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Life Crisis Services is one of the Nation’s oldest hotlines, founded in 1966 - PowerPoint PPT Presentation

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Life Crisis Services is one of the Nation’s oldest hotlines, founded in 1966 Services are available 24/7 by phone Mission to provide excellent suicide and crisis intervention Answers about 17% of callers at some risk for suicide. Reasons to call 314.647.HELP(4357) 1.800.273.TALK (8255).

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Reasons to call 314.647.HELP(4357) hotlines, founded in 1966

1.800.273.TALK (8255)

  • Suicidal

  • Depression

  • Stressed

  • Anxiety

  • Lonely

  • Substance abuse

  • Referrals

  • Gambling

  • Anger

  • Bullying

  • Family/Relationships

  • Grief

  • Recent Loss

  • Self-Injury

  • Concerned about a loved one

What does a call look like? hotlines, founded in 1966

  • All calls are assessed for suicide

  • If not suicidal

    • Crisis worker will talk with you regarding your crisis situation

    • Will develop an action plan

    • Determine if any resources are available

    • Provide referrals in your area

    • Summarize conversation

What does a call look like? hotlines, founded in 1966

  • If suicidal,

  • Contract for safety

  • Time frame

  • Method

  • Availability

  • Previous attempts

  • Talk through crisis

  • Schedule follow-up

What’s the risk? hotlines, founded in 1966

  • It’s important to ask, “Are you having thoughts of suicide?”

  • Missouri ranks 22nd*(2010) in the nation

  • 10TH leading cause of death in 2012

  • 38,364 death nationally

  • 901 deaths in Missouri

    • (15/100,000)

    • More suicides than homicides

Reasons for suicide hotlines, founded in 1966

  • Desire to stop the pain

  • Overwhelming grief

  • Facing a painful terminal illness

  • Responding to “voices” or hallucinations

  • To avoid punishment or public disgrace

  • Permanent solution to a temporary problem

If you are having thoughts of suicide hotlines, founded in 1966

  • Having thoughts of taking your life

  • Isolation

  • Struggling with depression

  • Struggling with stress

  • Struggling with anxiety

  • Other mood disorders

  • Feelings of hopelessness

  • No purpose in life

  • Recent loss

Recognizing the warning signs hotlines, founded in 1966

  • Talking about wanting to kill themselves, or saying they wish they were dead

  • Looking for a way to kill themselves, such as hoarding medicine or buying a gun

  • Talking about a specific suicide plan

  • Feeling hopeless or having no reason to live

  • Feeling trapped, desperate, or needing to escape from an intolerable situation

Recognizing the warning signs hotlines, founded in 1966

  • Having the feeling of being a burden to others

  • Feeling humiliated

  • Having intense anxiety and/or panic attacks

  • Losing interest in things, or losing the ability to experience pleasure

  • Insomnia

Recognizing the warning signs hotlines, founded in 1966

  • Becoming socially isolated and withdrawn from friends, family, and others

  • Acting irritable or agitated

  • Showing rage, or talking about seeking revenge for being victimized or rejected, whether or not the situations the person describes seem real

  • Take all threats seriously

What to do? hotlines, founded in 1966

  • Again, ask are you having thoughts of suicide?

  • Question

  • This invites the individual to answer freely

  • Never use reverse psychology on a person

  • Never say, “You’re not going to do something stupid are you?

  • Saying the word suicide does not plant the idea

Ask about a PLAN hotlines, founded in 1966

  • When are you planning to do this

  • How long have you been thinking about this

  • Where do you plan to do it

  • How do you plan on doing this

  • The more detailed the plan the higher the risk

Have you noticed…. hotlines, founded in 1966

  • Changes in sleep, appetite, or weight

  • Isolation

  • Feeling of hopelessness/helplessness

    • Talks or jokes about death/dying

    • Mood

    • Loss of interest

    • Worthlessness

Have you noticed… hotlines, founded in 1966

  • Substance Use/Abuse

    • Risk is higher when a person is intoxicated

    • Frequency of use is a factor

  • Previous Attempts

    • How many/How recent

    • Escalated Attempts?

    • 2 ways this is a factor

Have you noticed… hotlines, founded in 1966

  • Loss

    • Significant relationship/job

    • Real or perceived

    • The more recent, the higher the risk

  • Psychiatric Care

    • Previously diagnosed

    • Recent hospitalization

Risk levels: hotlines, founded in 1966

  • Low Risk: ideas or thoughts about suicide; no or vague plans, no time frame, no access to means.

  • Medium Risk: Some details in the plan, means defined, time frame more than 24 hours.

Risk levels: hotlines, founded in 1966

  • High Risk: Well thought out plan, time frame less than 24 hours, ready access to means, several other factors present.

  • Immediate High Risk &/or Suicide in Progress: Well defined plan, means at hand, attempt imminent.

What to do hotlines, founded in 1966

  • Take all threats seriously

  • Acknowledge the person’s problems and feelings

  • Separate him/her from the means

  • Determine the next steps

  • Get a commitment from him/her to get help

  • Mobilize or transport as situation dictates

Don’ts hotlines, founded in 1966

  • Never use ‘reverse psychology”

  • Don’t argue about the ‘right to suicide’

  • Don’t minimize the person, their feelings or the situation

  • Don’t tell the person he/she has everything to live for

DO hotlines, founded in 1966

  • Contract for safety

  • Get people involved

  • Call 911 or take person to ER

  • DO NOT promise to keep a secret, promise to help

  • Find resources in the community

  • Went live November 2013 with LCS hotlines, founded in 1966

  • Provides peer support for individuals with depression, mental illness, and general “down” or “blue” feelings

  • Allows users from all over the world to connect with others

  • 24/7 FKB Hotline for users (answered in Crisis Room)

  • Won the 2014 AAS Excellence Award in April 2014 hotlines, founded in 1966

Video hotlines, founded in 1966

Losing a loved one to suicide hotlines, founded in 1966

  • Survivor of suicide – a person who has lost a loved one to suicide

  • Common characteristics

    • Thoughts of suicide

    • WHY?

    • Anger, guilt, abandonment

    • Would’ve, should’ve, could’ve

    • Adjusting to a new normal

    • Dealing with other people

Resources: hotlines, founded in 1966

  • Hotlines

    • 314.647.HELP(4357) LCS

    • 1.800.273.TALK (8255) Lifeline


  • (Provident)

  • Foundation For Suicide Prevention)

  • Heather Barnett, MA, LPC, CCGC

    • [email protected]

Help is always a phone call away hotlines, founded in 1966

Take away hotlines, founded in 1966

Remember it’s ok to call

Ask a question, save a life

Use the resources