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Suicide Prevention Training

Added Feb 02, 2017 •

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welcome to the suicide prevention online training module this module is designed to provide you with steps for recognizing suicide ideation appropriate methods of intervention and an understanding of sis recovery plans pretest  number one the Jason Flatt youth suicide away does act a requires all School Employees to have a minimum of one hour of training each calendar year be requires only employees new to the where to have a minimum of one hour of training see requires that teachers who work with students in grades 4 to 12 to have a minimum of one hour of training each what are your D is a new optional training that the state of Kansas has created for districts to use for professional development  two suicide is the blank cause of death for youth between the ages of 10 to 20 for a 10th b v c third the first  3 for every suicide it is estimated that there are blank attempts a 100 B 50 c 25 d v  number for a risk factor for suicide is a divorce a traumatic event C bowling D all of the above 5 a warning sign for suicide is a acting out the isolation see self-defeating or D all of the above in 2016 the legislature passed in the governor signed the Jason Flatt act this act require school districts to provide suicide awareness and prevention programming to all School staff there are several reasons why an act like this is important and the United States alone there have been pretty 2773 reported suicide deaths 12.9 suicides per 100,000 population suicide is the 10th leading cause of death for youth ages 10 to 24 there have been 5504 reported suicides 12.9% of total suicides in u.s. 8.5 suicide 100000 youth  suicide is the second leading cause of death for youth ages 10 to 24  for every suit tied it is estimated that there are 25 attempts no complete count is captive attempts because many go unreported or untreated for every suicide 100 to 200 make an attempt in 2013 over 180,000 youth ages 10 to 24 we're hospitalized for self-inflicted injuries let's take a minute to review some terms that you may hear throughout this training module recital ideation thoughts of engaging and suicide-related behavior non-suicidal self-injury self-injury with no intent to die suicide attempt a non-fatal self-directed potentially injurious behavior with any intent to die as a result of the behavior recite attempt may or may not result in injury suicide death caused by self-directed injurious behavior with any intent to die as a result of the behavior  risk factors situations or circumstances that increase the likelihood of a suicide attempt warning signs changes in behavior that may indicate a person is at risk for suicide there are several myths regarding suicide during the next you minutes we were review 16 minutes one common meth is  talking about suicide or asking some if they feel suicidal will encourage suicide attempts truth talking about suicide provides the opportunity for communication fear that are shared are more likely to diminish the first step encouraging a suicidal person to live comes from talking about those feelings that step can be the simple inquiry about whether or not the person is intending to in their life however talking about suicide should be carefully managed listen to how one individual desperately needed someone to reach out and talk about his feelings and needs in 2000 I became so depressed every week that I was spitting out of control  I decided that I had to. Pencil that was added I was going to go to the cape ready to jump off  I walked upon that bridge for I would say probably 30 to 40 minutes cry my eyes out in I was hoping that someone will come up to me and say are you okay it's wrong to help you and I had made a pact with myself that if anybody said that I would tell them I was so shameful that I couldn't speak out to anyone the pain I was it I ended up leaving off that bridge and at the moment of Freefall I said God please save me I don't want to die my dad always used to say to me Kevin your two feet of water in her drowning stand up  if you're into feet right now  stand up walk forward it's okay to ask for help  nobody can do it all by yourself nobody mass number two young people who talk about suicide never attempt or complete suicide truth  talking about suicide can be a plea for help and it can be a late sign in the progression towards a suicide attempt those who are most at risk show other signs apart from Talking suicide  Mets number 3 a promise to keep a note unopened and unread should always chat truth  where the potential for harm or actual harm is disclosed then confidentiality cannot be maintained you'll know with the request for the note not to be opened is a very strong indicator that something is seriously amiss if sealed note is a late sign in the progression towards suicide myth number 4 attempted or completed suicides happen without warning truth the survivors is suicide often say that the intention was hidden from them it is more likely that the intention was just not recognized these warning signs include number one suicide or death by other means of a friend or relative number to previous suicide attempts number 3 preoccupy turn with themes of death or expressing Suicidal Thoughts number for depression conduct disorder and problems with adjustment such as substance abuse particularly when two or more of these are present number five giving away prize possessions making a will or other final Arrangements number six major changes in sleep patterns too much or too little lives unhindered by Suicidal concerns Miss number six suicidal young people cannot help themselves truth contemplating suicide young people may have a distorted perception of their actual life situation and what Solutions are appropriate for them to take however was support and assistance from caring and informed people around them young people can gained full self-direction and self management in their lives is number 7 the only effective intervention for suicide comes from professional psychotherapist with extensive experience in truth  all people who interact with suicidal adolescents can help