Suicide Prevention with Kognito Ohio Army Reserve National

Today’s Presenters: Jenna Henek Account Manager Kognito Shawna Hite Acting SAMHSA GLS Grant Project

Today’s Agenda: • Suicide in Ohio Service Members • The OHARNG’s suicide prevention planning

Suicide in Ohio • There were 1, 455 suicide deaths in Ohio in 2014

Suicide in Ohio • Men are more likely to die by suicide than women

Suicide in Ohio Rural Appalachian suicide rates are higher than metropolitan, suburban, or rural

Suicide in Service Members & the OHARNG’s Prevention Plans Colin Fowler, MS, LPCC-S Psychological

Problem statement ISSUE: DEATH BY SUICIDE IN THE OHNG DISCUSSION: Deaths in combat for

Unit Risk Inventory Data • • About 575 OHARNG SMs identified in 2016 on

ARNG Suicides : 2013 - 2017 Information Current as of 29 March 2017

ARNG Trend per 100 k Suicides : 2013 - 2017

National and Local trend per 100 k Suicides : 2017 • • • OHARNG

Death by suicide rates in OHNG are significantly higher than the general population and

National and Local Analysis of Suicides • 2013 highest rate but 2017 in on

Nationally, rates are highest for white males age 45 -64, then 85 and older.

Among survivors of near fatal suicides, when asked about time from their decision to

15 -6 Investigations Warrior ethos to be strong, not ask for help Financial struggles

Partnership with Ohio Suicide Prevention Foundation • Part of a comprehensive plan for suicide

Q&A for OHARNG: • Ask Your Questions for the OHARNG: Type your questions in

Overview of Kognito: Ohio Suicide Prevention Foundation’s Service Member Product Suite: • Veterans on

Polling Questions Polling question: Which simulation do you plan to implement? Polling question: When

Resources for You! • OSPF wants to help you be successful in implementing Kognito!

Resources for You! • Where to Go to Find OSPF Resources: • Ohiospf. org

Resources for You! • Where to Go to Find Kognito Resources for Ohio: •

Polling Questions: Polling question: What resources do you plan to use? Polling question: What

Questions for OSPF & Kognito: Type your questions in the chat box.

Thank you! Email Us/Call Us with Questions: Shawna Hite, MPH, CHES SAMSHA GLS Grant

Slides: 35

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Suicide Prevention with Kognito: Ohio Army Reserve National Guard A Webinar for Ohio Service Members September 11, 2017 These trainings are offered [in part] under grant number 1 H 79 SM 062894 -01 from the Substance Abuse & Mental Health Services Administration (SAMHSA), U. S. Department of Health & Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.

Today’s Presenters: Jenna Henek Account Manager Kognito Shawna Hite Acting SAMHSA GLS Grant Project Director Ohio Suicide Prevention Foundation Colin Fowler Psychological Health Coordinator Ohio Army National Guard Contractor

Today’s Agenda: • Suicide in Ohio Service Members • The OHARNG’s suicide prevention planning • How the OHARNG is using Kognito within their plans • Q&A on the use of Kognito in military settings • (please participate ) • Overview of OSPF Kognito Trainings for Service Members • Overview of Free Ohio Resources for Implementing Kognito Trainings • Ending Questions for Speakers & Audience • (please participate )

Suicide in Ohio • There were 1, 455 suicide deaths in Ohio in 2014 • Nearly 2/3 (65%) of violent deaths were suicides • In 2015 Ohio suicide rate was 13. 9 deaths per 100, 000 individuals • The U. S. rate was 13. 3 per 100, 00 individuals • Ohio ranks 32 nd for State suicide rates Table obtained from OVDRS Information obtained from: National Center for Health Statistics (January 2017). Suicide Mortality by State. CDC. Retrieved from: https: //www. cdc. gov/nchs/pressroom/sosmap/suicide-mortality/suicide. htm; OH-VDRS (2017). 2014 Annual Report. Ohio Department of Health. Retrieved from: https: //www. odh. ohio. gov/health/vipp/ohvdrs. aspx;

Suicide in Ohio • Men are more likely to die by suicide than women Table obtained from OVDRS Information obtained from: OH-VDRS (2017). 2014 Annual Report. Ohio Department of Health. Retrieved from: https: //www. odh. ohio. gov/health/vipp/ohvdrs. aspx;

Suicide in Ohio Rural Appalachian suicide rates are higher than metropolitan, suburban, or rural non. Appalachian suicide rates Map obtained from OVDRS Information obtained from: 2014 Annual Report. Ohio Department of Health. Retrieved from: https: //www. odh. ohio. gov/health/vipp/ohvdrs. aspx;

Suicide in Service Members & the OHARNG’s Prevention Plans Colin Fowler, MS, LPCC-S Psychological Health Coordinator Ohio Army National Guard contractor colin. b. fowler. ctr@mail. mil 614. 336. 6000 x 4291 office

Problem statement ISSUE: DEATH BY SUICIDE IN THE OHNG DISCUSSION: Deaths in combat for OHARNG since 9/11: 15 Death by suicide for OHARNG since 9/11: 49 Suicides JUN 16 -JUN 17: 10 in 12 months CHALLENGE: What should the organization, family, and individual do to combat this problem?

