h ow to s upport t hose at r isk f or s uicide july 2015

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HOW TO SUPPORT THOSE AT RISK FOR SUICIDE July 2015

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Page 1: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

HOW TO SUPPORT THOSE AT RISK FOR SUICIDE

July 2015

Page 2: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

SAMARITANS PROGRAMS AND SERVICES

Prevention: • Community Education & Outreach

Intervention:• 24-hour Befriending Service & Samariteens

Postvention:• Grief Support Services

Page 3: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

SUICIDE FACTS & FIGURES

An average of 1 person every 16 minutes completes suicide – 41,000+ people/year nationwide (2013) which is 4.6 times higher than homicides

Suicides among males exceeded females by 3 to 1

90% have diagnosable psychiatric disorders – most often mood disorders

Page 4: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

SUICIDE FACTS & FIGURES

Leading method used in the US - Firearms

Leading method used in MA – suffocation (hanging)

Approximately 624 suicides were reported in MA in 2012 (36 more than 2011)

2nd leading cause of death for ages 15-24 (behind unintentional injury)

10th leading cause of death overall for all ages

Page 5: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

SUICIDE MYTHS

Talking about suicide will NOT cause someone to attempt suicide

People who kill themselves DO warn other people

Once a person is suicidal they’re NOT suicidal forever

Those who have attempted suicide and have not completed the suicide MAY try again

You DO NOT have to be a mental health professional to help someone who is suicidal

Page 6: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

SUICIDAL FEELINGS

Suicidal feelings are complex – usually never one thing

Suicide is a desire to end the pain, not a desire to be “dead”

The closer to taking the final step, often unable to reach out and ask for help or to view other options

Those left behind are called “survivors”

Page 7: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

RISK FACTORS

Family history of suicide Previous suicide attempts Physical Illness Poor coping skills Physical, sexual, domestic, or child abuse Relational, social, work or financial loss Impulsive and/or aggressive behavior Suffering from mental health disorders Alcohol/substance addiction

Page 8: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

WHAT ARE THE WARNING SIGNS?

Preoccupation with suicide and/or death Direct verbal statements

“No one would miss me”“I wish I would never wake up”“I want to kill myself”

Feelings of sadness or hopelessness, often accompanied by anxiety

Declining school or work performance Loss of pleasure/interest in social activities Sleeping too little or too much Changes in weight or appetite

Page 9: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

WHAT ARE THE WARNING SIGNS?

Not caring about appearance or cleanliness Sudden mood lift after a down period Taking unnecessary risks

Not taking prescribed medicationsDriving drunkHaving unprotected sexIncreased use of alcohol or drugs

Putting one’s affairs in order

Page 10: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

WHAT ARE SOME EMOTIONS A SUICIDAL PERSON MAY FEEL?

Depressed Confused

Isolated

Worthless

Out of Control Overwhelmed

Helpless (immediate)

Hopeless (future)

Page 11: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

PROTECTIVE/RESILIENCY FACTORS

Sense of humor Support networks Problem solving skills Coping Skills Ability to express emotions Ability to ask for help Faith/values

Page 12: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

PROTECTIVE/RESILIENCY FACTORS

Remember, there is ALWAYS another solution, even if you can’t see it now.

Having thoughts of hurting yourself or others does not make you a bad person.

If your feelings are uncontrollable, tell yourself to wait 24 hours before you take action.

If you’re afraid you can’t control yourself, make sure you are never alone.

www.helpguide.org/mental/depression_teen_teenagers.htm

Page 13: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

PROTECTIVE/RESILIENCY FACTORS

Ask for help if you’re stressed Try not to isolate yourself Remember that you are not alone Keep your body healthy Avoid alcohol and drugs

www.helpguide.org/mental/depression_teen_teenagers.htm

What you can do to feel better

Page 14: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

HELPING A FRIEND

Listen

Ask

Get Help

Page 15: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

LISTEN

DO: Show that you care Give all your attention Ask questions

DON’T: Talk about yourself Give advice Tell them what they are feeling is

unimportant

Page 16: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

ASK

Ask questions Open-ended questions Steer “into the pain” Avoid interrogation Avoid “why” questions

Deal with the person, not the problem Acknowledge their pain by using their

words Speak to someone as an equal

Page 17: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

ASK

Ask the question directly:

“Do you sometimes feel so bad that you think about suicide?”

Be ready to support them whether they answer yes or no

Page 18: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

ASK

Don’t worry about finding the perfect words Sincerity Compassion

Verbal acknowledgements are useful Affirmations Don’t label the feelings for the person

Let the answers come from the person

Page 19: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

GET HELP

Try to remain calm. If your emotions are escalated the situation will be harder to handle

It’s always easier to ask for forgiveness than permission

Do not try to handle the situation by yourself, it is ok to ask for help

Page 20: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

RESOURCES

www.masspreventssuicide.org www.mass.gov – Injury prevention – suicide

prevention program www.suicidepreventionlifeline.org www.suicidology.org www.afsp.org www.samaritanshope.org www.mentalhealthscreening.org www.sprc.org

Page 21: H OW TO S UPPORT T HOSE AT R ISK F OR S UICIDE July 2015

LAUREN GABLINSKEMANAGER, COMMUNITY EDUCATION & OUTREACH

[email protected]

BUSINESS LINE: 617-536-2460

Samaritans Statewide Hotline: 1-877-870-HOPE (4673)

Samaritans, Inc. Teen Line: 1-800-252-TEEN (8336)

Imhear.org