Learning Objectives E xpla in wha t QPR me a ns I de ntify risk - - PowerPoint PPT Presentation
QPR Staff suicide prevention training Na me T itle / F a c ility e ma il Learning Objectives E xpla in wha t QPR me a ns I de ntify risk fa c to rs a nd e a rly wa rning sig ns o f suic ide Apply QPR princ iple
Staff suicide prevention training
Na me
T itle / F a c ility
e ma il
Learning Objectives
E
xpla in wha t QPR me a ns
I
de ntify risk fa c to rs a nd e a rly wa rning sig ns o f suic ide
Apply QPR princ iple s to he lp sa ve a
life OR find so me o ne who c a n
Please remember:
T
his is ma y b e a n unc o mfo rta b le to pic
Ma ny pe o ple ha ve b e e n to uc he d b y suic ide in
so me wa y
T
his is a sa fe c la ssro o m
Ple a se re spe c t the fe e ling s a nd vie ws o f a ll he re
to da y
I
f yo u ha ve re c e ntly lo st so me o ne to suic ide , this tra ining ma y b e to o diffic ult fo r yo u rig ht no w
US 2013 Statistics
Cause of De ath All Age s
Suic ide 41,149 Mo to r Ve hic le 35,369 Ho mic ide 16,121
I nfo rma tio n pro vide d b y the Ce nte r fo r Dise a se Co ntro l a nd Pre ve ntio n (CDC) fro m the Na tio na l Vita l Sta tistic s Re po rt (NVSR) “De a ths: fina l Da ta fo r 2013”.
Wisconsin 2013 Statistics
Cause of De ath All Age s
Suic ide 854 Mo to r Ve hic le 561 Ho mic ide 178
Wisc o nsin De pa rtme nt o f He a lth Se rvic e s, Divisio n o f Pub lic He a lth, Offic e o f He a lth I nfo rma tic s, “Wisc o nsin De a ths, 2013” pub lishe d Ma rc h 2015.
WI DOC Statistics
Sinc e 1998, Wisc o nsin DOC ha s lo st 39 Co rre c tio na l Pro fe ssio na ls to Suic ide = Mo re tha n 2 o f us pe r ye a r
Ask a Que stio n, Save a L ife
Que stio n, Pe rsuade , Re fe r
QPR is no t inte nde d to b e a fo rm o f
c o unse ling o r tre a tme nt.
QPR is inte nde d to susta ining life
until he lp a rrive s – like CPR.
QPR is inte nde d to o ffe r ho pe
thro ug h po sitive a c tio n
MYTHS & & FACTS
Myth - No o ne c a n sto p a suic ide , it
is ine vita b le .
F
ac t - If pe ople in a c r isis ge t the he lp the y ne e d, the y will pr
ne ve r be suic idal again.
MYTHS & & FACTS
Myth - Co nfro nting a pe rso n a b o ut
suic ide will o nly ma ke the m a ng ry a nd inc re a se the risk o f suic ide .
F
ac t - Asking some one dir e c t and c ar ing que stions about suic idal inte nt lowe r s anxie ty, ope ns up c ommunic ation and lowe r s the r isk
MYTHS & & FACTS
Myth - Only e xpe rts c a n pre ve nt
suic ide .
F
ac t - Suic ide pr e ve ntion is e ve r ybody’s busine ss and anyone c an he lp pr e ve nt the tr age dy of suic ide .
MYTHS & & FACTS
Myth - Suic ida l pe o ple ke e p the ir
pla ns to the mse lve s.
F
ac t - Most suic idal pe ople c ommunic ate the ir inte nt some time dur ing the we e k pr e c e ding the ir atte mpt.
MYTHS & & FACTS
Myth - T
ho se who ta lk a b o ut suic ide do n’ t do it.
F
ac t - Pe ople who talk about suic ide may tr y, or e ve n c omple te , an ac t of se lf- de str uc tion.
MYTHS & & FACTS
Myth - Onc e a pe rso n de c ide s to
c o mple te suic ide , the re is no thing a nyo ne c a n do to sto p the m.
F
ac t - Suic ide is the most pr e ve ntable kind of de ath, and almost any positive ac tion may save a life . Many that sur vive an atte mpt say, “I r e gr e tte d it the mome nt I.......”
Suic ide Risk F ac tor s And Clue s/ War ning Signs
T he mo re c lue s a nd sig ns o b se rve d, the g re a te r the risk. T a ke a ll sig ns se rio usly!
F ir e Dr ill E xe r c ise !
