National Strategy for Suicide Prevention (NSSP) Rates of Suicide in - - PowerPoint PPT Presentation

National Strategy for Suicide Prevention (NSSP)

Rates of Suicide in the United States

 Nearly 40,000 people in the United States die from

suicide annually

 The highest number of suicides among both men and

women occurred among those aged 45 to 54

 There are 3.6 male suicides for every female suicide  From 1999 to 2010, the age-adjusted suicide rate for

adults aged 35 to 64 in the United States increased significantly (28.4%).

 Half of these deaths occurred by use of a firearm

Substance Abuse and Mental Health Services Administration 2014

New Mexico

 New Mexico has the 5th highest suicide rate in the United

States

 The New Mexico suicide rate is more than 50% higher than

the United States rate

 In 2014 - 450 New Mexicans died by suicide (21.1 deaths per

100,000 residents)

 Suicide is the 7th leading cause of death in New Mexico  Suicide rates have been increasing in New Mexico and the

United States since 2000

 Suicide is the 2nd leading cause of death among New Mexico

residents 10 to 39 years old

From the NMDOH Health Fact Sheet September 2015

Providers see People at Risk of Suicide

 What percentage of people who die by suicide had contact with their

primary care providers in the month prior to their suicide?

 50%

 What percentage of people who die by suicide had contact with their

primary care provider in the year prior to their death?

 80%

 What percentage of people who die by suicide saw a behavioral

health provider within the month before they died

 20%

 What percentage of people who die by suicide visited the Emergency

Department within 2 months before they died?

 10%

SAMHSA Suicide Safe http://store.samhsa.gov/apps/suicidesafe/

“Asking a depressed person about suicide may put the idea in their heads”

 This is FALSE  Does not suggest suicide, or make it likely  Open discussion is more likely to be experienced as relief

than intrusion

Used with permission from Columbia University

Myth #1

“There’s no point in asking about suicidal thoughts…if someone is going to do it they won’t tell you”

 This is FALSE  Many will tell clinician when asked, even if they would

never volunteer

 Ambivalence is characteristic  Contradictory statements/behavior common  Many give some hints/warnings to friends or family, even if

don’t tell clinician

Used with permission from Columbia University

Myth #2

“Someone making suicidal threats won’t really do it, they are just looking for attention”

 This is FALSE  Those who talk about suicide or express thoughts

about wanting to die are at risk for suicide

 80% of people who die by suicide give some

indication or warning

Used with permission from Columbia University

Myth #3

“If you stop someone from killing themselves one way, they’ll probably find another”

 This is FALSE  “Means restriction” has strong evidence as suicide

prevention strategy

 Examples:  England 1998 – blister packaging for Tylenol = 44%

reduction in Tylenol overdose over next 11 years

 Israeli military 2006 - restricted gun access on passes,

suicide rate dropped 40% in military

Used with permission from Columbia University

Myth #4

NSSP Goals

 NSSP has 4 Strategic Directions and 13 Goals  NSSP grant (Sept. 2014- Sept. 2017) focuses on

Goals 8 & 9

 Goal 8:

 Promote suicide prevention as a core component of health

care services

 Goal 9:

 Promote and implement effective clinical and professional

practices for assessing and treating those identified as being at risk for suicidal behaviors

NM Suicide Prevention Efforts

3 NM pilot sites to implement the Zero

Suicide model in their organizations and communities

 https://www.youtube.com/watch?v=6L3AeGnUbuQ

Grant Efforts Continue to identify opportunities

Collaboration & Support

 As a state, we all play a role to continue a suicide

prevention model post-grant cycle

 We, the NSSP Core Team, would welcome the opportunity

to collaborate and support your departments’ current suicide prevention efforts

Jackie Nielsen Project Director HSD/Behavioral Health Services Division Jacqueline.Nielsen@state.nm.us 505-476-9267 Megan Phillips Program Manager HSD/Behavioral Health Services Division Megan.Phillips@state.nm.us 505-476-6290

Thank you!

James Wright, LCPC

Public Health Advisor Suicide Prevention Branch

New Mexico Suicide Prevention and Crisis Intervention Federal Review

New Mexico

• Awarded:

– 2015 Planning Grant Certified Community Behavioral Health Clinics – 2014 National Strategy Suicide Prevention – 2012 Garrett Lee Smith Youth Suicide Prevention – Block Grant Suicide Prevention Requirements

National Action Alliance for Suicide Prevention

National Action Alliance for Suicide Prevention

Task Forces

Data and Surveillance American Indian / Alaska Native 2.0 Clinical Workforce Preparedness Research Prioritization Military / Veterans 2.0 Crisis Services Suicide Attempt Survivors Faith Communities Survivors of Suicide Loss Public Awareness and Education Workplace Infrastructure High-Risk Populations Interventions

Zerosuicide.org

• 45% of people who died by suicide had contact with primary

care providers in the month before death. Among older adults, it’s 78%.

• 19% of people who died by suicide had contact with mental

health services in the month before death.

• South Carolina: 10% of people who died by suicide were seen

in an emergency department in the two months before death.

