Student Behavioral Health: Suicide Prevention & Intervention - - PowerPoint PPT Presentation

Student Behavioral Health: Suicide Prevention & Intervention

1

Sandi di Scott

Dean of Students, University of Wisconsin-Stout

Tammy mmy McGuc uckin kin

Vice Provost for Student Affairs & Enrollment Services, University of Wisconsin-Parkside

National Landscape

Key Issues

Students are reporting incre reased ased behavior avioral al health lth issues and seeking help in record numbers Anxiety iety and depre ress ssion ion are the most common student behavioral health concerns, and are increasing; suicide de is also on the rise Behavioral health issues significantly impact act the academ demic ic success s and reten ention tion of our students

A state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.

Source: World Health Organization (WHO), College Stats, 2018

Behavioral Health

Depression

Source: World Health Organization (WHO), National College Health Assessment (NCHA), Spring 2015

A behavioral health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life. Increases risk for suicide.

Depression: UW System vs. Nationwide

Source: National College Health Assessment (NCHA), Spring 2015, Spring 2010- 2018

UW SYSTEM ‘15 UW SYSTEM ‘18 NATIONAL ‘18

UW SYSTEM ‘15 UW SYSTEM ‘18 NATIONAL ‘18

33% 41% 42% 0% 10% 20% 30% 40% 50% 16% 23% 18%

Felt so depressed it was difficult to function (1+ times in last 12 months) Diagnosed or Treated (last 12 months) UW SYSTEM ‘15 UW SYSTEM ‘18 NATIONAL ‘18

10% 11% 12% 14% 18% 8% 10% 12% 14% 16% 18% 20% 2010 2012 2014 2016 2018 National Trends Depression Diagnosis or Treatment

Dep epres ession sion – UW System Demographic Groups

34% 13% 43% 25% 34% 23% 45% 22% 61% 47% 67% 44% 73% 44%

0% 10% 20% 30% 40% 50% 60% 70% 80% Felt lt so so dep depre ress ssed d it it was was dif difficul icult to f t to functi unction

• n (1+

+ time imes in las s in last 12 m t 12 mont

• nths)

hs) Di Diagnose nosed or

• r Tre

reat ated d (las last 12 2 mont months) hs) Source: NCHA-Spring 2018

Male Female le Veteran an Ethnic c Minority ty LG LGBQ Transge gende nder Disability ty

Suicide and Self-Harm

Source: American Psychological Association (APA), 2015, College Stats, 2018

• Suicide is the act of ending one’s life,

most often as a result of depression

• r other mental illness.
• Self-Harm is characterized by

deliberate acts to wound one’s self.

Suicide and Self Harm (last 12 months)

Source: NCHA-Spring 2015 and NCHA-Spring 2010- 2018

UW SYSTEM ‘15 UW SYSTEM ‘18 NATIONAL ‘18

9% 13% 12% 0% 2% 4% 6% 8% 10% 12% 14%

Seriously considered suicide

7% 9% 8%

Self-Injured

1.3% 2.1% 1.7%

Attempted Suicide

≈22,000 students ≈3,700 students

UW SYSTEM ‘15 UW SYSTEM ‘18 NATIONAL ‘18

12% 5% 2% 12% 10% 2% 12% 3% 1% 15% 9% 3% 23% 16% 5% 28% 21% 6% 31% 29% 11%

0% 5% 10% 15% 20% 25% 30% 35%

Se Serio rious usly C ly Consid nsidered red Su Suic icide ide Se Self-I lf-Inju njured red At Attem empted ted Su Suici icide de

Suicide ide & Self f Harm m (last t 12 12 months) ths)-

University of Wisconsin System Demographic Groups

Source: NCHA-Spring 2018

Male Disability ty Female Ethnic c Minority ty Veteran an LGBQ Transge gende nder

Counseling Center Utilization & Enrollment Trends

Sources: UW System Fact Book; UW System Counseling Directors

• 2.5%

5% 55% 55% 19%

• 10%

0% 10% 20% 30% 40% 50% 60%

UW Enrollment Counseling Clients Counselors

2010 2011 2012 2013 3 2014 2015 5 2016 6 20 2017 2018

Impact on Health Services

Source: UW System Health Directors, 2018

• Student behavioral health

issues accounts for up to one third d of student visits to UW health services centers;

• Almost one half

f of visits to a UW health services center also involve a behavioral health issue

• Access

s to psychotr hotropi pic c medicati cation

• n

assessm sment nt and management is a struggle

• Because of limited

d access ss to psychiatric services, students are increasingly relying on health services for support

• Students request

docume ument ntat ation ion from Health Services to be used for disability accommodations

Behavior Intervention Teams

• Multidisciplinary teams of campus

consultants trained in risk/threat assessment.

• Serve as a “vortex” for receiving and

analyzing critical behavioral concerns.

• Assess safety risk (to self and
• thers) and coordinate/manage

response.

Campus response to a student suicide attempt

All threats are taken seriously Initial conversations and appropriate interventions Safety assessments Family notification if deemed necessary Care and attention given to others who may be impacted

Campus response to student death by suicide

Support for immediate circle (roommates, faculty advisor, teammates, etc.) Impact can occur for an extended period

• f time

Support for family and campus community

College as a Protective Factor

College students are less likely to die by suicide than their non- student peers.

Source: Silverman et al., 1997; Drum et al., 2009)

A Framework For Student Wellbeing

Source: Adapted from the University of California Student Mental Health Resources & Promising Practices Report, 2006

Focus

• Programs and services aimed at

helping students experiencing high rates of stress or behavioral issues

• Preventative efforts to teach students

how to create and maintain healthy, balanced lifestyles

Scope

• Select students; most at-risk for

self-harm or suicide

• Students identified as part of a

“vulnerable” population

• Majority of students;

experience some stress but do not require counseling or an intervention

Tier 1 Critical Behavioral Health & Crisis Response Services Tier 2 Targeted Interventions Tier 3 Creating Healthy Learning Environments

• Provision of timely

services and support for students who are in grave psychiatric distress