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SUICIDE PREVENTION

SUICIDE PREVENTION. For Police, Fire, EMS , Dispatchers and all First Responders. SUICIDE TRAINING OBJECTIVES.  Identify common risk factors or warning signs that indicate someone has serious life problems or may be thinking about suicide.

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SUICIDE PREVENTION

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  1. SUICIDE PREVENTION For Police, Fire, EMS , Dispatchers and all First Responders

  2. SUICIDE TRAINING OBJECTIVES Identify common risk factors or warning signs that indicate someone has serious life problems or may be thinking about suicide. Identify protective factors that may reduce the risk of suicide.  Learn an easy to remember method of suicide intervention \

  3. How DoLaw Enforcement Personnel Die? At the hands of bad guys In accidents, including car crashes By heart attacks By their own hand

  4. Police Work and Suicide Inherent dangers of police work such as the risk of homicide or accidents overshadow the psychological danger of this occupation…..

  5. Don’t go it alone Seek Help

  6. Definition “Suicide is a conscious act of self-annihilation brought about by multi-dimensional malaise” Edwin Schniedman

  7. Suicide • “The Forever Decision” Suicide is an attempt to solve a problem of intense emotional pain with impaired problem-solving skills.2 Individuals of all races, creeds, incomes, and educational levels die by suicide. There is no typical suicide victim.3

  8. Characteristics of Suicide Kalafat, J. & Underwood, M. Making Educators Partners in Suicide Prevention. Lifelines: A School-Based Youth Suicide Prevention Initiative. Society for the Prevention of Teen Suicide. http://spts.pldm.com/ Crisis thinking colors problem solving:

  9. Characteristics of Suicide Person is often ambivalent:

  10. Characteristics of Suicide Suicidal solution has an irrational component:

  11. Characteristics of Suicide Kalafat, J. & Underwood, M. Making Educators Partners in Suicide Prevention. Lifelines: A School-Based Youth Suicide Prevention Initiative. Society for the Prevention of Teen Suicide. http://spts.pldm.com/ Suicide is a form of communication:

  12. REASONS FOR POLICE SUICIDE LEGAL TROUBLE – 15% MURDER-SUICIDE – 10% RELATIONSHIPS – 32% STRESS – 11% CRITICAL INCIDENT – 6% ILLNESS – 3% FINANICAL - 7% PSYCHOLOGICAL – 12% ALCOHOL – 4%

  13. Risk Factors Suicide Prevention Resource Center. Risk and Protective Factors for Suicide. http://www.sprc.org/library/srisk.pdf • Depression • Relationship conflicts or personal losses • Easy access to firearms • Drug and alcohol abuse • Financial difficulty • Internal investigations

  14. Warning Signs or Risk Factors of Suicide • Clinical Depression • Personally Significant Loss • Drug or Alcohol Abuse • Previous Suicide Attempts • A Marked Negative Change in Behavior

  15. Recent Study on PTSD and Suicide Ideation: PTSD due to witnessing the homicide of another officer INCREASES RISK OF SUICIDE THINKING - 2 1/2 times PTSD due to witnessing death, devastation (e.g. 911), abused children INCREASES THE RISK OF SUICIDE THINKING - OVER 3 Times PTSD coupled with alcohol use INCREASES THE RISK OF SUICIDE THINKING NEARLY 10 TIMES Violanti, SLTB, 2004

  16. Protective Factors for Suicide

  17. Factors That Contribute to Individual Well-Being

  18. The Importance of Faith/Spirituality Reason for living; Suicide is not an option: Suicide unacceptable:

  19. Warning Signs

  20. Myth vs. Fact ? Clayton, J. Suicide Prevention: Saving Lives One Community at a Time. American Foundation for Suicide Prevention. http://www.afsp.org/files/Misc_//standardizedpresentation.ppt

  21. Name That Tune ♫ ♪ ♭

  22. Statistics

  23. National Statistics www.cdc.gov/injury/wisquars/index.html 10/2010 • Suicide was the tenth leading cause of death for all ages in 2010 • There were 38,364 suicides in 2010 in the United States--an average of 105 each day • Based on data about suicides in 16 National Violent Death Reporting System states in 2009, 33.3% of suicide decedents tested positive for alcohol, 23% for antidepressants, and 20.8% for opiates, including heroin and prescription pain killers. • Suicide results in an estimated $34.6 billion in combined medical and work loss costs.

  24. Missouri Suicide Statistics http://dmh.mo.gov/docs/mentalillness/suicideplan.pdf More Missourians die by suicide than by DWI, homicide, or AIDS. Missouri’s rate of suicide is 14.4/100,000 Suicide is the 10th leading cause of death in Missouri Men accout for 79% of completed suicides; women 21% The leading methods of suicide in Missouri are firearms (56%) Suffocation (21%) poisoning (18%)

  25. Police Suicide Statistics The Statewide Office of Suicide Prevention. 2008 Annual Report. http://www.helppromotehope.com/documents/Annual_Report.pdf The suicide rate for police officers  is 17/100,000, compared to the general population's rate of 11/100,000. 

  26. QPR Question the meaning of suicidal communication. Persuade the person to get help. Refer to competent counseling.

  27. Think someone is suicidal? Question Clayton, J. Suicide Prevention: Saving Lives One Community at a Time. American Foundation for Suicide Prevention. http://www.afsp.org/files/Misc_//standardizedpresentation.ppt Don’t hesitate to raise the subject. Be direct, but non-confrontational. Engage them: • Are you thinking about suicide? • What thoughts or plans do you have? • Are you thinking about harming yourself, ending your life? • How long have you been thinking about suicide? • Have you thought about how you would do it? • Do you have _____ (Insert means, weapon, etc.) • Do you really want to die, or do you want the pain to go away?

  28. P = PersuadeHow to persuade someone to stay alive Listen to the problem with your full attention. Remember, suicide is not the problem, only the solution to a perceived insoluble problem. Do not rush judgment. Offer hope in any form.

  29. P = PersuadeThen Ask: • “Will you go with me to get help?” • “Will you let me get you help?” Your willingness to listen and help can rekindle hope and make all the difference!!

  30. R = Refer Suicidal people sometimes feel they can’t be helped so you may have to do more. The best course is getting a commitment from them to accept help, and then making arrangements for that help.

  31. Getting Help Clayton, J. Suicide Prevention: Saving Lives One Community at a Time. American Foundation for Suicide Prevention. http://www.afsp.org/files/Misc_//standardizedpresentation.ppt • Do not leave the person alone • Know referral resources • Reassure the person • Encourage the person to participate in the helping process • Encourage the suicidal person to identify other people in their lives who can also help. • Outline a safety plan: Make arrangements for the helper to come to you OR take the person directly to the source of help

  32. Ask About Treatment Clayton, J. Suicide Prevention: Saving Lives One Community at a Time. American Foundation for Suicide Prevention. http://www.afsp.org/files/Misc_//standardizedpresentation.ppt Do you have a therapist/doctor? Are you seeing him/her? Are you taking your medications?

  33. But suicide isn’t the only problem

  34. For every officer who commits suicide… there are a thousand more who continue working, suffering from trauma and pain.

  35. Seek Help If You Feel Suicidal • Confide in a Friend • Confide in the Department Chaplain • Confide in your Clergy • Contact the Department EAP (Employee Assistance Program) • Contact a Counselor

  36. Sources: Badge of Life, Law Enforcement Wellness Association Inc. By special permission: portions of power point lessons – on PTSD by Dr. Marc Unger Summit Bible College Bakersfield CA +IN HARMS WAY and the Department of Justice

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