azpa carefree conference 2015 - everything i knew about suicide was wrong

33
BH Version 3.0: The New Operating System David w. Covington, lpc, mba Ceo & President, RI International, Inc. 0

Upload: david-covington

Post on 17-Mar-2018

460 views

Category:

Healthcare


1 download

TRANSCRIPT

Page 1: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

BH Version 3.0:

The New

Operating

SystemDavid w. Covington, lpc, mba

Ceo & President, RI International, Inc.

0

Page 2: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Not a Healthcare Issue?

Prominent suicidologists, argued successfully, albeit erroneously, that this is not a healthcare issue. They kept suicide out of the mental health Bible, the DSM, stating, “suicide is, by definition, not a disease, but a death that is caused by a self-inflicted intentional action or behavior.”

Page 3: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Is Suicide Really A Choice?A Vivid Memory

Page 4: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Pupils Dilate & Eyelids Widen

Page 5: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 6: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Is Suicide Really A Choice?

Page 7: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Depression is a disorder of mood, so mysteriously painful and elusive in the way it becomes known to the self — to

the mediating intellect– as to verge close to being beyond description. It thus remains nearly incomprehensible to

those who have not experienced it in its extreme mode.

- William Styron

Page 8: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

What I Didn’t Do…

Page 9: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

I finally succumbed when all my strength was fully, completely gone…

Page 10: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Suicide Can Be Prevented.

A. Never in Those Truly Intent on SuicideB. Sometimes, but Only in Advance of Acute

RiskC. Always, but Only in Advance of Acute Risk

D. Always, Even Up to the Last Moment

Page 11: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

How Long Could You Endure the Ice Water…

Page 12: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 13: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 14: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 15: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 16: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Disease Transmission R Nought

Measles Airborne 12 – 18

HIV/AIDS Sexual

Contact

2 - 5

SARS Airborne

Droplet

2 – 5

Influenza Airborne

Droplet

2 – 3

Ebola Bodily

Fluids

1.5 – 2.5

Page 17: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 18: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 19: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 20: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

me too

Page 21: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 22: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong
Page 23: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Many, many

more suicides

can be

prevented, but

it will require…

Healthcare systems

must work together

and within

communities

Utilize a systems

approach to

quality

improvement

Develop clinical

pathways for direct

care

Page 24: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Forbes

Magazine

2010, “The

Forgotten

Patient” –

Those at risk

of suicide

are pressed

to the

periphery

of

healthcare.

© Koren Shadmi

Page 25: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Suicides are

being

averted

every day

around the

world… but

the effort is

generally

individual…

not systematic.

Kevin Briggs, Guardian of the Golden Gate

Bridge

Page 26: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

That’s also

true in

healthcare

(many lives

are saved)…

but like the

Golden Gate

Bridge, far too many are lost.

Greater suicide death risk relative to general

population

Page 27: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

The impact of patient suicide deaths upon the healthcare

workforce is significant.

Page 28: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

It is time…

for

healthcare

leaders to

aim for the

bull’s eye

on the

challenge

of suicide

Page 29: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

This means

targeting

zero… which

systems do

every day

around the

world for other

complex

challenges.

Page 30: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

None of our patients should die desperate and alone by

suicide.

Page 31: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Suicide

Resu

lts

Tom Insel, NIMH

Page 32: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

Adopt the mindset.

Change the world. Zero is the only goal

we can live with.

Zero Suicide in Healthcare Atlanta Summit 2015

Page 33: AZPA Carefree Conference 2015 - Everything I Knew About Suicide Was Wrong

zerosuicide.comzerosuicide.orgThe Social Movement The Healthcare Toolkit