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Terminology

Terminology. Deprecated/Discouraged Terms / Concepts Unsuccessful/ failed Commit Suicide Suicidal Person Gesture Hurt Yourself Just Self-harm. Accepted Terms / Concepts Attempt Completed suicide Person-first language Postvention Prevention Suicide Crisis Suicidology Survivor.

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Terminology

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  1. Terminology Deprecated/Discouraged Terms / Concepts • Unsuccessful/ failed • Commit Suicide • Suicidal Person • Gesture • Hurt Yourself • Just • Self-harm Accepted Terms / Concepts • Attempt • Completed suicide • Person-first language • Postvention • Prevention • Suicide Crisis • Suicidology • Survivor

  2. Suicide in Kentucky • Kentucky is ranked 16th in the nation with a suicide rate: 17.06 per 100,000 • Suicide is the 2nd leading cause of death for 10-24 year olds.3 • Averages 700 deaths from suicide per year among the general U.S. population.6,7 • Suicide rate in Kentucky is 3 times higher than homicide rate • 69 % involved firearms

  3. Facts about Veteran suicide • 18% of all deaths by suicide among U.S. adults were Veterans.4 • Veterans are more likely than the general population to use firearmsas a means for suicide.4 • On average, there are 764 suicide attemptsper month among Veterans receiving recent VA health care services.5

  4. Common myths vs. realities Myth Reality

  5. Common myths vs. realities Asking about suicide may lead to someone taking his or her life. Myth Reality

  6. Common myths vs. realities Asking about suicide does not create suicidal thoughts. The act of asking the question simply gives the Veteran permission to talk about his or her thoughts or feelings. Myth Reality

  7. Common myths vs. realities Myth Reality If somebody really wants to die by suicide, there is nothing you can do about it.

  8. Common myths vs. realities Myth Reality Most suicidal ideas are associated with treatable disorders. Helping someone connect with treatment can save a life. The acute risk for suicide is often time-limited. If you can help the person survive the immediate crisis and overcome the strong intent to die by suicide, you have gone a long way toward promoting a positive outcome.

  9. Common myths vs. realities Myth Reality There are talkers, and there are doers.

  10. Common myths vs. realities Myth Reality Many individuals who die by suicide or attempt suicide have given some clue or warning. Someone who talks about suicide provides others with an opportunity to intervene before suicidal behaviors occur. Suicide threats should never be ignored. No matter how casually or jokingly said, statements like, "You'll be sorry when I'm dead," or "I can't see any way out" may indicate serious suicidal feelings.

  11. S.A.V.E. • S.A.V.E. will help you act with care and compassion if you encounter a person who is in suicidal crisis. • The acronym “S.A.V.E.” helps one remember the important steps involved in suicide prevention: • Signs of suicidal thinking should be recognized. • Ask the most important question of all. • Validate the person’s experience. • Encourage treatment, and Expedite getting help. • S • A • V • E

  12. Importance of identifying warning signs • There are behaviors that may indicate/reveal that a person needs help. • People in crisis may show behaviors that indicate a risk of harming or killing themselves.

  13. S Signs of suicidal thinking Learn to recognize these warning signs: • Hopelessness, feeling like there’s no way out • Anxiety, agitation, sleeplessness, or mood swings • Feeling like there is no reason to live • Rage or anger • Engaging in risky activities without thinking • Increasing alcohol or drug use • Withdrawing from family and friends

  14. A Asking the question Know how to ask the most important question of all… about killing yourself?”

  15. A Asking the question “Are you thinking about killing yourself?”

  16. Don’ts A Asking the question Do’s • DO ask the question if you’ve identified warning signs or symptoms. • DO ask the question in a natural way that flows with the conversation. • DON’T ask the question as though you are looking for a “no” answer. • “You aren’t thinking of killing yourself. Are you?” • DON’T wait to ask the question when someone is halfway out the door.

  17. V Validate the Person’s experience. • Talk openly about suicide. Be willing to listen, and allow the person to express his or her feelings. • Recognize that the situation is serious. • Do not pass judgment. • Reassure that help is available.

  18. E Encourage treatment, and expedite getting help. • Reassure that help is available and share those resources!

  19. Resources Veterans Crisis Line/Chat/Text • 1-800-273-8255 and Press 1 • VeteransCrisisLine.net • Text to 838255 VA Suicide Prevention Coordinators • Each VA Medical Center has a Suicide Prevention Coordinator (SPC)to make sure Veterans receive needed counseling and services. • Find your local SPC at VeteransCrisisLine.net/ResourceLocator

  20. Resources Lexington VA Health Care System Suicide Prevention Team • Rebecca Willis-Nichols, LCSWSuicide Prevention Coordinator859-233-4511, x3223 • James Moore, LCSWSuicide Prevention Clinician859-233-4511, x3220 • Gary Dunn, Ph.DSuicide Prevention Clinician859-233-4511, x3217 • Becky Stinsky, CSWSuicide Prevention Case Manager859-233-4511, x3723 • Hannah Boettcher, Ph.D.C14H Coordinator859-233-4511, x5917 • Roger WilliamsC14H Peer Support Specialist E-mail: VHALEXSUICIDEPREVENTIONTEAM@va.gov

  21. Resources Lexington VA Health Care System • Mental Health Open Access ClinicSousley Campus on 2250 Leestown Road; Bldg 25 CBOC (Hazard, Berea, Morehead and Somerset Monday-Friday 8:00am – 3:30pm • Emergency Department Bowling Campus on 1101 Veterans Drive available after hours, weekend, holidays • Telemental Health ServicesClinical Video Telehealth (CVT) / VA Video Connect (VVC) VA App Store (online scheduling, mobile blue button, Health & Wellness Coaching • REACHVET • Primary Care Mental Health Integration (PCMHI) • Clay Hunt Initiative

  22. Resources (cont.) Make The Connection • MakeTheConnection.net is a one-stop resource where Veterans and their families and friends can privately explore information about physical and mental health symptoms, challenging life events, and mental health conditions. On this site, Veterans and their families and friends can learn about available resources and support. Visit MakeTheConnection.net to learn more.

  23. Remember: S.A.V.E. • Signs of suicidal thinking should be recognized. • Ask the most important question of all. • Validate the Person’s experience. • Encourage treatment, and Expedite getting help. • S • A • V • E

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