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Child life support through suicidal situations
1. Child Life Support
through
Suicidal Situations
âKeeping More Than
Dreams Aliveâ
Staff Training
Seminar
Douglas T. Chan, M.S.,
LPC-Supervisor,
C.A.R.T.
3. The Purpose
To confront the âSilent Epidemicâ
of youth suicide by equipping Child
Life Specialists, young people, and
their parents with information,
tools, and resources to help identify
and assist at-risk individuals.
4. Attorneys General
Attorneys General
in many states have
committed to taking
a stand against the
âSilent Epidemic.âMarch 2004 â NAAG
Passed Resolution urging
AGâs to become involved
in youth suicide
prevention.
Texas Attorney General
Greg Abbott
5. What Can You Expect Today?
ďŹNot meant to make you an expert on
youth suicide or a crisis counselor.
ďŹWe will⌠help bring an awareness of
the problem of youth suicide
and suggest ways of identifying and
helping âat-riskâ youth.
9. We will lose in
Excess of 5,000
Young People.
It is estimated thatâŚ
10. Each Week in our NationâŚ.
We lose approximately
100+ young people to
this âSilent Epidemicâ
of youth Suicide!
11. Reported that in the year 2010 over
THREE million youth, ages 12-17,
were at-risk of suicide.
And, of that THREE million, over
ONE million actually attempted
suicide.
In July 2012, NHSDA Report /
SAMHSA and U.S. Dept. Of Health
12. In a typical week, there are
more than 19,000 suicide
attempts nationally!
Almost two attempts each
minute - 2700+ per day
That MeansâŚ
15. Choice of means:
Girls usually choose drugs,
which can provide a âwindow
of opportunityâ for
intervention.
Boys usually choose firearms,
which are more lethal.
16. Girls are turning to more
lethal means at an alarming
rate. If this continues, the
number of completed
suicides will rise at an
even higher pace.
A recent trendâŚ
17. Firearms are used in almost
70% of completed
suicidesâŚ. Since 1980, 90%
of the increase in suicide
attempts has been through
the use of firearms.
Fact
18. Suicide is the THIRD
leading cause of
death for youth ages
15-24
Fact
19. Suicide is now the
SECOND leading
cause of death for
college-age youth.
Fact
20. In Ages 10-14, We have seen
an alarming 128% increase in
Suicides since 1980- making it
the 4th
leading cause of death
for that age group.
Fact
21. In the last 40 yearsâŚ
youth suicide
rates have more
than tripled.
22. More teenagers and young adults
die from suicide than from
cancer, heart disease, AIDS, birth
defects, stroke, pneumonia and
influenza, and chronic lung
disease, COMBINED
Did you know?
23. Youth Risk Behavioral Survey
2012 - CDC
This survey covers a broad range of
questions concerning behavioral
actions and thoughts from our youth.
It is presented in public schools to
grades 9-12 â some districts choose
to include grades 7-8.
24. Question #1
âHave you felt sad or hopeless
almost every day in a row for two
weeks or greater so that it affected
your usual activities in the past
twelve months?â
Nationally 28.5%
Over 1 out of every 4 Students
25. Question #2
âHave you seriously considered
suicide in the past twelve
months?â
Nationally 16.9%
1 out of every 6 students
26. Question #3
âHave you made a plan on
how to commit suicide in the
past twelve months?â
Nationally 13%
1 out of every 8 students
27. Question #4
âHave you attempted suicide
one or more times in the past
twelve months?â
Nationally 8.4%
Almost 1 out of every 12 students
29. Question #1
âHave you felt sad or hopeless almost
every day in a row for two weeks or
greater so that it affected your usual
activities in the past twelve months?â
Texas â 31.4%
Almost 1 out of 3 battled the start of
depression
30. Question #2
â Have you seriously considered suicide
in the past twelve months?â
Texas â 15.9%
Almost 1 out of 6 seriously considered
suicide.
31. Question #3
âHave you made a plan on
how to commit suicide in the
past twelve months?â
Texas â 12.2 %
1 out of 8 made a plan to commit
suicide
32. Question #4
â Have you attempted suicide one or
more times in the past twelve
months?â
Texas â 9.4 %
1 out of 11 attempted suicide
33. ⢠Beginning Depression â 605,256
⢠Seriously Consider Suicide â 306,483
⢠Will Make a Plan â 235,163
⢠Will Make an Attempt â 181,914 or
an average of 496 young people each
day!
