Rhode Island Suicide Prevention Task Force Meeting

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Rhode Island Suicide Prevention Task Force Meeting
December 9, 2004
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Agenda

• Description of Process to Date
• Overview of Data Risk Factors
• Overview of RI plan Objectives Recommendations
• Priority Setting
• Goal is to create one plan across lifespan

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RI Injury Prevention PlanningProcess to Date

• RI Suicide Prevention Planning Team 2000-Present
• Injury Advisory Committee met October January.
• Selected 3 Priority Areas.
• Made recommendations for task forces to
  consider.
  
• Asked for recommendations for incorporation into
  the state plan.

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Suicide and Suicide Attempts in the State of
Rhode Island
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Suicide Risk and Protective Factors
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Injury Advisory CommitteeGuidance

• Key groups include
• Males 2545
• Youth 15-24
• Older Adults 60
• Key risk factors are
• Mental and physical illness (bipolar and
  schizophrenia)
  
• Being adult and male
• Substance abuse/alcohol abuse
• Sexual abuse
• Employment status

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Suicide Risk Factors

• Previous suicide attempt(s)
• History of mental disorders, particularly
  depression
  
• History of Alcohol and Substance abuse
• Family history of child maltreatment
• Feelings of hopelessness
• Impulsive or aggressive tendencies
• DHHS 1999 (www.CDC.gov/ncipc/factsheets/suifacts)

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Suicide Risk Factors Contd.

• Barriers to accessing mental health treatment
• Loss (relational, social,work, or financial)
• Physical illness
• Easy access to lethal methods
• Unwillingness to seek help because of stigma
• Cultural and religious beliefs that support
  suicide as a noble resolution
  
• DHHS 1999 (www.CDC.gov/ncipc/factsheets/suifacts)

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Suicide Risk Factors Contd.

• Local epidemics of suicide
• Isolation, a feeling of being cut off from other
  people
  
• DHHS 1999 (www.CDC.gov/ncipc/factsheets/suifacts)

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Suicide Protective Factors

• Effective clinical care for mental, physical, and
  substance abuse disorders
  
• Easy access to a variety of clinical
  interventions and support for help seeking
  
• Family and community support
• Support from ongoing medical and mental health
  care relationships
  
• DHHS 1999 (www.CDC.gov/ncipc/factsheets/suifacts)

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Suicide Protective Factors Contd.

• Skills in problem solving, conflict resolution,
  and nonviolent handling of disputes
  
• Cultural and religious beliefs that discourage
  suicide and support self-preservation instincts
  
• DHHS 1999 (www.CDC.gov/ncipc/factsheets/suifacts)

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Recommendations for Suicide Prevention
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Suicide Prevention Plans and Recommendations
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Healthy People 2010 Objectives

• 18- Reduce suicide rate
• 18-2 Reduce the rate of suicide attempts by
  adolescents
  
• 18-6 Increase the number of persons seen in
  primary health care who receive mental health
  screening and assessment
  
• 18-7 Increase the proportion of children with
  mental health problems who receive treatment

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Healthy People 2010 Objectives

• 18-8 Increase the proportion of juvenile justice
  facilities that screen new admissions for mental
  health problems
  
• 18-9 Increase the proportion of adults with
  mental disorders who receive treatment
  
• 18-9a Adults aged 18-54 years with serious
  mental illness

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Healthy Rhode Island 2010 Objectives

• 6-1 Increase the proportion of adults with
  recognized depression who receive treatment
  (National Objective 18-9b)
  
• 6-2 Reduce the suicide rate (National Objective
  18-1)

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RI Suicide Prevention Framework Objectives 2002

• Awareness
• 1 To support and affirm people at risk for death
  by suicide.
  
• 2 To reduce the stigma associated with seeking
  services for mental health, substance abuse, and
  suicide prevention.
  

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RI Suicide Prevention Framework Objectives 2002

• Intervention
• 3 To improve and expand mental health services
  delivery.
  
• 4 To increase screening and identification.
• 5 To promote efforts to reduce access to lethal
  means and methods of self-harm

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RI Suicide Prevention Framework Objectives 2002

• Methodology Objectives
• 6 To coordinate and expand public health
  surveillance of suicide and suicide attempts.
  
• 7 To promote and support culturally relevant
  research on suicide and suicide prevention.
  

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Infrastructure Objective

• 8 To improve the ability of Rhode Island to
  support suicide prevention interventions.