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Prof Graham Martin OAM FRANZCP, DPM Professor & Director, Child & Adolescent Psychiatry Sarah Swannell Bpsych

Suicide Prevention through Mental Health Promotion 12th European Symposium on Suicide & Suicidal Behaviour Thistle Hotel Glasgow, Scotland 27th – 30th August 2008 . Prof Graham Martin OAM FRANZCP, DPM Professor & Director, Child & Adolescent Psychiatry

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Prof Graham Martin OAM FRANZCP, DPM Professor & Director, Child & Adolescent Psychiatry Sarah Swannell Bpsych

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  1. Suicide Prevention through Mental Health Promotion12th European Symposium on Suicide & Suicidal Behaviour Thistle Hotel Glasgow, Scotland 27th – 30th August 2008 Prof Graham Martin OAM FRANZCP, DPM Professor & Director, Child & Adolescent Psychiatry Sarah Swannell Bpsych(Hons) GradCertSci(Stats) Senior Research Technician

  2. Outline Introduce ADFC Youth suicide in Australia CADETLiFe theory Describe program Discuss challenges 39%

  3. Australian Defence Force Cadetswww.cadetnet.gov.au • 24,450 Cadets aged 12-20 in 461 units • Volunteer and community based • Defence customs, traditions and values • Leadership, communication, team building, confidence, pride, self-discipline • Technical skills • Regular once a week parades plus bivouacs, camps, promotion weekends • Get a taste of Defence Force

  4. Australian Suicide Rates per 100,000 per year, 15-19 years, 1995-2005 Source: ABS (2007). Suicides 2005 (cat. no. 3309.0). http://www.ausstats.abs.gov.au/Ausstats/subscriber.nsf/0/952361A2A29BDBB4CA25729D001C09CF/$File/33090_2005.pdf

  5. Borowsky IW, Ireland M, Resnick MD. 2001. Adolescent suicide attempts: risks and protectors. Pediatrics 107(3): 485−93. Blum RW, Halcon L, Beuhring T, et al. 2003. Adolescent health in the Caribbean: risk and protective factors. American Journal of Public Health 93(3): 456−60. Resnick MD, Bearman PS, Blum WR, et al. 1997. Protecting adolescents from harm: findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association 278(10): 823−32. Gutierrez, P. M., Osman, A., Kopper, B. A., & Barrios, F. X. (2000). Why young people do not kill themselves: The Reasons for Living Inventory for Adolescents. Journal of Clinical Child Psychology, 29, 177–187. Fergusson DM, Beautrais AL, Horwood LJ. 2003. Vulnerability and resiliency to suicidal behaviours in young people. Psychological Medicine 33: 61−73.

  6. Resilience Benard, B. (2004). Resiliency: What we have learned. San Francisco: WestEd. Benard, B. (1991). Fostering Resiliency in Kids: Protective Factors in the Family, School, and Community. Far West Laboratory for Educational Research and Development.

  7. CADETLiFe Goals Universal Mental Health Promotion

  8. CADETLiFe Workshops • 13 ‘scenarios’ raise issues pertaining to resilience, connectedness and pathways to care • In groups of 8-12, facilitated by 2 senior cadets/staff members, cadets watch a scenario, discuss the issues, and complete an activity • Ideal dosage: 13 scenarios in 12 months • one per month, 2 every second month, several on a camp etc

  9. Challenges – physical size of Australia

  10. Challenges • Diversity and rivalry across services • Diversity across units, states/territories • Hierarchical military system • Volunteer organisation • Central administration problems • Evaluation

  11. We struggle on!

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