What does that mean in real
lives for Texas ??
Utilizing 2005 Student Population
35. Four out of five
completed suicides gave
âclear warningâ signs
before the attempt!
According to the National Mental
Health Association
36. That meansâŚ
In 80% of suicide
attemptsâŚ..we have
an âopportunityâ to
recognize the warning
signs and intervene!
37. Do not normalize
ďŹIt is important to remember and share
that not everyone is attempting suicide.
(1 out of 12 did, 11 did not attempt etc.)
ďŹHowever, we must not understate
suicideâs impact on our youth, families
and communities.
One is too many!
38. Youth
Educators Parents
Triangle of Prevention
Programs and Seminars
An effective
program of
prevention
must include
the three main
areas of
influence in a
young
personâs life.
39. What Can Be Done:
ďŹIncrease awareness
ďŹDispel Myths
ďŹEducate
ďŹLearn warning signs and
elevated risk factors
40. Increasing Your
Awareness
Increasing Awareness through;
ďŹ Listening to the patientâs words and meanings.
ďŹ Paying attention the patientâs actions and lack of
actions
ďŹ Listen to the family and friends.
ďŹ Pay attention to what the patient desires to do and
what he/she is not wanting to do.
ďŹ Donât Be afraid to ask questions.
41. Dispelling Myths
ďŹTalking to a person about his/her suicidal
feelings may cause him/her to attempt
suicide.
ďŹSomeone who talks about suicide often is
not a risk.
ďŹSuicide is impulsive and there is nothing
we can do to prevent it.
42. Signs of Concern
A general listing by The U. S.
Surgeon Generalâs Office, these
are sometimes referred to as
Warning Signs
43. It is important to note that these
represent a few general signs of
concern and are not to be considered
a comprehensive list that always
indicates suicidal intentions.
When in doubt, always seek
professional help!
Important
44. Remember that many times signs of
concern can be considered part of normal
growth unlessâŚ
ďŹThey persist over a long period of
time,
ďŹThere are several signs evident at
once or
ďŹThe behavior is âout-of-characterâ
for the individual as you know
him/her.
45. Five Signs of Concern:
ďŹ Suicide Threats
ďŹ Previous Suicide Attempts
ďŹ Depression
ďŹ Out of Character Behavior
ďŹ Final Arrangements
46. Suicide Threats
ďŹâI would be better off dead!â
ďŹâYou wonât have me around much longer
to bother you!â
ďŹâI wish I was deadâ
ďŹâI am going to kill myselfââŚ(this is
straight forward, but it happens)
Can you think of other examplesâŚ.
47. Previous Suicide Attempts
ďŹFour out of five completed suicides
are not the first attempt by the victim.
ďŹTake even so-called âhalf-heartedâ
attempts seriouslyâŚthese are serious
calls for help!
ďŹNever keep an attempt secret from
parents / school officials (counselors).
48. Depression
ďŹIn a study conducted by the U.S. Surgeon
Generalâs office in 2010, it was reported that
one out of seven teenagers in our nation
could be considered âclinically depressedâ.
ďŹDepression in young people often times
exhibits itself through âout-of-character
behaviorâ.
49. Out-of-Character Behavior may
include:
ďŹ Abrupt changes in
attendanceâŚ
ďŹ Dwindling academic
performance
ďŹ Sudden failure to
complete assignments
ďŹ Lack of interest and
withdrawal
ďŹ Sudden changes in
appearance
ďŹ Changed relationships
with classmates
ďŹ Increased irritability
or aggressiveness
ďŹ Preoccupation with
death and suicide
ďŹ Despairing attitude
ďŹ Abrupt changes in
eating and sleeping
habits
50. Final Arrangements
ďŹGiving away âprized possessionsâ
Examples: favorite piece of jewelry or
clothing, driverâs license, collection, etc.
ďŹâMaking roundsâ (visiting friends to set
things right and say good-bye)
ďŹSharing of funeral plans (primarily by
girls to a best friend).
51. Can you think of any other
âSigns of Concernâ that
could signal that a student
might be having problems?
Additional Signals
52. If you have any doubt of a
young personâs intentions or
any concern about their
behavior, get professional
help for them immediately!
