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Army Substance Abuse Program
Suicide Prevention
One Team – Ichi Dan
Suicide Prevention
One Team – Ichi Dan
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AR 600-85, 600-63, 600-24, DA Pam
600-24
AR 600-85, 600-63, 600-24, DA Pam
600-24
DoDD 1010.10,6200.04
DoDD 1010.10,6200.04
Health Promotionand
Suicide Prevention
Army Substance Abuse Program
(ASAP), Risk Reduction/Suicide Prevention, Army Health Promotion
Program Authority
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• Recognize the signs and triggers
• Suggested actions with an at risk individual
• Intervention process
• Available resources
Objectives
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• 4th leading cause of death of 25-44 yr old men and women
• 2010 - 86 Army Civilians and Family members suicide deaths
• Vets are 2 times more likely to suicide
• 53% Veteran’s Preference - USAG-J
Civilians with activity limitations are at greater risk to suicide
• 16% Vets - USAG-J
• 6% Civilian - USAG-J
Suicide
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Protective Factors
Aversion to Pain or Death• Military training reduces aversion
Sense of Belonging• Part of a group, mission, the team• Member of something bigger than oneself• Fraternal groups, religion, family, relationship, support
Sense of Usefulness• What I do counts• Activities and living have meaning• A sense of inclusion• Useful member of the team• Atmosphere
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• Recent interpersonal losses
• Loss of self-esteem / status
• Humiliation / Ridicule
• Rejection (e.g., job, promotion, boy/girlfriend)
• Disciplinary or legal difficulty
• Exposure to suicide of friend or family member
• Discharge from treatment or from service
• Retirement
Triggers.
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• The breakup of a close relationship
• Witnessing death
• Financial stressors
• A bad evaluation
• Drug or Alcohol Abuse
• Reunion from a long field training or isolated tour
• Leaving old friends and family
• Being alone with concerns about self or family
• Being in a foreign country
Triggers.
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Inclusion
Treat with Dignity and Respect
Build the Team
Care and Concern
Good management of Peoplesignificant part of prevention
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ASK• Have the courage to ask, but stay calm. • Ask the question directly – e.g do you feel like hurting yourself
CARE• Remove any means that could be used for self injury.• Calmly control the situation.• Actively listen. Reassure that he or she will be helped.
ESCORT• Never leave alone.• Escort to the ER, primary care provider, or behavioral health
professional.• Call 911 if you cannot escort them to an appropriate provider.
A.C.E!.
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• Listen• Engage• Foster - an environment of trust and support• Emphasize - seeking help is good judgment• Reduce stigma - show compassion • Observe right to privacy – limit discussion to
professionals/some in the chain of supervision• Know - what services are available
As a Co-worker or Supervisor.
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Stigmas to Seeking Help
Goes on my record
Will affect my career
Seeking help is a sign of weakness
Others will have negative thoughts/feelings towards me
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Suicide can be prevented!
Take a threat seriously!
Take the time - be there!
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It’s about choices
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ContactProgram Manager – 263-8054Senior Social Worker – 263-8049 Prevention Coordinator – 263-8047 Drug Test Coordinator – 263-5850
HOURSMonday thru Friday, 0730 to 1630 (except Thurs morning)
LOCATIONBuilding 534 Readiness and Resiliency Center
SERVICESAssessment and counseling – professional counseling staffInformation and support and resourcesCoaching and consultation to assist leaders Installation Drug Testing ProgramEmployee Assistance Program