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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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slide2

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
slide3

Reasons to call 314.647.HELP(4357)

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
slide4

What does a call look like?

  • 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
slide5

What does a call look like?

  • If suicidal,
  • Contract for safety
  • Time frame
  • Method
  • Availability
  • Previous attempts
  • Talk through crisis
  • Schedule follow-up
slide6

What’s the risk?

  • 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
slide7

Reasons for suicide

  • 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
slide8

If you are having thoughts of suicide

  • 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
slide10

Recognizing the warning signs

  • 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
slide11

Recognizing the warning signs

  • 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
slide12

Recognizing the warning signs

  • 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
slide13

What to do?

  • 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
slide14

Ask about a PLAN

  • 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
slide15

Have you noticed….

  • Changes in sleep, appetite, or weight
  • Isolation
  • Feeling of hopelessness/helplessness
    • Talks or jokes about death/dying
    • Mood
    • Loss of interest
    • Worthlessness
slide16

Have you noticed…

  • 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
slide17

Have you noticed…

  • Loss
    • Significant relationship/job
    • Real or perceived
    • The more recent, the higher the risk
  • Psychiatric Care
    • Previously diagnosed
    • Recent hospitalization
slide18

Risk levels:

  • 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.
slide19

Risk levels:

  • 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.
slide20

What to do

  • 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
slide21

Don’ts

  • 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
slide22

DO

  • 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
slide23

Went live November 2013 with LCS

  • 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
slide25

Video

http://youtu.be/IgugsvR6pxM

slide26

Losing a loved one to suicide

  • 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
slide27

Resources:

  • Hotlines
    • 314.647.HELP(4357) LCS
    • 1.800.273.TALK (8255) Lifeline
  • www.feelingkindablue.com
  • www.providentstl.org (Provident)
  • www.afsp.org(American Foundation For Suicide Prevention)
  • Heather Barnett, MA, LPC, CCGC
slide29

Take away

Remember it’s ok to call

Ask a question, save a life

Use the resources

Questions?

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