Basic Rule to Remember
53. Although there is really no
suicidal type of young person, the
statistics on youth suicide do
suggest that there are certain
behaviors or characteristics that
can alert you to an elevated risk
of possible suicidal ideation.
Elevated Risks
54. Elevated Risk Factors:
ďŹPerfectionists
ďŹLow self esteem
ďŹDepressed Teens
ďŹStudents first
real trouble
ďŹAbused,
molested or
neglected youth
ďŹLoners
ďŹGay/ Lesbian
youth
ďŹLearning-Disabled
ďŹChanges in school
status
ďŹAbusers of Drugs /
Alcohol
55. The Donâts
⢠Donât Panic.
⢠Donât ignore the situation and hopes that it goes away.
⢠Donât blame the patient for the choices that he/she has made.
⢠Donât look for quick fix solutions to make the patient feel
better.
⢠Donât criticize or blame the patient for the way that they are
and have been feeling.
⢠Donât trivialize, normalize or dismiss the issues that the
patient may be going through.
⢠Donât be patronizing, assuming, or judgmental.
⢠Donât take it personally. (Q-TIP)
56. The Donâts(conât)
⢠Donât leave the patient alone if they are claiming a
suicidal risk.
⢠Donât make promises that you can not keep (i.e..
Keeping their suicidal feelings a secret).
⢠Donât Argue with the suicidal person. Avoid
saying things like: "You have so much to live
for," "Your suicide will hurt your family," or
âLook on the bright side.â
⢠Donât lecture on the value of life, or say that
suicide is wrong
57. The Donâts (conât)
⢠Donât offer ways to fix their problems, or
give advice, or make them feel like they have
to justify their suicidal feelings. It is not about
how bad the problem is, but how badly itâs
hurting your friend or loved one
⢠Donât blame yourself. You canât âfixâ
someoneâs depression. Your loved oneâs
happiness, or lack thereof, is not your
responsibility.
58. The Doâs
⢠Do be there for the patient.
⢠Do ask if the patient is thinking about suicide.
⢠Do check out their safety. (Think safety with the
items that you may use with the patients.)
⢠Do ask if the patient has a plan and the means to
complete the plan.
⢠Do ask for a promise.
⢠Do Stay involved and hand off any
communication.
⢠Do take care of yourself.
59. The Doâs (conât)
⢠Do look, listen and learn from what the patient is
doing and saying.
⢠Do ask the patient to consider talking with their
family about the situation.
⢠Do consider talking with the family and friends
about the ongoing situation.
⢠Do consider working with the MD about a psych
consult.
⢠Do work with your team for the best outcome.
60. References
⢠American Academy of Pediatrics - http://www.aap.org/
⢠American Foundation for Suicide Prevention - http://www.afsp.org/
⢠American Psychiatric Association - http://www.psych.org/
⢠American Psychological Association - http://apa.org/
⢠Center for Disease Control and Prevention - http://www.cdc.gov/
⢠Jason Foundation - http://jasonfoundation.com/
⢠National Survey on Drug Use and Health - http://www.whitehouse.gov/ondcp/national-survey-on-drug-use-and-health
⢠Office of the Attorney General Texas - https://www.oag.state.tx.us/
⢠Office of the Surgeon General - http://www.surgeongeneral.gov/
⢠SAMHSA - http://www.samhsa.gov/
⢠Suicide Awareness Voices of Education - http://www.save.org/
⢠Suicide Prevention Resource Center - http://www.sprc.org/states/texas
⢠Texas Counseling Association - http://www.txca.org/
⢠Texas Department of State Health Services - http://www.dshs.state.tx.us/mhsa/suicide/Suicide-Prevention.aspx
⢠Texas Suicide and Crisis Hotline - http://www.suicidehotlines.com/texas.html
⢠Texas Suicide Prevention - http://www.texassuicideprevention.org/
⢠U.S. Department of Health and Human Services - http://www.hhs.gov/
⢠Youth Risk Behavior Surveillance System (YRBSS) - http://www.cdc.gov/HealthyYouth/yrbs/index.htm
61. Thank You
Douglas T. Chan, M.S., LPC-Supervisor, C.A.R.T.
(281) 826 â 1699
douglas.chan.lpc-s@comcast.net
KBCC
2323 Timber Shadows Drive, Suite B
Kingwood, Texas 77339
KPH
2001 Ladbrook Drive
Kingwood, Texas 77339