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Gatekeeper Training

Gatekeeper Training. OSU Counseling and Psychological Services (CAPS) 5 th Floor Snell Hall. Today’s Agenda. Understanding Self: Values Clarification Understanding Suicide Warning Signs Consultation and Referral Resources Helping Skills: How to Intervene.

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Gatekeeper Training

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  1. Gatekeeper Training OSU Counseling and Psychological Services (CAPS) 5th Floor Snell Hall

  2. Today’s Agenda • Understanding Self: Values Clarification • Understanding Suicide • Warning Signs • Consultation and Referral Resources • Helping Skills: How to Intervene

  3. Understanding Self: Thinking it through • Take a couple of minutes to think about the following questions: 1. Do people (I) have the right to commit suicide? 2. Do I have the responsibility/obligation/right to keep another from committing suicide?

  4. Why Suicide Prevention? Homicide/Suicide in United States Suicide is nowthe leading cause of death for young adults ages 18 to 24. National Health Association , January 2012 CDC- National Center For Health Statistics, 2005

  5. Suicide, more data • Suicide is the 10th leading cause of death for all age groups • 38,364 suicides occur each year in the US • 105.1 die from suicide each day • One suicide occurs every 13.7 minutes • In Oregon you more likely to die from suicide then by car accident

  6. High risk subgroups within the 18 to 24 year old age group • Major mental health issue such as major depressive episode, psychosis, schizophrenia. • Students who grew up in poverty and are still experiencing poverty. • LBGT community but specifically Bi-sexual students • Students who have a history of trauma. • Men are four times the rate of women to die from suicide

  7. Why Suicide Prevention? International Perspective (WHO, 2009) http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/

  8. Understanding Suicide:Is this a problem here at OSU? During the 2012 academic year: * • 28.4% report being “So depressed it was difficult to function” anytime in the last 12 months. • 6.6% report “Seriously considering attempting suicide” at least once anytime within the last 12 months. • 1.5 % report “Attempting suicide” 1-10 times or more within the last 12 months. *American College Health Association Survey (2012) Randomized classroom sample (graduate and undergraduate) 1,174 respondents

  9. The importance of OSU community • 80% of persons who commit suicide give definite warning signs about their intent (Leigh and Reiser, 1992). • Most students who complete suicide never seek professional help. • About 2/3 of people who complete suicide are suffering from a major depressive episode at the time of their deaths (American Association of Suicidology, 2003). • Effective treatments exist to shorten duration and frequency of major depressive episodes.

  10. Understanding Suicide:How does it ever “make sense” to consider suicide? Suicide is an attractive strategy when other ways to achieve the goal of reducing emotional pain seem unavailable.

  11. Understanding Suicide:What does a major depressive episode look like? “The Truth About Suicide” (Video)

  12. Major Depression as Motivator Signs and Symptoms

  13. Warning Signs Imminent Call 9-1-1 or seek immediate help from a mental health provider • Someone threatening to hurt or kill themselves • Someone looking for ways to kill themselves: seeking access to pills, weapons, or other means • Someone talking or writing about death, dying, or suicide American Association of Suicidology (2006)

  14. Warning Signs of Suicidal Behavior • Hopelessness • Rage, uncontrolled anger, seeking revenge • Acting reckless or engaging in risky activities, seemingly without thinking. • Feeling trapped - like there's no way out • Increased alcohol or drug use • Withdrawing from friends, family and society • Anxiety, agitation, unable to sleep or sleeping all the time • Dramatic mood changes • No reason for living; no sense of purpose in life American Association of Suicidology (2006)

  15. CAPS as Your Resource CONSULT! CAPS is available for consultation – either in person or by phone – during on-call hours.

  16. Consultation and Referral Resources Counseling & Psychological Services (CAPS) 5th Floor Snell Hall (541)737-2131 10:00 am – 5:00 pm Mondays 8:00 am – 5:00 pm Tuesday through Friday Student Health Services Plageman 201 (541)737-WELL 9:00 am – 6:00 pm Monday through Friday 10:00 am – 3:00 pm Saturday After Hours • Benton County Crisis Line (888) 232-7192 • 911 • Emergency Room-Good Samaritan Hospital

  17. Helping: The Helper’s Dilemma You may see suicide as the PROBLEM but the student may consider it their only available SOLUTION.

  18. Helping Is: • Talking to a person in private/respecting privacy • An attitude of care and concern • A focus on specific behaviors that concern you • Directly asking about suicidal thinking • Shared & accurate knowledge about campus resources for a student in emotional pain

  19. Helping Is NOT: • Using “just the right words.” • “Curing” or “fixing” the emotional pain of another. • A solitary endeavor---consult, consult, and consult again! • “Walking on eggshells” • Promising confidentiality

  20. Helping: Putting it into practice Set-up: You have noticed that my performance in school has deteriorated. I am talking with you about this in your office. Focus Areas: • Reflect back specific behaviors/student internal experience (observed or reported). • Communicate care & concern.

  21. More Information • Jamison, K.P. (1999). Night Falls Fast: Understanding Suicide. Random House Inc. • The American Association of Suicidology http://www.suicidology.org/

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