Defining the Problem: Health Care is Not Suicide Safe

• Ohio: Between 2007-2011, 20.2% of people who died from

suicide were seen in the public behavioral health system within 2 years of death.

• New York: In 2012 there were 226 suicide deaths among

consumers of public mental health services, accounting for 13% of all suicide deaths in the state.

• Vermont: In 2013, 20.4% of the people who died from suicide

had at least one service from state-funded mental health or substance abuse treatment agencies within 1 year of death.

Defining the Problem: Behavioral Health Care is Not Suicide Safe

• Makes suicide prevention a core responsibility of health

care

• Applies new knowledge and proven tools for suicide care
• Supports efforts to humanize crisis and acute care
• Is a systematic approach in health systems, not “the

heroic efforts of crisis staff and individual clinicians.”

• Is embedded in the National Strategy for Suicide

Prevention (NSSP) and Joint Commission Sentinel Event Alert.

Zero Suicide…

The Joint Commission Sentinel Event Alert #56

• Primary, emergency and behavioral health

clinicians should:

– Review each patient’s personal and family medical history for suicide risk factors. – Screen all patients for suicide ideation using a brief, standardized, evidence-based screening tool. – Review screening questionnaires before the patient leaves the appointment or is discharged. – Safety plan and ensure continuity of care.

Fundamental components

• LEAD- Make explicit commitment to reduce suicide deaths.
• TRAIN- develop confident, competent, caring workforce.
• IDENTIFY- Identify every person at risk of suicide.
• ENGAGE- Engage clients in a suicide care management plan.
• TREAT- Treat suicidal thoughts and behaviors directly.
• TRANSITION- Follow patients through every transition in care.
• IMPROVE- Apply data-driven quality improvement.

http://zerosuicide.org

ZS Resources

• Zero Suicide Organizational Self-Study
• Zero Suicide Workforce Survey
• Zero Suicide Data Elements Worksheet

Five Major Suicide Prevention Components

• Garrett Lee Smith State and Tribal Suicide

Prevention Grant Program

• Garrett Lee Smith Campus Suicide

Prevention Grant Program

• National Suicide Prevention Lifeline

– Crisis Center Follow-up Grant Program

• Suicide Prevention Resource Center
• Suicide Prevention Tribal Initiative

Purpose of GLS and NSSP

• The purpose of these programs are to support states and tribes in developing and

implementing statewide and/or tribal youth and adult suicide prevention and early intervention strategies, grounded in public/private collaboration. Such efforts must involve public/private collaboration among youth and adult-serving institutions and agencies and should include schools, educational institutions, justice systems, foster care systems, substance abuse and mental health programs, primary and emergency care, workforce development and other child, youth and adult supporting organizations.

• Goals are accomplished through a number of activities- some, but not all of which,

are gatekeeper trainings, screening programs, coalition and task force building,

• utreach and awareness campaigns and direct services. Grantees must use NREPP
• r BPR programming and can create specific training and screening for target

populations

• Many grantees identify or have identified Military Families and Veterans as high risk

target audience

Suicide Prevention Resource Center

The Nation’s first and only Federally funded suicide prevention resource center

• Advances the goals and objectives of the National Strategy for Suicide

Prevention

• Staffing and Coordination for the National Action Alliance for Suicide

Prevention

• Prevention Support for GLS grantees
• Best Practices Registry for Suicide Prevention w reference to NREPP
• Primary Care Toolkit
• Training Institute
• State Suicide Prevention Plans
• Partners with American Association of Suicidology, American Foundation

for Suicide Prevention, Social Science Research and Evaluation, Inc.

• www.sprc.org

National Suicide Prevention Lifeline 1-800-273-TALK (8255)

The Lifeline is a telephone network comprised of 164 independent crisis centers across the country dedicated to preventing suicide. By dialing 1-800-273-TALK, people in emotional distress or suicidal crisis have 24/7 access to trained workers who can offer support, empathy and refer callers to additional crisis services, if needed. Using innovative technology, callers are routed to their nearest crisis center, ensuring that they receive culturally-relevant support and information about local community services. Since its launch in 2005, the Lifeline has seen a steady increase in call volume and as of Jan 2016, has answered more than 120,000 calls per month and has taken more than six MILLION calls to date. Added 24/7 Chat Services Feb 2014.

New Mexico Lifeline Centers CY2015 Calls Answered

• New Mexico Crisis and Access Line

– 2,716 calls answered, 35.36% of state calls

• Crisis Response of Santa Fe

– 1,035 calls answered, 13.47% of state calls

• Agora Crisis Center

– 3,930 calls answered, 51.17% of state calls

In Summary

• Healthcare (Physical and Behavioral)

recognizing need for suicide prevention as core priority

• Need to identify ways to develop acute to

routine care

• Crisis services, including crisis centers, are a

critical component to developing safety of patients/consumers

James Wright, LCPC

Public Health Advisor, Suicide Prevention Branch, SAMHSA 240-276-1854 james.wright@samhsa.hhs.gov