I n te a ms, list a s ma ny r
isk fac tor s and war ning signs for suic ide a s yo u
c a n c o me up with!
Ris Risk Fac Factors for Suic Suicide
Me nta l he a lth diso rde rs - the se c a n inc lude :
de pre ssio n, a nxie ty diso rde rs, b ipo la r, e tc .
F
a mily histo ry o f suic ide
Se rio us me dic a l c o nditio n a nd/ o r pa in Drug a nd/ o r a lc o ho l de pe nde nc e / a b use I
mpulsivity a nd a g g re ssio n
Histo ry o f tra uma o r a b use Ho pe le ssne ss
“I
’ ve de c ide d to kill myse lf.”
“I
wish I we re de a d.”
“I
’ m g o ing to c o mmit suic ide .”
“I
’ m g o ing to e nd it a ll.”
“I
f (suc h a nd suc h) do e sn’ t ha ppe n, I ’ ll kill myse lf.”
Dire rect Ve Verb rbal C Clues:
“I
’ m tire d o f life , I just c a n’ t g o o n.”
“My fa mily wo uld b e b e tte r o ff witho ut me .” “Who c a re s if I
’ m de a d a nywa y.”
“I
just wa nt o ut.”
“I
wo n’ t b e a ro und muc h lo ng e r.”
“Pre tty so o n yo u wo n’ t ha ve to wo rry a b o ut
me .”
“I
just wa nt the pa in to sto p.”
Ind Indirect ct V Verbal C Clues:
Any pre vio us suic ide a tte mpt Ac q uiring a g un o r sto c kpiling pills Co -o c c urring de pre ssio n, mo o dine ss,
ho pe le ssne ss
Putting pe rso na l a ffa irs in o rde r Giving a wa y prize d po sse ssio ns Sudde n inte re st o r disinte re st in re lig io n
Behav havioral ral C Clues:
Drug o r a lc o ho l a b use , o r re la pse a fte r a
pe rio d o f re c o ve ry
Une xpla ine d a ng e r, a g g re ssio n a nd
irrita b ility
Sudde n c ha ng e o f b e ha vio r fro m
de pre ssive sympto ms to jo y a nd pe a c e
Sle e ping to o little o r to o muc h Withdra wing o r I
so la ting – e xc e ssive a b se nte e ism fro m wo rk
Behav havioral ral C Clues:
Be ing fire d o r b e ing e xpe lle d fro m sc ho o l A re c e nt unwa nte d mo ve L
De a th o f a spo use , c hild, o r b e st frie nd,
e spe c ia lly if b y suic ide
Dia g no sis o f a se rio us o r te rmina l illne ss
a nd/ o r c hro nic pa in
Situa uatio ional C l Clue ues:
Sudde n une xpe c te d lo ss o f fre e do m/ fe a r o f
punishme nt/ humilia tio n
Antic ipa te d lo ss o f fina nc ia l se c urity L
te a c he r
F
e a r o f b e c o ming a b urde n to o the rs
Ha ra ssme nt o r b ullying T
a lking a b o ut fe e ling s o f b e ing tra ppe d
Situa uatio ional C l Clue ues:
I
f in do ub t, do n’ t wa it, a sk the q ue stio n
I
f the pe rso n is re luc ta nt, b e pe rsiste nt
T
a lk to the pe rso n a lo ne in a priva te se tting
Allo w the pe rso n to spe a k fre e ly Give yo urse lf ple nty o f time Ha ve yo ur re so urc e s ha ndy; QPR Ca rd, E
AP pho ne numb e r, lo c a l c o unse lo r’ s na me a nd a ny o the r info rma tio n tha t mig ht he lp
How you a sk the que stion is le ss impor ta nt tha n tha t you a sk it.
Tips f for
Asking th the Suicide Qu Questi tion:
“Ha ve yo u b e e n unha ppy la te ly? ” “Ha ve yo u b e e n so ve ry unha ppy la te ly tha t
yo u’ ve b e e n thinking a b o ut e nding yo ur life ? ”
“Do yo u e ve r wish yo u c o uld g o to sle e p
a nd ne ve r wa ke up? ”
Less Dire rect ct A Appro proach: ach:
“Yo u kno w, whe n pe o ple a re a s upse t a s
yo u se e m to b e , the y so me time s wish the y we re de a d. I ’ m wo nde ring if yo u’ re fe e ling tha t wa y to o ? ”
“Yo u lo o k pre tty mise ra b le , I
wo nde r if yo u’ re thinking a b o ut suic ide ? ”
“Are yo u thinking a b o ut killing yo urse lf? ” “Are yo u thinking a b o ut suic ide ? ”
Dire rect Appr Approach:
If you c a nnot a sk the que stion, find some one who c a n.
