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Overview

Overview. When individual students are in crisis (suicidal and/or homicidal ideations and/or gestures, delusional, experiencing psychosis, aggression, and/or bizarre behavior) , identified staff shall collaborate to intervene before an injury or death occurs.

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Overview

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  1. Overview When individual students are in crisis (suicidal and/or homicidal ideations and/or gestures, delusional, experiencing psychosis, aggression, and/or bizarre behavior), identified staff shall collaborate to intervene before an injury or death occurs. Something to consider when someone is expressing suicidal ideation is that one does not consider committing suicide suddenly or impulsively. Usually a suicidal episode is brought on after one experiences a crisis. The person expresses conflicting emotions or thoughts. He or she may feel a sense of hopelessness yet anticipates to be rescued. Commonly the basis for and against suicide are so evenly balanced that all it takes is for someone to reach out to that person and respond in a warm, concerned way. Just being there for someone and genuinely listening to them can make the difference between life and death. When one cries out for help, it is a call to be rescued.

  2. Care, Acknowledge, Respond, Encourage(CARE) Suicide … • cuts across age and ethnic groups, and socio-economic levels • is the end result of a process, not the process itself • is a permanent solution to a temporary problem • is preventable

  3. Myth vs. Fact • Myth- No one can stop a suicide; it is inevitable. Fact – Most suicides can be prevented. • Myth – Confrontation increases the risk. Fact – No research supports this belief. • Myth -Only experts can prevent attempts. Fact – Suicide is everyone’s business. • Myth – Suicidal people are secretive. Fact – Suicidal people often express their intent.

  4. Be Aware of Feelings • Can’t stop the pain. • Can’t think clearly. • Can’t make decisions. • Can’t see any way out. ~ Some of the feelings that a person with suicide ideation may experience include: • Can’t get out of depression. • Can’t see a future without pain. • Can’t see themselves as worthwhile. • Can’t seem to get control.

  5. Warning Signs of Suicide • High risk behavior, including accident proneness, running away from home • Alcohol and drug use • Self-mutilation behaviors • Giving away prized possessions • Preoccupied with death or dying • Death or suicide themes dominate written, artistic, or creative work • Sense of hopelessness, worthlessness • Changes in behavior, appetite or sleep patterns • Major disappointment or humiliation, feelings of failure or having let parents or others down

  6. Stressful Life Situations • Feared pregnancy • Dysfunctional family • Poor communication with parents

  7. Verbal Expression of Suicidal Intent or Depression • “I wish I were dead.” • “I’m going to end it all.” • “No one cares if I live or die.” • “My family (or friends) will be better off without me.” • “I won’t be a problem much longer.” • “I can’t take it anymore.” “It’s no use.”

  8. What Can You Do? • Always take plans of suicide seriously. • Never promise to keep a secret. • Be direct. Don’t be afraid to ask the person if he/she is contemplating suicide. • Don’t act shocked. Remain calm. • Don’t dare the person to do it. • Don’t try to minimize the problem or shame a person into changing his/her mind. • Acknowledge the person’s pain as legitimate. Reassure the person that help is available. • Remind the person that the problem is a temporary one. • Offer hope that there is a solution to the problem.

  9. Con’t… What Can You Do? • Take action. Get help. Refer the student to a school counselor or nurse in the absence of a counselor. Never leave the student alone. • Let the student know that you CARE. (Care, Acknowledge, Respond, Encourage) • With support from parents, school administrators, counselors, and teachers and professional treatment, the child can return to a healthier path of development.

  10. Help Is Available • School Counselor, School Nurse • Church Pastor, Priest, Minister • Border Region MHMR- 794-3000 • Border Region MHMR, 1-800- 643-1102 • CAPS – (Children Adolescent and Parent Services) 794-3060 • National Youth Crisis Hotline, 1-800-448-4663 • Mental Health Professional

  11. Protective Factors • Family cohesion • Cultural and religious beliefs that discourage suicide and support self-preservation • Positive problem solving and coping skills • Involvement in school or community activities; school connectedness • Effective clinical care for mental, physical and substance abuse disorders is important. The Journal of the American Medical Association has reported that 95% of all suicides occur at the peak of a depressive episode. • Education, recognition, and treatment are the keys to suicide prevention. • Show that you CARE. (Care, Acknowledge, Respond, Encourage)

  12. Sources • American Foundation for Suicide Prevention • Suicide Awareness-Voices of Education (SAVE) • American Association of Suicidology • National Mental Health Association • National Center for Injury Prevention and Control By: Rosaura Rodriguez Director of Guidance & Counseling /At-Risk

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