them by way of emotional support and encouragement puke interventions also rely heavily on family and friends providing a network of support  myth number eight most suicidal Young never seek or ask for help with their problems truth  evidence shows that they often tell their school peers of their thoughts and plans go suicidal adults visit a medical doctor during the three months prior to killing themselves Mets number 9 suicidal young people are always angry when someone intervenes and they will resent the person afterwards truth while it is common for young people to do should be defensive and resist help at first these behaviors are often barriers and post to test how much people care and are prepared to help for most adolescents considering side it is a relief to have someone genuinely care about them and to be able to share the emotional burden of their plight with another person when question sometime later vast majority Express gratitude for the intervention  best number 10 breakups in relationships happen so free play they do not cause suicide truth suicide can be precipitated by the loss of a relationship Smith number 11 suicidal young people are insane or mentally ill truth although suicidal adolescents are likely to be happy and may be classified as having a mood disorder such as depression most or not legally insane however there are small numbers of individuals whose mental state psychiatric criteria for mental illness and who needs psychiatric help  Miss number 12 most suicides occur 4 months when the weather is poor truth seasonal variation data are essentially based on adult suicides with limited adolescent data available however it seems adolescent suicidal behavior is most common during the Spring and early summer months mass number 13 suicide much more common in young people from higher or lower socioeconomic status areas  truth the causes of suicidal Behavior lacrosse SES boundaries or the literature in the area is incomplete there is no definitive link between SES and suicide this does not preclude locally Tendencies Nord Trends in a population during a certain period of time  mass number 14 some people are always suicidal truth nobody is suicidal at all times the risk of suicide for any individual varies across time as circumstances change is why it is important for regular assessments of the level of risk and individuals who are at risk  best number 15 every death is preventable truth  no matter how well-intentioned alert and diligent people's efforts maybe there is no way of preventing all suicides from recurring Miss number 16 the main problem with preventive efforts is trying to implement strategies and extremely gray area truth the problem is that we lack a complete understanding of you suicide and no more about what is not known then what is fact  how do you assess people you're suicidal Behaviour  although suicidal Behavior cut across SES boundaries there are some factors such as events that can trigger suicidal behaviour in fact research has shown that there does appear to be groups of individuals who are at greater risk for suicide groups include alcoholic substance abusers soldiers slash veterans teens / adolescents low sosial status individuals  lgbtq victims of bullying loners individuals with high stress careers individuals with the mental health diagnosis divorcees evidence that put people at greater risk include divorce in the relationship loss of a loved one loss of a job bullying trauma sexual assault poor physical health criminal activity bankruptcy imminent threat to one safety although the a formation Crimson events put people at higher risk for suicide it is important to remember anyone could be at risk any event could put the individual at a higher risk it is not simply limited to the groups and events mentioned in conclusion it is important to always be aware of the red flags and warning signs of high suicide risk  remember people react differently to different events some may try to cope by turning to drinking substance abuse isolation or withdrawn behaviors loss of interest in activities or Hobbies Farm suddenly quitting job or School extremely emotional crying high anxiety increased anger Etc a typical behaviors for that individual high risk behaviors these are all noticeable changes in Behavior the following short video will discuss symptoms that may indicate that a student is considering suicide you may be asking yourself why you should learn about the signs and symptoms of various mental disorders that indicate that a student made me suicidal is because as a teacher you have the unique opportunity to observe changes in your students that others may not notice the teachers in this film are there stories of referring students for help with your school policies regarding student referral symptoms outlined in this film in one of your students speak to him or her as well as to the school counselor by referring to student you are helping him or her to get the help that he or she needs you may even save a life 32000 people in the US play by Suicide each year is the third leading cause of death for young people tend to 19 years of age for suicide however over 90% of young people who died by Suicide are suffering from a mental health problem there are several mental disorders arrest for suicide and these are tomato depression bipolar disorder generalized anxiety disorder drug and alcohol abuse and conduct disorder  children who have a family history of mental disorders are at a greater risk for suicide your teacher she said you've been missing school and when you do show up you often seem unprepared that's so unlike you  what's going on so when things that you're looking for if you have concern that a teenager May major depression there's a change in what the young person usually did those changes can be in various different areas of their life Simon taneously would be how they're doing in school you may actually see a change in their grades a child that had been getting A's Orbeez Orbeez are seeds or now getting a significant grade change like these and apps what time that they normally would hang out with or they seem to be isolating themselves more choosing not to join in with the groups of kids to talk