Title: SchoolBased Suicide Prevention
1Safe Schools Preventing Youth Suicide
August 26, 2008
2Moderator
- Joan Lerman, MSSW
- School Administrative Consultant
- Prevention/School Violence
- Student Services/Prevention and Wellness Team
- Department of Public Instruction
3- This months webcast is brought you with
partnerships between the Wisconsin Department of
Public Instruction, Office of Justice Assistance,
Homeland Security Program, Wisconsin Emergency
Management, Department of Health and Family
Services and partnering organizations involved in
the Center for School, Youth and Citizen
Preparedness.
4Audio Difficulties?
- Make sure the volume is turned up (volume button
beneath the speakers picture) - Make sure the volume on the computer is turned up
(volume icon located on the right hand side of
your computer taskbar) - Contact your IT department
- If audio and visual is lost during the program,
go back to http//media2.wi.gov/dpi/catalog/,
and click on the Student Services Prevention and
Wellness Team link on the left, then when the
SSPW Team page of archived programs appears,
select the program link desired. - If problem persists contact Ken Wagner (608)
266-5181.
5Preventing Youth Suicide
- Information for Schools
- John Humphries
- School Psychologist
- WI DPI
- August 26, 2008
6Goals for this workshop
- Present useful data
- Discuss risk factors
- Identify early and late warning signs
- Suggest an easy way to help suicidal students
ACT - End youth suicide in Wisconsin!
7Why Gatekeeper Training?
- Describes a serious problem among kids
- Empowers staff to help
- Ends fear of taking action
- Increases ability to identify, support, refer
8Youth Risk Behavior Survey
WI DPI, 2007
9Where does suicide rank among causes of death in
WI youth?
- And, how many youth die by suicide every year?
- DHS WISH, 1999-2006, ages 10-19,
www.dhfs.wisconsin.gov/wish/Mortality Module,
accessed 10/30 31 2007
10Is suicide very common?
Suicide 399! That's about 50 each year
11Of all deaths among youth
- In the U.S.
- Suicides are 12
- Suicide is the third leading cause of death
- In Wisconsin
- Suicides 17
- Suicide is the second leading cause of death
- WISQARS, Centers for Disease Control and
Prevention, National Center for Health Statistics
(NCHS), National Vital Statistics System,
downloaded 3/19/08 for years 1999-2005, ages
10-19
12Wisconsins Rate Compared to USA
- For 10-19 year olds
- 13th highest rate in nation
- Rate is 42 higher than national average
- For 10-14 year olds
- 5th highest in US
- 20 states didnt even have enough suicides in
this age range to have reliable data - CDC WISQARS
13Risk Factors
- Risk factors raise risk something will occur
- The most important suicide risk factors
- A prior suicide attempt
- Suicidal thoughts or plans
- Exposure to suicide of friends, family,
community, or in the media
14Other Risk Factors
- Serious depression, hopelessness
- Using drugs or drinking
- Teenage Crisis
- Risky behaviors
- School problems
- Trouble solving problems
J. of Adolescence, 29 (2005) 75-87 Arch Pediatr
Adolesc Med. 2005159513-519 J. School Health,
77, 2, 59-66
15Early Warning Signs
- Look for changes over time, including
- Spending more time alone (girlsisolated)
- Major/frequent mood swings (boysangry)
- Difficulty concentrating
- Decline in quality of school work
- Change in eating or sleeping habits
- Boredom
- Physical symptoms related to emotions
- Youth Suicide Prevention School-Based Guide,
2003, Louis de la Parte Florida Mental Health
Institute - Goldstein, et. al, J Consulting Clinical
Psychiatry, 2008 Feb 76(1) 84-91
16Late Warning Signs
- Talking about suicide
- Impulsive violent or rebellious actions
- Refusing help, wont accept praise
- Being cheerful after a period of depression
- Giving away favorite possessions
- Making a last will testament
- Youth Suicide Prevention School-Based Guide,
2003, Louis de la Parte Florida Mental Health
Institute
17ACT NOW!
