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Suicide . Issues with teens, sexual abuse victims and the elderly. Signs of Suicide (SOS). Teaches teens that depression is a treatable illness Empowers them to respond to potential suicide by using the ACT Technique. ACT Technique. ACKNOWLEDGE the signs of suicide Respond with CARE
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Suicide Issues with teens, sexual abuse victims and the elderly
Signs of Suicide (SOS) • Teaches teens that depression is a treatable illness • Empowers them to respond to potential suicide by using the ACT Technique
ACT Technique • ACKNOWLEDGE the signs of suicide • Respond with CARE • TELL a responsible adult
Acknowledge • Do take it seriously • 70% of all people who commit suicide give some warning of their intentions • Do be willing to listen
Care • Do voice your concern • Take the initiative to ask what is troubling them. • Attempt to overcome any reluctance on their part to talk about it
Treatment • Do get profession help immediately • Call 1-800-273-TALK to find resources in your area • Bring your friend to local emergency room or community mental center • Your friend will be more likely to seek help if you accompany them
What NOT to do • Don’t try to cheer the person up or tell them to “snap out of it” • Don’t assume the situation will take care of itself • Don’t be sworn to secrecy • Don’t argue or debate moral issues • Don’t risk your personal safety. Just leave and then call the police
SOS • Only school based program that has shown a reduction in suicide attempts in randomized study • Has documented increases in help-seeking
According to SOS • 17% of students have thought about suicide • 11% of have attempted suicide • 5% had attempted suicide in the past year
SOS College Student Program • The program is implemented by existing college personnel • 26% of college students who scored positive for depression had though or wanted to commit suicide • 27% of college students who screened positive for bipolar disorder had thought about or wanted to commit suicide
SOS Community Suicide Prevention Program • Designed for implementation by community-based organizations, hospitals or health centers • 31% of adults who scored positive for depression had thought about or wanted to commit suicide • 32% of adults who scored positive for bipolar disorder had thought about or wanted to commit suicide
Older Adults • 11% of those 65 and older thought about or wanted to commit suicide • “Feel Good Bingo” teaches older adults about the signs, symptoms and treatment options for depression and anxiety • It is designed to be used in assisted living facilities, senior housing and community centers
National Mental Health Screening Day- October 6th • First and largest nationwide, community-based mental health screening program • Provides screening for: Depression Bipolar Disorder Generalized Anxiety Disorder PTSD
Two Bakersfield locations • Beale Memorial Library – Auditorium on Truxtun Avenue • Kern County Public Health Building on Mt. Vernon, next to KMC
World Suicide Prevention Day • September 10th • “Prevention of suicide is everybody’s business.” • Collaboration of International Association for Suicide Prevention and World Health Organization (WHO)
Approximately one million lives are lost annually due to suicide • Suicide is one of the leading causes of death worldwide, especially in younger people
Suicide profoundly affects individuals, families, workplaces, neighborhoods, and societies • More lives are lost to suicide than in all wars and homicides worldwide every year
Warning Signs • Key Messages Someone threatening to hurt or kill themselves, or talking of wanting to hurt or kill themselves Someone looking for ways to kill themselves by seeking access to firearms, pills or other means
Warning Signs • Exhibits one of the following: • Hopelessness • Rage, uncontrolled anger, seeking revenge • Acting reckless or engaging in risky activities, seemingly without thinking • Feeling trapped – like there is no way out • Increasing alcohol or drug use
Warning Signs • 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
Sexual Assault Victimization and Suicidal Behavior • Based on research by Sarah Ullman, et al., (2004) • It is well established that women attempt suicide more than men • Females made three suicide attempts for each attempt made by a male
1 in 10 adolescent girls are estimated to attempt suicide in their lifetime • Compared with 1 in 25 adolescent boys
5% of U.S. adults made a lifetime suicide attempt • Two-thirds of which were female
History of sexual victimization • 20-30% of women have been sexually abused in childhood and/or adulthood • Sexual revictimization is also common with one third of child sexual abuse
Women with a history of sexual victimization have also reported: PTSD Depression Sexual problems Physical health problems Increased healthcare utilization
Adults reporting sexual and/or physical abuse in childhood report more: Self harm Suicidal ideation Suicidal behavior Than those without a childhood victimization history.
The link of childhood trauma and adult self-harm or suicide is strongest when abuse was: • Of long duration • By known perpetrators • Involved force and/or penetration
Suicidal behavior may be at higher risk if: • Younger • Less educated • Unemployed • From certain ethnic minority groups (Latina)
Self Harm • Women who had been sexually abused as children reported more self-harm • Especially if they had experienced more intrusive and frequent abuse
Suicide & Lesbian, Gay and Bisexuals • Compared with their heterosexual peers, lesbians, gays and bisexuals youths have higher rates of suicidal ideation and attempted suicide • It is possible that risk markers for suicidal behavior differs between LGB and non-LGB individuals
If differences are true, than suicidal interventions that generically target risk markers without regard to sexual orientation may be ineffective
Non-LGB populations • Problem drinking • Problem drug use • Depression Were all found to be associated with elevated risk for suicidal ideation and suicide attempts
LGB populations • Problem drinking and depression Were found to be associated with elevated risk for suicidal ideation
LGB Populations • Problem drinking, drug use and depression were NOT associated with increased risk for suicide attempts
Conclusion • LGB adolescents and young adults may need a different treatment focus • And alternate points of entry to health services