Unit Risk Inventory Data • • About 575 OHARNG SMs identified in 2016 on the anonymous questionnaire (URI) as having Suicidal Ideation About 115 identified on the URI as having an attempt in the previous 12 months OHARNG was aware of 53 with SI and 38 with attempts 33% of the force did not complete the URI

ARNG Suicides : 2013 - 2017 Information Current as of 29 March 2017

ARNG Trend per 100 k Suicides : 2013 - 2017

National and Local trend per 100 k Suicides : 2017 • • • OHARNG 43 per 100 k NGB Army 25. 4 per 100 k Highest State Rate Montana 23. 8 per 100 k National General Public 13. 26 per 100 k Ohio General Public 12. 5 per 100 k Air National Guard National 10. 4 per 100 k

Death by suicide rates in OHNG are significantly higher than the general population and have drastically increased in the last several years. 43 26 16 Gen population per 100, 000 ONG per 100, 000 since 2016

National and Local Analysis of Suicides • 2013 highest rate but 2017 in on track to surpass 2013 • 2013, 2016, & 2017 highest number of suicide since 2000

Nationally, rates are highest for white males age 45 -64, then 85 and older. OHNG has few SMs that age and experiences death much younger Suicides by age group 24 14 8 4 15 -24 25 -34 35 -44 45+

Among survivors of near fatal suicides, when asked about time from their decision to complete suicide and the attempt: ● 24% said less than 5 minutes ● 47% more said an hour or less METHODS OHIO 2000 - PRESENT Overdose 6% Other 6% Suffocation 16% Firearm 72%

15 -6 Investigations Warrior ethos to be strong, not ask for help Financial struggles Physical medical issues Relationships ending frequent trigger Peers knew they drank too much 8 of the 10 OHARNG 2016 -17 deaths are known to have involved substance abuse • Family or friends all knew of some symptoms, few knew all of them • Disconnect so they don’t communicate to Command • None of the last 10 deaths by suicide were currently involved with MED DET case management • • •

Partnership with Ohio Suicide Prevention Foundation • Part of a comprehensive plan for suicide prevention • Gatekeeper training • Counsel on Access to Lethal Means • Assessing and Managing Suicide Risk • Faith as a Protective Factor • Man Therapy • Kognito

Q&A for OHARNG: • Ask Your Questions for the OHARNG: Type your questions in the chat box.

Overview of Kognito: Ohio Suicide Prevention Foundation’s Service Member Product Suite: • Veterans on Campus: Peer to Peer • Veterans on Campus: Faculty & Staff • Family of Heroes • Together Strong

Simulation Demo

Polling Questions Polling question: Which simulation do you plan to implement? Polling question: When do you plan to implement it?

Resources for You! • OSPF wants to help you be successful in implementing Kognito! • Resources: • Kognito Resources Landing Page • • • Flyers Past Power Points Webinar Recordings Kognito Champions Tool Kit Kognito Champion Sign Up • Spread the Word Resources • • Flyers Power Point Slides Pre-Written Messages Discussion Guides

Resources for You! • Where to Go to Find OSPF Resources: • Ohiospf. org | http: //ohiospf. org/content. php? pageurl=ocfh • Home Page Resources Tab Kognito Resources Box

Resources for You! • Where to Go to Find Kognito Resources for Ohio: • ohio. kognito. com • Simulation Home Page Scroll to Bottom of Page Under “Spread the Word” Click on “Tips & Resources for Schools” Click on “Higher Ed”

Resources for You! • Where to Go to Find Kognito Resources for Ohio: • jointogetherstrong. com | familyofheroes. com/ohio/ • Simulation Home Page Scroll to Bottom or Top of Page Under “Spread the Word” Click on “Tips & Resources” Family of Heroes Together Strong

Resources for You! • Where to Go to Find Kognito Resources for Ohio: • jointogetherstrong. com | familyofheroes. com/ohio/

Polling Questions: Polling question: What resources do you plan to use? Polling question: What support can OSPF provide?

Questions for OSPF & Kognito: Type your questions in the chat box.

Thank you! Email Us/Call Us with Questions: Shawna Hite, MPH, CHES SAMSHA GLS Grant Project Coordinator Ohio Suicide Prevention Foundation 2323 West 5 th Ave. Suite 160 Columbus, OH 43204 shawna. hite@ohiospf. org 614 -429 -1528 ext. 402 Jenna Henek Account Manager 135 W. 26 th St | 12 th Fl | NY, NY 10001 jenna. henek@kognito. com Tel: 212 -675 -9234 ext 121 Fax: 646. 217. 3677