about things going after school activities the teenager may decide not to participate in the usual sport or an after-school activity that they had usually enjoyed  there was a that I had she's very athletic and she was involved in all the sports that we offered basketball player softball player wanted to track and one day she just said that she wasn't interested in doing that anymore and I did I asked her you know what's going on this doesn't sound like you this is not the girl that I know you know this is not my student and the answer was kind of like nothing I don't want to talk about it so what I did was I referred her to the guidance counselor she you know started seeing the guidance counselor on a regular basis in 3 or 4 months after you know me saying something to her initially is like I noticed that there's something wrong she came to me thank you for saying something to me and I asked her you know is there anything you want to talk about it's nothing I want to talk about I'm I have some problems at home but you know thank you and my response was you know I just want you to know that I know you you know you're my student and you know I've gotten to know you and I'm concerned that's that was a really really good moment for me  1 things I can be confusing is that in school young person on the one I could love more sad depressed not participating in you could have a student who is looking very cranky irritable and being very difficult and very oppositional and you might not think that is depression but but it could be and it's just something to keep in mind  so there's some local changes that can occur for a teenager suffering from depression a teacher May notice in person who's not eating their lunch they may come with their lunch everyday and she don't even touch it the other opposite can occur as well as some people when they get Depression start overeating they actually crave carbohydrates that you want more candy junk food other types of physical symptoms in person maybe complaining of feeling tired a lot of the time having low energy feeling that they can't pick themselves up and go they may find it very hard to fall asleep at night stay asleep may find themselves waking up really early or they're tossing and turning through the night so they're not feeling I want to get up in the morning and when they come into school they may actually have real deep dark circles under eyes and really look really you know exhausted Valle Vista really listen for children who have self-esteem issues and one way you can notice that is by various, Sandy teenager may make about themselves such as I'm not worth anything I can't do anything right I don't like myself while you are working with him people and injuring the school they may be working on various projects with writing poems or doing hard work sad talking about life not worth living a lot of themes about death feelings of hopelessness what's this that comes through that writing I would see poetry or a free writing that would say you know everybody sucks I hate everything the why is the world so unfair why do I why am I treated this way how can she go out with someone else how can he tell me this way some of the words I would pay attention to would be I hate hate anger what is very important attractive Behavior do as I write down the observable behaviors of a student if a student is depressed and does not get their work done just keep it keep POG of that I write it down I make a mental note I just keep track of that because of that behavior changes that tells me that that student might have some sign of depression  personally I have a rule of thumb anytime that behavior scenes contrary to a pattern that you've been watching for longer than 2 to 3 weeks then you ought to start gotta start thinking you are to start taking action but in my case I had looked at will  almost physically change he's a tall lanky kid and he begin to shrink everything retreated as though he were under water and it be so visible and such a visceral reaction that I thought there is something wrong with my child there chemicals in the brain that help the different parts of the brain communicate with each other if the chemicals get out of balance this communication can break down and leave to do depressed brain show a decrease in serotonin transporter levels in specific areas of the brain medication Works to reset the brain's chemistry and it's generally 6 to 12 months  you know as much as I know about this illness it was very hard for me to come to terms with the fact that so much depressed he was getting ready for exams and I found him he was lying in his room papers scattered all over the place and he tears and I said what what's going on and he said I just can't do this anymore and suddenly it hit me that this child was depressed my son was depressed we have a family history of depression I suffer from depression myself I should be sharper about this I said sweetie I think I know what is wrong here I think you are depressed and I know this I know this illness to help  we will make sure that we do something about this you do not have to feel this way to another disorder to be aware of that puts a teenage red height and risk is bipolar disorder this is a disorder that has two different since mood States one which is like me to depression has low energy inability to get out of things done for concentration being irritable tires not be able to do things as they used to and that mood can shift and change to a. Of time where they have in elevation of their mood they Felix really happy very energized they have a decreased need of sleep or no need for sleep at all they actually may feel that their thoughts are racing they're talking very fast people around the knee feel like they're not actually making sense they also made a change in the way that they trust me all the sudden be dressing more provocatively than what was normal for them they made actual so very poor decision-making ability so they may as an example take their parents car and take off with it without telling them getting a speed take to get running red lights going places where they're not supposed to go they may engage in Risky sexual behavior it was my first year