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Suicide Awareness and Prevention in Washington County Tricia Mortell, Public Health Division Manager Vicki Horn, Veteran Services Supervisor Rich Roell, Program Coordinator Lifeworks Northwest September 3, 2019 National Suicide Prevention


  1. Suicide Awareness and Prevention in Washington County Tricia Mortell, Public Health Division Manager Vicki Horn, Veteran Services Supervisor Rich Roell, Program Coordinator Lifeworks Northwest September 3, 2019

  2. National Suicide Prevention Month Time for us all to reflect on what we can do to raise awareness and support efforts toward Zero Suicide  Learn the warning signs and how to respond  Free trainings available at GetTrainedtoHelp.com .  Put the national suicide prevention lifeline number in your phone 1-800-273-8255  Join the Washington County Suicide Prevention Council  Out of the Darkness Walk in Portland on October 5, 2019

  3. Just the Tip of the Iceberg (2017)  National rate: 14 per 100,000  Reported suicides: 47173  People with thoughts of suicide:  4% in past year  15% in their lifetime  One in four will make a plan.  Half of those will make an attempt.  3-4% will end in death.

  4. Just the Tip of the Iceberg (2017)  Reported suicides in Oregon: 825  Reported suicides in Washington County: 74  One person dies of suicide every 11 hours  8 th leading cause of death  2 nd leading cause of death for ages 12-44  4 th leading cause of death for 45-64

  5. High Risk Groups  Veterans – 2016 national rate of 30.1  Active Military – 2016 rate of 21.1 across all branches  Other high risk groups include LGBTQ youth, older white men, persons with mental health conditions including substance use disorders, those who live in rural areas, those who work in the construction industry  Common threads: men, social isolation, access to care issues, trauma, easy access to lethal means

  6. Veterans  Approximately 35,000 veterans in Washington County  Disability, Aging and Veteran Services assist veterans in applying for federal and state benefits and connecting veterans to other resources  VetCenter offers counseling in our office one day per week  Assistance connecting to VA Health Care  Pacific University partnership for family/partner counseling  Community resources: Returning Veterans Project and other community-based groups

  7. Disability, Aging and Veteran Services Received funding from Oregon Department of Veteran Affairs(ODVA) for Suicide Prevention in 18/19  Hosted two screenings of Project 22  Two Veteran Service Officers are trained in Mental Health First Aid for Veterans Received funding from ODVA 19/20  Working with Oregon Society of Artists to host an art show and offer classes to veterans as a means to connect in the community  Plan to offer Mental Health First Aid for Veterans four times in 19/20

  8. Suicide Prevention Efforts  2012 – Highest recorded suicide rate in Washington County history, with a 67% increase between 2009 and 2012  2013 - Summit of Hope  2013 – Suicide Prevention Council began  2014 – Over 4,000 Washington County residents trained in suicide prevention  2015 – Get Trained to Help launched  2015 – Suicide Fatality Review Board established  2015 and 2019 – Means reduction projects

  9. What is Means Reduction?  Removing the lethal means / method by which people kill themselves, thus making death less likely  Putting time and distance between a suicidal person and a highly lethal method such as guns, bridges, etc., during a suicidal crisis

  10. What We Have Learned From Attempters How much time passed between the time you decided to complete suicide and when you actually attempted? 30% 24% 24% 25% 23% 20% 16% 15% 13% 10% 5% 0% Less Than 5 minutes 5-19 minutes 20 minutes - 1 hour 2-8 hours 1 or more days https://www.hsph.harvard.edu/means-matter/means-matter/duration/#Simon

  11. Methods of Self-Harm, U.S. Fatal Nonfatal Attempts Overdose/ Hanging/ Gas 3% Overdose/Poison Poison Jump 2% Suffocation 12% 66% Sharps 2% 26% Other 4% Firearm Sharps 22% 51% Other 9% Suffocation 2% Firearm 1% Fatal (Suicide): CDC WONDER (2016) 54% firearm in Oregon Nonfatal: Canner 2016

  12. Means Restriction and Washington County WSCC Parking Garage Barrier Gun Shop Education/Partnership  Visited 36 gun shops  Initial briefing in 2015  Goals: Educate about guns and  Approved in 2018 suicide, encourage QPR training  Funds allocated in 2019 and awareness of SPC  Construction starts in 2020  All but one shop welcomed the information, took brochures  Two expressed interest in SPC and further trainings

  13. Our Work is Making a Difference 47% drop in the suicide rate since 2012

  14. Next Steps We need to:  Work in partnership with gun shops, owners and enthusiasts  Engage and train gun owners about “why means matters”  Train clinicians in Lethal Means Counseling

  15. Resources  24/7 Washington County Crisis Line: 503-291-9111  www.GetTrainedtoHelp.com  Get a gun lock/gun safe

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