“Yo u’ re no t suic ida l, a re yo u? ” “Yo u wo uldn’ t do a nything stupid,
wo uld yo u? ”
How Not
to As Ask the he Qu Question:
L
iste n to the pro b le m a nd g ive the m yo ur full a tte ntio n
Re me mb e r, suic ide is no t the pro b le m, o nly
the so lutio n to a pe rc e ive d inso lub le pro b le m
Do no t rush to judg me nt Offe r ho pe in a ny fo rm No rma lize fe e ling s o f suic ide to he lp the
pe rso n o pe n up
How How to to Persuade S Som
to Sta tay A Alive:
“Will yo u g o with me to g e t he lp? ”
“Will yo u le t me he lp yo u g e t he lp? ” “Will yo u pro mise me no t to kill yo urse lf
until we ’ ve fo und so me he lp? ” YOUR WIL L INGNE SS T O L IST E N AND T O HE L P CAN RE KINDL E HOPE , AND MAKE AL L T HE DIF F E RE NCE
Then A Ask:
Suic ida l pe o ple o fte n b e lie ve the y c a nno t b e he lpe d,
so yo u ma y ha ve to do mo re .
T
he b e st re fe rra l invo lve s ta king the pe rso n dire c tly to so me o ne who c a n he lp.
T
he ne xt b e st re fe rra l is g e tting a c o mmitme nt fro m the m to a c c e pt he lp, the n ma king the a rra ng e me nts to g e t tha t he lp.
T
he third b e st re fe rra l is to g ive re fe rra l info rma tio n a nd try to g e t a g o o d fa ith c o mmitme nt no t to c o mple te o r a tte mpt suic ide . Any willing ne ss to a c c e pt he lp a t so me time , e ve n if in the future , is a g o o d o utc o me .
REM EMEM EMBE BER
Sinc e almo st all e ffo rts to pe rsuade so me o ne to live inste ad o f atte mpt suic ide will b e me t with ag re e me nt and re lie f, do n’ t he sitate to g e t invo lve d o r take the le ad.
For Effective QPR
Sa y: “I
wa nt yo u to live ,” o r “I ’ m o n yo ur side ...we ’ ll g e t thro ug h this.”
Ge t Othe rs I
nvo lve d. Ask the pe rso n who e lse mig ht he lp. F a mily? F rie nds? Bro the rs? Siste rs? Pa sto rs? Prie st? Ra b b i? Bisho p? Physic ia n?
For Effective QPR
Jo in a T
e a m. Offe r to wo rk with c le rg y, the ra pists, psyc hia trists o r who me ve r is g o ing to pro vide the c o unse ling o r tre a tme nt.
F
c a rd, a nd in wha te ve r wa y fe e ls c o mfo rta b le to yo u, le t the pe rso n kno w yo u c a re a b o ut wha t ha ppe ns to the m. Ca ring ma y sa ve a life .
REM EMEM EMBE BER
WHE N YOU APPL Y QPR, YOU PL ANT T HE SE E DS OF HOPE . HOPE HE L PS PRE VE NT SUI CI DE .
I n pa irs, use the QPR stra te g ie s tha t we disc usse d to pra c tic e the QPR te c hniq ue . T a ke turns b e ing the pe rso n a t risk fo r suic ide a nd the pe rso n using QPR.
1.
Que stion the pe rso n
2.
Pe r suade the pe rso n to g e t he lp
3.
Re fe r the pe rso n to lo c a l re so urc e s
Pr ac tic e , Pr ac tic e , Pr ac tic e !
What abou
r ow
We a re o nly a s g o o d fo r o urse lve s,
e a c h o the r, o ur jo b s, fa mily a nd frie nds a s we a re we ll!
We ha ve the a b ility to b e we ll
re g a rdle ss o f wha t ha ppe ns a ro und
NIC NIC’s Ei Eight Pri Principles of
Effectiv ive Interventio ion
What do I ne e d to c hange ? What is the c ost of not c hanging? Why should I c hange ? How c an I c hange ? Do it! Pr ac tic e ! Good job… ke e p it up! Who c an he lp? How am I doing? Is what I’m doing wor king?
Saf Safe Cir Circle De Debr brief
T
his is a sa fe pla c e
Sha re o r c o mme nt a s yo u a re
c o mfo rta b le , o r pa ss.
Thank you you!