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Navy Suicide Prevention Program. LCDR Bonnie Chavez, Ph.D. OPNAV N135 Behavioral Health Program March 2011. Unclassified. Data Overview - Recent Data. * 2010 preliminary rate includes suspected cases pending confirmation. In 2010, 1484 Suicide Related Behaviors were reported by commands.

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  1. Navy Suicide Prevention Program LCDR Bonnie Chavez, Ph.D. OPNAV N135 Behavioral Health Program March 2011 Unclassified

  2. Data Overview - Recent Data * 2010 preliminary rate includes suspected cases pending confirmation In 2010, 1484 Suicide Related Behaviors were reported by commands. These Sailors received assessment, intervention and support. Ratio of SRB to Suicides 2010: 39 to 1 2009: 29 to 1 More intervention - fewer deaths

  3. Factors: Chain of Events Stressors • Relationship breakups • Transitions (pending separation / PCS) • First 6 months after deployment Disrupted Social Network • Anger • Alcohol • Sleep Deprivation Judgment Factors Access toLethal Means • > 80% of suicides on liberty or leave • <4% on deployment • 46% of 2008-2010 suicides used firearms Compressed Intervention Window • Short time - thoughts to action • Overt warning signs not shown or seen too late • Family member most likely to know of trouble • 28% of 2008 to 2010 Suicides had treatment or counseling - historic or ongoing Distorted Thinking + Lethal Action • Feeling ineffective • Feeling burdensome / not belonging • Acquired capacity to inflict lethal harm

  4. Navy Program Update Fostering Resilience Operational stress control, life skills, strengthen families, increase awareness Vigilance & Early Intervention Referrals and counseling Risk Factors Crisis Response Get to safety, treatment, follow up Warning Signs Post Reporting, survivor assistance Suicide Behaviors Enabling Local Action 4 4

  5. Compliance and Efficacy CheckBehavioral Health Quick PollJune 2010 • 86% of Sailors were trained • Command (53%) • Computer (41%) • Other (56%) • 81% of Sailors know Ask-Care-Treat • 75% prefer live trainers More than 90% of Sailors feel they know what to do 64% say actions are being taken at their command to prevent suicides 60% know their Suicide Prevention Coordinator (SPC) If a Sailor sought help from the Navy for suicidal thoughts or actions, what would be the likely results? % % Most believe Sailors would get needed help. % % % % Many believed careers would be impacted and people would be treated differently. % % % % % Most expect loss of clearance. % % % Enlisted Officer % %

  6. 2011 Strategic Focus – Navy Suicide Prevention FOCUS Sailors reporting more work stressand performance impact RESPONSE Operational Stress Control, Personal and Family Readiness, and Health Promotion Programs Build Resilience FOCUS Strong relationships and communities are key protectors RESPONSE Family outreach, community education, leadership skills, prevention network Strengthen Connections FOCUS Provider and responder competencefor suicide risk cases varies RESPONSE AMSR Provider Training, Command Response Plans, and Emergency First Responder Training, policy update Target Skills FOCUS Expand the aperture to Total Force & the whole continuum of care RESPONSE All hands on deck, expand tools for civilians, post-vention tools, reintegration All Hands All of the Time FOCUS Reduce Stigma and otherbarriers to care RESPONSE Policies, education, communication Reduce Barriers Lives Worth Living

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