teaching songs I had I was teaching 7th grade on my several students who had been told I've been told had were the rambunctious six graders were coming in that what's the lookout for them one of those students ended up I realized being very very smart yeah days when he was extremely out of control laugh everything I'm running around the classroom being I mean again what a many people would say a 7th grade boy who was kind of just going through hormonal shifts and it wasn't till the end of the year when there was an incident and at a softball practice when someone play some extremely out of the ordinary vandalizing the school and when I did find out it was this student I was immediately taken aback and I called his mother and she volunteered before even told her about the incident that he had been diagnosed as bipolar and it made me realize that so many of the things that I see it's on my classroom tell me the things that we see in our classroom we can't just leave his typical Behavior because a student that is being a typical 7th grader might actually be dealing with something that much more serious such as having a bipolar disorder diagnosis generalized anxiety disorder this is a disorder where the person is wearing about many things in multiple areas of their life have worries and we will have anxiety but this is worry that's excessive to the average person's experience of worried so free sample you could have a student who is an a student or at least often does very well in and appears to be doing very well but who deep internally really feels if they're constantly worried they're going to fail if they're not go get it right here off and young people are perfectionistic their off and doing well in multiple areas of life they may be the captain of this one particular sports team they may have like to have lots of friends but it's very hard on themselves and feeling like they're not doing a good enough job everyone thinks I'm So Perfect that is all come easy for me but it doesn't I worry about everything I worry about school stuff worry about test I worry about games if it really does get me down so when you have a student who was worried and multiple areas of their lives and this worries seems continuous and getting in their way and fooling enjoying all the things that they are involved in other symptoms that are related to this and help make this diagnosis or series of local symptoms and they can have you know from anywhere from one to three of these symptoms they may be experiencing difficulty falling asleep difficulty staying asleep or white waking earlier than they need to be they may also feel very tired during the day they may also feel they're having trouble concentrating and also have a feeling of tense all the time so another illness put a teenager at risk for suicide is drug and alcohol abuse that they may actually utilize alcohol or drugs to help cope with the symptoms that they're experiencing so young person who's anxious and feels very uncomfortable alcohol to help relax themselves and try to cope with what's going on with them I depressed teenager if I just smoked a little marijuana please type of coping strategies are not going to work  that sounds like a good idea fall and Drug dependence can actually lead a teenager to have decrease control over their thinking and their behaviors and actions and they a bully end up unfortunately making a poor decision or in that moment of feeling so awful actually making a suicide attempt another 2 what are that put teenagers at risk for suicide is conduct disorder  teenagers who have this disorder often not light and very hard to reach these are young people who may be involved with stealing with getting into fights with their peers with lying with running away from home not attending school they can be physically aggressive and they can be sexually aggressive they can they considered the classroom bully they use intimidation when they interact with other people they can be very defiant and oppositional and can be very difficult to bench in the classroom being disrespectful but just the way they interact with each other and having interact with you as an authority figure you know you can see very early on the signs of it's doing that starts to show before it gets the point that they're really you know in the abyss and they're trying to claw their way out because I really think that they want they want someone to see that I just sit down and as I said before listen okay what's up I will validate anything you're saying because I was a kid too so I know that hurts when a young person starts thinking that nice not worth living there better off dead than alive they may actually make a suicide attempt so you don't people are at an increased risk for suicide had a suicide attempt in their in their life they're also increase risk if there's a family history of there being a suicide attempt or completed suicide relational factors that can heighten the teenagers risk for suicide such as if there's a divorce in the family a break up with a boyfriend or a girlfriend sexual or physical abuse at home in very critical family situation if there's a death of a loved one that was very close to the student bullying and that can be face-to-face bullying or bullying that's experience through the internet  and those do everyone in school everyone knew about it I started getting emails from everyone in school did you really think Alex would like you  how can I believe this  another group that may be at height Isis gay and lesbian teens as well as those that are questioning their sexuality certain environmental factors can contribute to issues with suicide such as stare a firearms in the home when a suicide does a current one particular Community there can be what we what contagion effect whereby this occurring in one Community can actually affect another troubled youth to actually consider suicide is an option for themselves  so now you learn about some of the risk factors causes that can lead to Suicide there are some Eminence signs that you should be aware of and then if you have a student who's talking about suicide who's talking about life's not worth sing who is writing about very sad gloomy topics this is a student