- If you see any late warning signs, you should act
immediately. - Dont try to diagnose the problem.
- Dont worry about students getting attention.
- Myth Asking them will give them ideas.
- Myth They wont tell the truth when asked.
- Myth If they dont do it now, will do it later.
18What else do we need to know?
- Suicide doesnt just happen out of the blue90
had treatable mental illnesses or drug/alcohol
problems. - Usually an impulsive reaction to crisis
- Firearms used in more than half of youth suicides
in WIsafe storage is critical
19It might look something like this
- Youve noticed risk factors such as depression or
exposure to suicide - and the student has become isolated
- and they hinted about suicide or forever escaping
their problems - its time to ACT! Right away! Dont leave the
student alone.
20ACT for suicide prevention
- A is Acknowledge signs and symptoms
- C is for showing Care and Concern for the
person who is at-risk - T is Tell a trusted adult who knows how to
respond - Signs of Suicide is the source of ACT, a program
of Screening for Mental Health
21A is ACKNOWLEDGE
- That sounds really tough, Im sorry to hear it.
- You have some major challenges on your plate.
- Dont minimize their feelings by saying
- Youll get over it.
- Time heals all wounds.
- Stop worrying about it.
- You dont even have to ask questions!
22C is CARE AND CONCERN
- I would hate for any harm to come to you.
- I dont want this to get any worse. Id really
like to see you get some help. -
- Youre an important part of my class and I want
to be sure you stay safe.
23T is TELL A TRUSTED ADULT
- I know Mr. Humphries in the Student Services
office, and he works with many students who are
facing challenges like this. Lets go see him
together. - Know your School Counselor, School Psychologist,
School Social Worker, School Nurse, and other
members of your Crisis Response Team. Take the
student to see one of them right away, even if
youre not sure if its a crisis.
24State Law Protects You!
- WI 118.295 Suicide intervention civil liability
exemption. any (school) officer, employee or
volunteer, who in good faith attempts to prevent
suicide by a pupil is immune from civil liability
for his or her acts or omissions in respect to
the suicide or attempted suicide. - You are safe in trying to help students.
- For private and public schools.
25What can schools do?
- Staff and volunteers should be skilled at
identifying and helping suicidal students - Train all students (another law)
- Develop prevention/intervention programs
- Student Services staff should be skilled at
suicide risk assessment or have access to someone
who is skilled in this area
26In your school
- Are there any students you are concerned about
right now? - Who can you take a student to see?
27Remember
- All you need to do to stop youth suicide is
- ACT
- Acknowledge
- Care
- Tell
- The National Suicide Prevention Lifeline is
always available at (800) 273-TALK
28Additional Resources
- DPIs Suicide Prevention Web Page
- www.dpi.wi.gov/sspw/suicideprev
- Suicide Prevention Resource Center
- www.sprc.org
29Practice ACT
- High School Junior Girl, Monica
- Used to be social, would laugh, participate
- Grades were good but have slipped
- Over 6 or 8 months becomes isolated, gloomy,
outlook is bleak - One day says to you, Id like to take a
permanent nap and never wake up. - What do you do?
30Contact Information
- John Humphries
- (608) 266-7189
- john.humphries_at_dpi.wi.gov
31- Webcasts may also be observed at
- www.citizenpreparedness.org
- From the Center for School, Youth, and Citizen
Preparedness
32Any comments regarding this webcast?Any
suggestions on future school safety topics?
- Contact
- Joan Lerman 608-266-2829
- joan.lerman_at_dpi.wi.gov
- Ken Wagner 608-266-5181
- kenneth.wagner_at_dpi.wi.gov
33- Programs archived at
-
- http//media2.wi.gov/dpi/catalog
34Next Safe Schools Webcast
October 21, 2008