENNINGER Do Something!
Let us all have Not the One More… courage to take a stand Not One More…
- More more more i want more more more more we praise you
- More more more i want more more more more we praise you
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- More choices more chances
- Human history becomes more and more a race
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- Bổ thể
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