that you really should reach out and try to help symptom that you may not see often is a symptom called psychosis and that's when he going person maybe hearing voices that are not there seeing things that are not there and maybe acting very bizarre manner is another student who really requires urgent intervention who is also maybe at increased risk for a suicide attempt and really needs help as soon as possible what I try to do is to get them open to talk about it because I know when something's wrong on my set a 10 to my principal and maybe we need to get the parent in to see if we all could you know sit at the table and help words of the wise lights for educators and teachers is be more Hands-On with the kids are teachers are really on the front lines here for the most part they see more of our children than we do and they certainly see them in a dimension that we don't often times particular young child is depressed that kid comes home goes upstairs shuts the door there's none of Melinda reaction at dinner whenever you can manage to get them out we're a little Exchange in as I say trying to discern what is normal and what is aberrant behavior is very difficult so our teachers are like need to be able to see before we do often times an indicator of homelessness and that's really what we're looking for one thing that I would like to advise teacher anyone that's working with young people is not necessarily worry about am I getting the right number of symptoms has it been lasting for the long it was due I had to play. Correct I just think if it's enough that you're thinking about it and you're noticing combination of symptoms that really seem to be getting in the way of this young really think about getting that young person help whether it is to seek out the guidance counselor if you know the parents and you feel comfortable bringing it to the parents attention I would say have a low threshold in reaching out to that teenager and asking them are you okay do you think anything's changed for you do you need any help with anything and that could really make a big difference for that teenager let's Robinson can we talk to you for a second hi Jim this is Dave from George Washington talk about a prenup in Arizona hi I'm calling about my daughter she's 14 and I'm really worried about her so much  yes hello this is dr. green calling from Four Corners Pediatrics hi my name is Ray and I'm a junior at Willis High I'm calling because I can't stop  when you refer the Preston to treatment you are helping to approve more than just their mental health students who are successful have improved concentration memory and recall is critical to academic performance increase energy makes it possible for students to pursue Sports and other extracurricular activities you can skip the treatment they need in order to live Fuller more active life and proves the entire School community so how should you respond within the USD 207 school district if you believe there is Melody that a student may be thinking about suicide we ask that you follow the ace strategy a ask have the courage ask a question that stay calm ask the question directly why today are you? Say tell me about stop c-care remove any means that could be used for self-injury calmly control the situation do not use force act do you listen to produce relief escort never leave the person alone  escort to helping professional your school ancillare  District protocol USD 207 District protocol never leave the student alone escort didn't school counselor school counselor will make appropriate contact in follow up with involved individuals a few more key terms will be helpful for you to learn about our social modeling contagion effect and protective factors social modeling social modeling is learning to change others by observing their behaviour social modeling puts individuals at a higher risk for suicide increased risk of suicide exists even if do not personally know the individual who committed suicide when well-known figures and icons commit suicide it increases the risk of suicide Sample When celebrities such as Kurt Cobain and Robin Williams committed suicide the general population was then at a higher risk contagion effect a suicide contagion effect is when one suicide can lead to an increase of suicides and a particular Community this is similar to social modeling difference with the contagion effect the individual who has committed suicide is personally known example individual commit suicide they put their friends and loved ones at a greater risk for suicide protective factors  projector Factor what are skills strengths are coping skills and individuals that help people deal with stressful events they include things such as resiliency advocacy problem solving a sense of purpose Hope connectedness Family and other social support to assist laugh and supporting students the district has compiled a mental health emergency contact list if needed your school counselor can provide you with the necessary contact information for mental health professionals  questions comments concerns please contact the school counselor in your sing  if you are concerned that a student is at risk remember the USD 207 protocol is never leave the student alone escort Suna to school counselor school counselor will make an appropriate contact and follow up with involved individuals post test number one did Jason Flatt youth suicide awareness act a requires all School Employees to have Diamond of 1 hour training each calendar year be requires only employees new to the district to have a minimum of one hour of training C requires at T where to work with students in grades 4 to 12 to have a minimum of one hour training each calendar year D is a new optional training that the state of Kansas for districts to use for the professional development to suicide is the blank cause of Youth of death for use between ages 10 - 24 a 10th b v c 31st  3 for every suicide estimated that there are blank attempts a 100 B 50 c 25 d v  number a risk factor for suicide is a divorce be traumatic event C bullying D all the above 5 inside for a suicide is a acting-out b isolation C self-defeating D all of the above

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