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Suicide Awareness

Suicide Awareness. Your name here!. Critical Concepts Consulting. Definition of Suicide.

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Suicide Awareness

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  1. Suicide Awareness Your name here! Critical Concepts Consulting

  2. Definition of Suicide “Suicide is a conscious act of self-induced annihilation, best understood as a multidimensional malaise in a needful individual who defines an issue for which the suicide is perceived as the best solution.” Dr. Ed Shneidman, Psychache, 1993 Critical Concepts Consulting

  3. Startling Statistics2006 data • One suicide every 15.8 minutes • 11th ranking cause of death in the US • 832,500 suicide attempts every year (est.) • 5 million living Americans have attempted suicide • Each suicide affects at least 6 people intimately • Firearms used in 51% of suicides Critical Concepts Consulting

  4. Frequency of US suicides One Suicide every 16 minutes Critical Concepts Consulting

  5. Scope of the Problem 2006 Suicides33,300 Unreported - 10%3,330 Total 200636,330 Non-fatal (100:1) 3,633,000 Total 3,669,330 Affected (6:1) 21,798,000 Total impacted 25,467,330 Critical Concepts Consulting

  6. Suicide DemographicsGender Critical Concepts Consulting Female:male ratio is 1:4 for completedsuicide Female:male ratio is 3:1 for attempted suicide

  7. Motivations for Suicide Loss or change in an important relationship To avoid or end perceived pain Escape intolerable situation Gain attention Manipulate/punish others Punish self Become a martyr Critical Concepts Consulting

  8. Common myths aboutSuicide • Happens without warning • Low risk after mood improvement • Once suicidal, always suicidal • Intent on dying • So rare, they won’t do it • Runs in the family • No note ==> no suicide Don’t mention suicide Critical Concepts Consulting

  9. Direct Verbal Clues I’m going to kill myself I wish I were dead You’d be better off without me I might as well be dead If …doesn’t happen, I’m going to end it I’m going to commit suicide Critical Concepts Consulting

  10. Indirect Verbal Clues I can’t go on any longer I’m taking the plunge We all have to say goodbye sometime Nobody needs me anymore I’m tired of life You won’t be seeing me any more Life has lost meaning for me I can’t take it any more You’d be better off without me I can’t take the pain Eat my gun You’re going to regret how you treated me Cash in my chips Fold my hand Critical Concepts Consulting

  11. Indirect Suicide IndicatorsClues.... Clues.... Clues.... • Buying a weapon • Giving away possessions • Making a will • Talking about a long trip • Taking unusual risks • Changes in personality • The “practice run” • Sudden religious interest/ disinterest • Substance abuse relapse Critical Concepts Consulting

  12. Major Predictors ofSuicidal Behavior How: • Specificity of their plan • Availability of means • Lethality of method History: • A prior suicide attempt • A family history of suicide behaviors Help: • Resources available Critical Concepts Consulting

  13. Important Questions Have you been thinking of hurting or killing yourself? • When did you last think about suicide? • How would you kill yourself? • Do you have the means available? • Have you ever attempted suicide? • Has anyone in your family attempted or completed suicide? • What are the odds that you will kill yourself? • What has been keeping you alive so far? • What do you think the future holds in store for you? Critical Concepts Consulting

  14. Striking a Balance Protective Factors Strengths and Competencies “Resilience” Risk Factors Vulnerabilities Problems Develop Protective Factors Keep Risk FactorsIn Balance Increased Probability Of Suicide Decreased Probability Of Suicide Critical Concepts Consulting

  15. Do’s of Intervention • Remain calm • Accept their feelings • Rephrase thoughts • Focus on central issue • Stay close • Emphasize temporary nature of problem • Explore resources Critical Concepts Consulting ** Listen ** Listen ** Listen **

  16. Don’ts of Intervention Don’t overlook signs • Don’t sound shocked • Don’t offer empty promises • Don’t try to cheer him/her up • Don’t debate morality • Don’t assume things will improve • Don’t leave person alone • Don’t keep it a secret Don’t remain the ONLY person helping Critical Concepts Consulting

  17. AID LIFE Ask Intervene immediately Don’t keep it a secret Locate help Inform Find Expedite Critical Concepts Consulting

  18. National Hotline Critical Concepts Consulting

  19. Barricades to Seeking Help Denial Avoidance Anger Fear: seeking help will impact job Fear: chain of command or supervisor will be contacted Fear: hospitalization, being stigmatized Critical Concepts Consulting

  20. Critical Concepts Consulting 2103 Harrison Avenue NW # 2183 Olympia, WA 98502-2607 (360)-786-0292 drdan@criticalconcepts.org Washington State Patrol 1405 Harrison Ave NW Suite 205 Olympia, WA 98502 (360)-586-8492 wsp-psych@att.net Daniel W. Clark, Ph.D. Critical Concepts Consulting Web site: CriticalConcepts.org

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