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Initiative to Prevent Impulsive Suicidal Behavior Shawnee Mission North High School

5. Within. Initiative to Prevent Impulsive Suicidal Behavior Shawnee Mission North High School. Situation in Kansas. In 2008, the suicide rate among Kansas youth ages 15-19 was 10.5 per 100,000. From 1999-2007, ages 0-19 1220 Unintentional injuries (70% MVAs)

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Initiative to Prevent Impulsive Suicidal Behavior Shawnee Mission North High School

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  1. 5 Within Initiative to Prevent Impulsive Suicidal Behavior Shawnee Mission NorthHigh School

  2. Situation in Kansas • In 2008, the suicide rate among Kansas youth ages 15-19 was 10.5 per 100,000. • From 1999-2007, ages 0-19 • 1220 Unintentional injuries (70% MVAs) • 206 Suicides (plus 19 more unspecified firearm deaths) • 179 Homicides • 172 Cancers

  3. Situation in Johnson County • For the 20 years ending 2009 • Suicides of youth 0-24 years of age • Johnson County • 143 total, or about 7 per year

  4. Suicide Early Warning Signs • Withdrawal • Preoccupation with death • Marked personality change & serious mood changes • Difficulty concentrating • Decline in quality of school work • Change in eating habits • Change in sleeping patterns-insomnia and hypersomina

  5. Early Warning Signs • Loss of interest in favorite activities • Frequent complaints about physical symptoms, often related to emotions (stomachaches, headaches, fatigue) • Persistent boredom

  6. Late Warning Signs • Talking about suicide-specific plans • Impulsive or violent actions, rebellious behavior, or running away • Refusing help or feeling beyond help • Claiming to be a bad person • Hopelessness, helplessness, or worthlessness • Worsening of sleep disturbance (last week of life)

  7. Late Warning Signs • Being intolerant of praise or rewards • Making statements that hint at or directly imply suicide • Suddenly cheerful after a period of depression • Making a last will and testament

  8. Impulsivity • 25% of 153 survivors of near lethal suicide attempts acted within 5 minutes of the impulse to do so • 71% acted within one hour Factors associated with the medical severity of suicide attempts in youths and young adult (Swahn MH, Potter LB, 2001)

  9. Crisis/% same day by age 33% N=1,671 CT,ME,UT,WI, Allegheny County, San Francisco County

  10. Suicide is not a “destiny” • 90% of survivors of near-lethal suicide attempts do not complete suicide thereafter • Individuals who are suicidal usually do not have a plan B • That is why we limit access to lethal suicide methods

  11. Seiden Study • Seiden found that cutting off or slowing down an individuals means to act on suicide, allows time for the impulse to pass-perhaps even blocks the impulse from being triggered to begin with.

  12. “The British Coal-Gas Story” • For generations, the English heated their homes and fueled their stoves with coal gas • Coal is very deadly in unburned form • In 1950’s “Sticking one’s head in the oven” accounted for some 2,500 suicides a year • Once the nation moved to natural gas, Britain’s national suicide rate dropped by nearly a third • In a moment of deep despair, rage or sadness, people will turn to ways that are quick and available

  13. Lock it Up • Firearms are the most common method of suicide by youth. This is true for both males and females, younger and older adolescents, and for all races (Kachur et al., 1995) • The most common location for the occurrence of firearm suicides by youth is the home (Brent et al., 1993) • There is a positive association between the accessibility and availability of firearms in the home and the risk for youth suicide (Brent et al., 1993; Kellerman et al., 1992)

  14. Guns used in suicide

  15. Restriction is the BEST • Firearms play a major role in suicide • We promote safe storage • 4 Strategies each protect • Trigger locks • Lock Boxes • Cabinets • Lock ammo in separate location

  16. “Within 5” • Initiative to Lock Up all firearms within the home to prevent suicide • We are asking Parents, Grandparents and Family Friends to lock up all firearms in the home • Give our young people time to change their minds

  17. Safe Boxes and Tigger Locks • Gunvault NV200 Walmart $28.19 • Gunvault Multi Storage Walmart $139-$159 • Winchester Personal Drawer Safe Walmart $44.97 • DTX SafeQuarter Master 7650 Walmart $ • Project Child Safe Cable-Style Gun Lock Free through local Police Departments

  18. National Suicide Prevention Lifeline http://www.suicidepreventionlifeline.org/

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