Suicide Prevention Training Updated 4/24/14 The goal today.

Suicide Prevention Training Updated 4/24/14 The goal today.

Suicide Prevention Training Updated 4/24/14 The goal today. We want to build your confidence in helping someone that might be suicidal. There isnt a script for helping someone having suicidal

thoughts You can plan a monologue but you cant plan a dialogue. Risk factors for suicide Previous attempts History of mental disorders History of substance abuse Family history History of child abuse

Feeling hopeless Impulsive loss Physical illness Access to method Unwilling to seek help Isolated Concrete plans Belief others would be better off Wanting to join deceased loved one Prolonged stress due to

financial difficulties, unemployment, etc. Warning signs: A suicidal person may show signs by saying something like, I just want the pain to end or I can see a way out. May become socially isolated or withdrawn. May act irritable or agitated. Lose interest in things. Have the feeling of being a burden to others. Look for ways to kill themselves such as hoarding medicine.

80% of people suicidal display warning signs IS PATH WARM?

IdeationThreatened or communicated Substance abuseExcessive or increased PurposelessNo reasons for living AnxietyAgitation/Insomnia TrappedFeeling there is no way out Hopelessness WithdrawingFrom friends, family, society Anger (uncontrolled)Rage, seeking revenge RecklessnessRisky acts, unthinking Mood changes (dramatic)

Here are some possible questions to follow up with someone suicidal: Have you ever tried to harm How often do you have thoughts of harming yourself? When is the last time youve had these thoughts? When did these thoughts start for you?

Do you notice when you have them? (i.e. if you cant get the baby to stop crying? When you havent been able to sleep? Etc.) Have you had these thoughts before? When you have these thoughts, do you have a plan how you might harm yourself? Do you have access to this plan? yourself before?

Tell me about your support system. Do you have anyone you can call to ask for help? Are you seeing a mental health provider? I want to make sure youre safe. Would you be willing to sign a no harm agreement? This means you will call the numbers on the agreement if you have these thoughts again. Would you be willing to go for an assessment?

Ways to respond to someone suicidal DO: Be direct Talk openly Work to create support Get involved Seek help from supervisor Be nonjudgmental Take action

DO NOT Do not act shocked Do not promise to keep a secret Do not try to cheer the person up Do not assume that the person will not attempt suicide Protective Factors for a suicidal person:

Receiving effective mental health care. Positive connections: family, friends, support system!! The skills and ability to solve problems. Tools you can use EPDS

Personal Safety Plan EPDS: Personal Safety Plan: What are your questions/experiences? How could you address: I think about suicide but I wouldnt do it. I attempted suicide two weeks ago by cutting my wrist and then I took pills.

I miss ____ and I think about wanting to be with them. I have thoughts of hurting myself. I was driving and I thought about driving my car into a tree. Will CPS be called on me for going to the hospital for an assessment? What if the hospital wants to keep me (institutionalize)? Remember YOU can and do make a difference Resources:

1-800-273 TALK (8255) National Mental Health Association NAMI: National Alliance on Mental Illness Resources Suicide Prevention Resources http://www.nmha.org/ - Mental Health America PSI Warmline at 1-800-944-4PPD (4773) www.postpartum.net Postpartum Support International PSI is Postpartum Support International The PSI Warmline is a toll-free telephone number anyone can call to get basic information on postpartum depression and resources. Dial

extension 1 for Spanish and extension 2 for English. The Warmline is answered Monday through Friday, 8am to 4:30pm Pacific. You are always welcome to leave a confidential message any time, however, and your call will be returned as soon as possible. Suicide Hotline 1-800-273-TALK http://www.nimh.nih.gov/health/topics/women-and-mental-health/index.shtml - National Institute of Mental Health http://www.womenshealth.gov/faq/depression-pregnancy.cfm - The National Womens Health Information Center http://www.webmd.com WebMD http://www.mededppd.com MedEd http://www.suicidology.org - American Association of Suicidology http://www.suicidepreventionlifeline.org/ - National Suicide Prevention Lifeline http://postpartumdadsproject.org/ - Postpartum Dads Project http://www.postpartumdads.org/ - Postpartum Dads PSI Weekly Phone Forums for dads every Monday (info on www.postpartum.net) http://postpartummen.com/forum/ - Postpartum Men Online Forum www.womensmentalhealth.com Massachusetts General Hospital

Books: This Isnt What I Expected, Karen Kleiman, MSW and Valerie Raskin, MD The Mother to Mother Postpartum Depression Support Book, Sandra Poulin The Postpartum Husband: Practical Solutions for Living with Postpartum Depression, Karen Kleiman, MSW Beyond the Blues: A Guide to Understanding and Treating Prenatal and Postpartum Depression, Pec Indman, MFT and Shoshanna Bennett, PhD What Am I thinking? Having a Baby After Postpartum Depression., Karen Kleiman, MSW Pregnancy Blues: What Every Woman Needs to Know About Depression During Pregnancy , Shaila Misri, MD Non-Pharmacologic Treatments for Depression in New Mothers, Kathleen Kendall-Tacket PhD, IBCLC Thirteen Reasons Why, Jay Asher

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