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GATEKEEPER TRAINING IN SUICIDE PREVENTION

GATEKEEPER TRAINING IN SUICIDE PREVENTION. SUICIDE RISK ASSESSMENT. I – Ideation S – Substance Abuse P – Purposelessness A – Anxiety T – Trapped H – Hopelessness W – Withdrawal A – Anger R – Recklessness

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GATEKEEPER TRAINING IN SUICIDE PREVENTION

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  1. GATEKEEPER TRAININGINSUICIDE PREVENTION

  2. SUICIDE RISK ASSESSMENT

  3. I – Ideation S – Substance Abuse P – Purposelessness A – Anxiety T – Trapped H – Hopelessness W – Withdrawal A – Anger R – Recklessness M – Mood Change (Source: American Association for Suicidology, 2006) ASSESSMENT • Preliminary Suicide Risk Assessment: “IS PATH WARM?”

  4. How to ask a suicide question? Use ‘Normalizing questions’ and not Direct or Indirect questions Example: Indirect question Do you feel like harming yourself? Do you feel like getting away from all of this? From what I understand, do you mean that you want to kill yourself? ASSESSMENT CONTASSESS SUICIDAL INTENT

  5. Direct question Have you been thinking of killing yourself? Do you want to be dead and away from all these? Normalizing question Sometimes when people are feeling disturbed, they think of suicide, is this something you’re thinking? ASSESSMENT CONTASSESS SUICIDAL INTENT If you cannot ask the question, find someone who can.

  6. Tips for Asking the Suicide Question If in doubt, don’t wait, ask the question If the person is reluctant, be persistent Talk to the person alone in a private setting Allow the person to talk freely Give yourself plenty of time Check about the frequency of thoughts, whether the thoughts are fleeting or fixed. ASSESSMENT CONT…

  7. Assess degree and seriousness ASSESSMENT CONT…

  8. INTERVENTION

  9. What immediate intervention can be provided? Being a good listener and pay full attention Being non-judgmental Being supportive and instilling hope Offering help by asking ‘Can I help you?’ Building a contract by asking ‘Will you promise me not to kill yourself till I find a help for you?’ As a part of the contract, provide a crisis plan as a safety net INTERVENTION

  10. Crisis plan will include instructions such as: Distract yourself from the suicidal thoughts by involving yourself in activities like watching TV, painting, drawing, shopping, cooking or talking to friends. Get involved in physical activities such as walking or exercising. Write down your thoughts in a diary Repeat to yourself ‘I have promised not to hurt myself’ Call your confidante and talk to her and look for possible solutions to your problems Call and talk to the counselor Call a suicide helpline (provide numbers) INTERVENTION CONT…

  11. How and when to refer? • Risk Level • Risk • Suicidality • Possible Interventions • High • Depression or other psychiatric illnesses • Triggering event • Absence of protective factors • Has made a Lethal attempt • Recent suicidal attempts • Recurring thoughts about suicide • Admission to a psychiatric set up is recommended • Removal of access to methods • Vigilant supervision by a confidante • Moderate • Multiple risk factors • Few protective factors • Ideation with plan • Admission may be necessary • Develop crisis plan • Frequent observation by a confidante • Low • Few risk factors • Strong protective factors • Thoughts of death, • No plan, intent or behavior • Outpatient referral to a counselor or mental health professional recommended

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